Generic Name: Fluoxetine
Brand name: Prozac; Sarafem

	Brand	Generic	Manufacturer	Size	Price	Exp.
	Deproxin 20mg	Fluoxetine hcl	SM Pharma *GMP Standard*	100 caps package foil	US$135
	Deproxin 20mg	Fluoxetine hcl	SM Pharma *GMP Standard*	200 caps package foil	US$170
	Fluoxetine 20mg (next day ship out)	Fluoxetine hcl	Medic Pharma	100 caps	US$80
	Fluoxetine 20mg (next day ship out)	Fluoxetine hcl	Medic Pharma	200 caps	US$150
	Prozac 20mg (next day ship out)	Fluoxetine hcl	Eli Lilly	28 caps	US$98
	Prozac (brand) aka Sarafem 20 mg	Fluoxetine	Eli Lilly	56 caps	US$185
	Prozac (brand) aka Sarafem 20mg	Fluoxetine	Eli Lilly	84 caps	US$275
	Prozac CAPSULE (generic) aka Sarafem 20 mg	Fluoxetine	various	100 caps	US$42

Why is Generic Prozac prescribed?
Prozac (Prozac), an antidepressant (mood elevator), is used to treat depression, obsessive-compulsive disorders, and some eating disorders. Prozac (Sarafem) is used to treat premenstrual dysphoric disorder.

Fluoxetine is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How should Generic Prozac be used?
Prozac comes as a capsule, tablet, and liquid to take by mouth. It is usually taken once or twice a day and may be taken with or without food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Prozac exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Fluoxetine oral liquid comes with a specially marked dropper for measuring the dose. Ask your pharmacist to show you how to use the dropper. Dilute the liquid in 4 ounces (120 ml) of water, apple juice, or Gatorade just before taking it.

Continue to take Fluoxetine even if you feel well. Do not stop taking Prozac without talking to your doctor, especially if you have taken large doses for a long time. Your doctor probably will want to decrease your dose gradually. This drug must be taken regularly for a few weeks before its full effect is felt.

What special precautions should I follow?
Before taking prozac,

• tell your doctor and pharmacist if you are allergic to Prozac or any other drugs.
• tell your doctor and pharmacist what prescription and nonprescription drugs you are taking or have taken within the last 2 weeks, especially anticoagulants [warfarin (Coumadin)]; antidepressants; antihistamines; antipsychotics such as haloperidol (Haldol) or clozapine (Clozaril); buspirone (BuSpar); carbamazepine (Tegretol); cyclosporine (Neoral, Sandimmune); levodopa (Larodopa, Sinemet); lithium (Eskalith, Lithobid); MAO inhibitors [phenelzine (Nardil); medication for anxiety, diabetes, high blood pressure, seizures, Parkinson's disease, asthma, colds, or allergies; muscle relaxants; phenytoin (Dilantin); phentermine; pimozide (Orap); sedatives; sleeping pills; sumatriptan (Imitrex); thioridazine (Mellaril); thyroid medications; tranylcypromine (Parnate)]; tranquilizers; tryptophan; and vitamins. You should not take phenelzine (Nardil), tranylcypromine (Parnate), or thioridazine until at least 5 weeks after you stop taking Prozac.
• tell your doctor if you have or have ever had glaucoma, an enlarged prostate, difficulty urinating, seizures, diabetes, an overactive thyroid gland, or liver or heart disease.
• tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Fluoxetine, call your doctor immediately.
• if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Prozac.
• you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
  remember that alcohol can add to the drowsiness caused by Fluoxetine.
• tell your doctor if you use tobacco products. Cigarette smoking may decrease the effectiveness of Fluoxetine.

What should I do if I forget a dose?
If you take several doses per day, take the missed dose as soon as you remember it and take any remaining doses for that day at evenly spaced intervals. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule.

If you take Prozac once a day at bedtime and do not remember to take it until the next morning, skip the missed dose. Do not take a double dose to make up for a missed one.

What side effects can Generic Prozac cause?

Side effects from prozac are common:

• upset stomach
• drowsiness
• weakness or tiredness
• excitement or anxiety
• insomnia
• nightmares
• dry mouth
• skin more sensitive to sunlight than usual
• changes in appetite or weight

Tell your doctor if any of these symptoms are severe or do not go away:

• constipation
• difficulty urinating
• frequent urination
• blurred vision
• changes in sex drive or ability
• excessive sweating

If you experience any of the following symptoms, call your doctor immediately:

• jaw, neck, and back muscle spasms
• slow or difficult speech
• shuffling walk
• persistent, fine tremor or inability to sit still
• fever, chills, sore throat, or flu-like symptoms
• difficulty breathing or swallowing
• severe skin rash or hives
• yellowing of the skin or eyes
• irregular heartbeat

What storage conditions are needed for Generic Prozac?
Keep Fluoxetine in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

What other information should I know?
Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your response to Fluoxetine.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.