Fluoxetine (Oral Route) Proper Use - Mayo Clinic Be sure to read on for more detail. Fluoxetine, commonly sold as Prozac, is an antidepressant that's used to treat several mental health conditions. With over 2,800 cancer clinical trials underway at Mayo Clinic, your generous gift could help us find answers and change lives for people with cancer. Comments: Immediate-release oral formulations: Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Adjust dosage, if indicated, with the individual components according to efficacy and tolerability. Keep from freezing. The starting dose for teens taking Prozac is 20 milligrams per day. Its usually taken once per day in the morning. Initial dosage: After your child takes 10 mg per day for one week, . They may monitor your (or your childs) weight during treatment with Prozac. The usual daily dose ranges from 20 mg to 60 mg. DailyMed - PROZAC- fluoxetine hydrochloride capsule Initial dose: 10 mg orally once a day, increased to 20 mg orally once a day after several weeks if sufficient clinical improvement is not observed, Maintenance dose: 10 to 20 mg orally once a day. The maximum recommended dosage is 80 mg per day. The potential risks versus clinical need should be assessed prior to using this drug in children and adolescents. Make dosage adjustments, if indicated, according to efficacy and tolerability within dose ranges of fluoxetine 20 to 50 mg and oral olanzapine 5 to 12.5 mg. Antidepressant efficacy was demonstrated with olanzapine and fluoxetine in combination with a dose range of olanzapine 6 to 12 mg and fluoxetine 25 to 50 mg. Safety of co-administration of doses above 18 mg olanzapine with 75 mg fluoxetine has not been evaluated in clinical studies. Prozac (fluoxetine) is a prescription drug used to treat certain mental health conditions, including depression. For depression in adults, the typical dosage of Prozac is 20 mg per day. After 1 week at 10 mg/day, increase the dose to 20 mg/day. However, due to higher plasma levels in lower weight children, the starting and target dose in this group may be 10 mg/day. Available for Android and iOS devices. However, it is important to work with your doctor to determine which treatments are right for your teen. You should give Prozac to your child only when prescribed by a doctor. The drug comes as a capsule that you swallow. In the short-term (8 to 9 week) controlled clinical trials of fluoxetine supporting its effectiveness in the treatment of Major Depressive Disorder, patients were administered fluoxetine doses of 10 to 20 mg/day [see Clinical Studies (14.1)]. MomJunction provides content for informational purposes only. These may be subtle and lead tothoughts about suicide or dying,suicide attempts,or self-injury. Do not take more Prozac than your doctor prescribes, as this can lead to serious side effects. Nutritious meals at a scheduled time may help children deal with appetite loss. Depression: How Effective Are Antidepressants? Lower weight children: Immediate-release oral formulations: Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Last updated on Dec 23, 2021. If you are a Mayo Clinic patient, this could Advertising revenue supports our not-for-profit mission. They may increase it further to reach the dose thats right for you. information is beneficial, we may combine your email and website usage information with The drug, which has been used in adults . In lower weight children, there is minimal experience with doses greater than 20 mg per day, and none with doses greater than 60 mg per day. All patients As with other drugs effective in the treatment of Major Depressive Disorder, the full effect may be delayed until 4 weeks of treatment or longer. This medicine is available only with your doctor's prescription. Immediate-release oral formulations: Lower or less frequent dosing may be appropriate in these patients, Delayed-release oral capsules: Data not available, MAOI therapy to this drug: At least 14 days should elapse, This drug to MAOI therapy: At least 5 weeks should elapse, This drug to tricyclic antidepressant (TCA) therapy: The dose of the TCA may need to be reduced and plasma levels temporarily monitored. Available for Android and iOS devices. There is a problem with How Decrease Prozac (Fluoxetine) By 10 mg - Walrus Health It is also approved for treatment of major depressive disorder in adolescents and . Scientific evidence suggests that Fluoxetine may be the drug of choice for treating MDD and anxiety disorders. Prozac (Fluoxetine) | Side Effects, Dosage, Uses & Interactions - Drugwatch Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. For details, see the Dosage adjustments section below. Here are 11 ways to stop a. Administer doses above 20 mg/day once daily in the morning or twice daily (i.e., morning and noon).The maximum fluoxetine dose should not exceed 80 mg/day. Prozac is one of the most commonly prescribed selective serotonin reuptake inhibitor (SSRI) medications for adults, and it has been shown to also be effective for kids. ; (2020); Comparative efficacy and acceptability of antidepressants, psychotherapies, and their combination for acute treatment of children and adolescents with depressive disorder: a systematic review and network meta-analysis. Since boys do not undergo menstrual cycles, bleeding may signify a health issue. This may help decrease the risk of withdrawal symptoms or their severity. If your child has been diagnosed with depression, your doctor may have recommended Prozac for teens or kids. Studies comparing fluoxetine 20, 40, and 60 mg/day to placebo indicate that 20 mg/day is sufficient to obtain a satisfactory response in Major Depressive Disorder in most cases [see Clinical Studies (14.1)]. Some people are predisposed to developing cyclothymia. Prozac is used to treat major depressive disorders and prevent relapse in children. Prozac can be part of an effective treatment plan for depression, anxiety, OCD, and other mental health conditions. Remember, you should not change your dosage of Prozac without your doctors recommendation. If its almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. For this use, 60 mg per day is the recommended dosage and the maximum dosage of Prozac. Prozac. After 1 week, your doctor may increase your dosage to 20 mg per day. Read on to know about the safety, side effects, possible risks, and the precautions you need to take while using Prozac for children. In the controlled clinical trial of fluoxetine supporting its effectiveness in the treatment of OCD, patients were administered fluoxetine doses in the range of 10 to 60 mg/day [see Clinical Studies (14.2)]. Your childs doctor may gradually increase their dosage over time until they reach the dose thats right for your child. What does Prozac feel like when it starts working? If your doctor recommends Prozac for you, theyll prescribe the dosage thats right for you. sertraline, trazodone, fluoxetine, clonazepam, alprazolam, Lexapro, quetiapine, venlafaxine, citalopram, Zoloft. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. The usual daily dose ranges from 10 mg to 60 mg. He had been on Prozac (10 mg) for a year and a half along with therapy for 3 years. Will you lower my dosage if I have side effects from Prozac? Adolescents and higher weight children: A lower or less frequent dose should be considered in elderly patients, and/or those on multiple concomitant medications or with concurrent disease. According to Mayo Clinic, if you miss a dose of Prozac (fluoxetine), take it immediately unless you are closer in time to your next dose. The dosage of Prozac youre prescribed may depend on several factors. Experience with daily doses greater than 20 mg is very minimal, and there is no experience with doses greater than 60 mg. Your doctor may have you take 20 mg every day of your menstrual cycle or for only 15 days of your cycle. However, due to higher plasma levels in lower weight children, the starting and target dose in this group may be 10 mg/day. Fluoxetine affects certain chemical messengers (neurotransmitters) that communicate between brain cells and helps people with depression, panic, anxiety, or obsessive-compulsive symptoms. Give the next dose as scheduled. Food and Drug Administration. In controlled trials used to support the efficacy of fluoxetine, patients were administered morning doses ranging from 20 to 80 mg/day. Psychiatric: Emergence or worsening of depression, suicidal thoughts or behavior, and/or any unusual changes in mood or behavior. For instance, it's best not to keep Prozac in the bathroom. For depression related to bipolar I disorder, Prozac is prescribed together with olanzapine (Zyprexa). Prozac capsules come in the following strengths: Your doctor will likely start by prescribing a low dosage of Prozac. What are some common side effects of antidepressants? Closely monitor your childs blood sugar level if he/she has diabetes. To review Prozacs usual recommended dosages, see the What is Prozacs dosage? section above. Keep in mind that the response to a medication differs between people. But a dose increase may raise the risk or severity of side effects. What is Prozac (Fluoxetine) used for? 2023 Healthline Media LLC. Prozacs usual daily dose ranges from 20 mg to 50 mg. Your doctor will recommend a schedule that slowly reduces your dosage over time. other information we have about you. The side effects of Prozac are often mild and short-lasting. Potential side effects of fluoxetine in kids. If you notice any of the following in your child, contact a healthcare provider immediately: Another serious side effect associated with Prozac that warrants special attention is the risk of suicidal thoughts or behavior. Compared to other common antidepressants, Prozac appears to carry fewer risks for children with depression. Healthline Media does not provide medical advice, diagnosis, or treatment. Applies to the following strengths: 90 mg; 10 mg; 20 mg; 40 mg; 60 mg; 20 mg/5 mL; 15 mg. Immediate-release oral formulations: 60 mg orally once a day in the morning Food and Drug Administration. However, 20 mg per day is the most commonly prescribed dosage for children taking Prozac. TheFood and Drug Administration (FDA) has issued a public warning that suicidal thoughts and behavior may increase in children and adolescents up to age 25 who are taking SSRI antidepressant medications. A daily dose of 60 mg has not been shown to be significantly more effective than 20 mg daily. You may have to take fluoxetine for a month or longer before you begin to feel better. Periodically reassess to determine the need for treatment. This can include setting an alarm or downloading a reminder app on your phone. But always take the dosage that your doctor prescribes. You should never double your child's Prozac dose. AdultsAt first, 20 milligrams (mg) once a day in the morning. Youll likely take this dosage for the first several weeks or longer. PROZAC is indicated for the treatment of: Acute and maintenance treatment of Major Depressive Disorder [see Clinical Studies (14.1)]. The tablets also contain microcrystalline cellulose, magnesium stearate, crospovidone, . Sustained maintenance therapy may be required where the dose may be gradually adjusted by your childs doctor based on his/her response to the therapy. Practical tips on cleanliness and grooming will help children throughout their life. The cost for Prozac oral capsule 20 mg is around $572 for a supply of 30 capsules, depending on the pharmacy you visit. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Oral capsules, tablets, oral solution, and delayed release oral capsules (given weekly) are bioequivalent. You can also read about Prozacs side effects in this article.). Have a conversation with your child's doctor and be sure to monitor your child's behavior carefully if they do start taking it. Consider a dose increase after several weeks if no clinical improvement is observed. If you are using the oral liquid, shake the bottle well before measuring each dose. However, the dose is usually not more than 80 mg per day. Seek medical help if your child shows symptoms of weakness, passing out, or seizures, as these are symptoms of low sodium levels. Verywell Mind's content is for informational and educational purposes only. To review Prozacs usual recommended dosages, see the What is Prozacs dosage? section above. She works as a neonatologist in the NICU at Rainbow Babies and Childrens Hospital more, Dr. Joyani Das did her post-graduation from Birla Institute of Technology, Mesra and PhD in Pharmacology. Consider a dose increase after several weeks if insufficient clinical improvement is observed. cool pale skin diarrhea difficulty with concentration drowsiness dryness of the mouth excessive hunger fast or irregular heartbeat headache increased sweating increased thirst lack of energy mood or behavior changes overactive reflexes purple or red spots on the skin racing heartbeat seizures 8 to 18 years: After starting Prozac, all children should be monitored closely for any side effects, especially changes in behavior. Report any behavior of concern to your healthcare provider as soon as possible. Conversely, at least 5 weeks should be allowed after stopping PROZAC before starting an MAOI intended to treat psychiatric disorders [see Contraindications (4.1)]. ; (2007); A double-blind, randomized, placebo-controlled trial of fluoxetine in children and adolescents with depression. 1 Symbyax (olanzapine/fluoxetine HCL) is a fixed-dose combination of PROZAC and olanzapine. This medicine should come with a Medication Guide. The chart below summarizes the usual recommended dosages of Prozac for children. Do not take more medication than your doctor prescribes. The following information includes only the average doses of this medicine. Periodically re-examine the need for continued pharmacotherapy. selective serotonin reuptake inhibitors (SSRIs), Side Effects of Prozac: What You Need to Know, Prozac Interactions: Alcohol, Medications, and Other Factors, Types of Depression and How to Recognize Them, What You Should Know About Depression vs. Bipolar Disorder, What to Know About Ketamine Therapy for Depression. However, before making the decision to start treatment with an SSRI, you should carefully weigh the expected benefits and risksincluding potential side effectsof the drug. Tell all of your childs healthcare providers about his/her Prozac use prior to any other treatment. The US Food and Drug Administration (FDA) allows Prozac for children only to manage major depressive disorders and OCD ( 1 ). However, due to higher plasma levels in lower weight children, the starting and target dose in this group may be 10 mg/day. This section covers standard dosage information for Prozac. Consider additional dose increases after several more weeks if insufficient clinical improvement is observed. Your doctor may adjust your dose as needed. Fluoxetine (Oral Route) Precautions - Mayo Clinic Prozac For Anxiety: Dosage, Side Effects, Interactions & More This product is available in the following dosage forms: This medicine may increase the risk of suicidal thoughts and behavior. Talk with your doctor if you have questions or concerns about your current dosage. Geriatric Consider a lower or less frequent dosage for the elderly [see Use in Specific Populations (8.5)]. Prozac for Teens and Kids: Everything You Need to Know - Verywell Mind Periodically reassess to determine the need for maintenance treatment. The serotonin theory of depression: A systematic umbrella review of the evidence. Theyll prescribe the lowest dose of Prozac that relieves your symptoms and treats your condition. Be sure you only administer to your child the dosage of Prozac that their doctor prescribes. Initial dose: 10 mg orally once a day, increased after one week to 20 mg orally once a day. Hunter Biden's lawyer files complaint against Marjorie Taylor Greene Children of a lower weight may be treated with up to 30 mg per day. This medicine works by increasing the activity of a chemical called serotonin in the brain. However, the dose is usually not more than 50 mg of fluoxetine and 20 mg of olanzapine per day. However, antidepressant use in children and teens must be monitored carefully, as rarely there can be severe side effects. Your childs psychiatrist may recommend CBT along with Prozac for children with mental health conditions to ensure better outcomes. 2022. doi:10.1038/s41380-022-01661-0. The delayed release oral capsule (given weekly) contains enteric-coated pellets. information highlighted below and resubmit the form. Well go over types of depression and how to recognize. Accidental overdose of Fluoextine can be fatal. Try using an alarm on your phone or writing a note on your calendar to remember to have your child take it. If you are taking the oral suspension, shake the bottle well before measuring each dose. Prozac () is a member of the selective serotonin reuptake inhibitors drug class and is commonly used for Anxiety and Stress, Bulimia, Depression, and others.. As per our strong editorial policy requirements, we base our health articles on references (citations) taken from authority sites, international journals, and research studies. Your doctor may adjust your dose as needed. Daily doses above 60 mg have not been systematically studied in patients with this condition. Children 7 years of age and olderAt first, 10 mg once a day in the morning. A dose range of 20 to 60 mg/day is recommended; however, doses of up to 80 mg/day have been well tolerated in open studies of OCD. Pediatric (children and adolescents) Initiate PROZAC 10 or 20 mg/day. Ask your healthcare professional how you should dispose of any medicine you do not use. 2 DOSAGE AND ADMINISTRATION 2.1 Major Depressive Disorder - Initial Treatment - Adult Initiate PROZAC 20 mg/day orally in the morning. Prozac is also prescribed to some children to treat: The active ingredient in Prozac is fluoxetine. Examples. Doctors also prescribe it for treatment-resistant depression in combination with olanzapine (Zyprexa). BMJ. Drug class: selective serotonin reuptake inhibitors. Prozac vs Zoloft - What are the Differences & Similarities? You may have to take paroxetine for a month or longer before you begin to feel better. They may be able to supply Prozac in an easy-open container. How long does it take for Prozac to work for children? If your child is taking a liquid form of Prozac, be sure you measure it with a dosing spoon or oral syringe before administering it. Consider a dose increase to 20 mg/day after several weeks if insufficient clinical improvement is observed. How to take it You'll usually take fluoxetine once a day, with or without food. For details, see the What factors can affect my dosage? section below. Taking fluoxetine, what can I use for a bad cough from cold or strep throat? The maximum recommended dosage is 50 mg. For this use, Prozac is prescribed together with olanzapine (Zyprexa). Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Antidepressants increase the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term studies. Delayed release oral capsules: However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. . Periodically reassess to determine the need for continued treatment. Maintaining proper hygiene and staying hydrated can aid the healing process. If you or a loved one are in immediate danger, call 911. To provide you with the most relevant and helpful information, and understand which Do not stop giving the drug suddenly without consulting a doctor. About Medications for Pediatric OCD - OCD in Kids It can be effective on its own, but it may produce better outcomes when used alongside cognitive behavioral therapy (CBT). Cipriani A, et al. You may have withdrawal symptoms if you stop taking Prozac suddenly. What if I overdose on Prozac? Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. Ask your doctor if you have any questions. Changes in dose will not be fully reflected in plasma for several weeks due to the long elimination half-lives of fluoxetine and its major active metabolite. Do not take two doses together to make up for a missed dose. Oral solution and some tablet formulations: Protect from light. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. This article discusses how Prozac works and what you should know before taking it. Prozac: Side effects, doses, generic version, and more - Medical News Today Also, notify your childs psychiatrist of any side effects and keep following up on the progress on a regular basis. For depression in children, Prozacs usual starting dosage is 10 mg per day to 20 mg per day. The full effect may be delayed until after at least 5 weeks of treatment. Start at 10 mg/day in lower weight children; May gradually increase dose after 1 week; not to exceed 20 mg qDay ; Depression Associated with Bipolar I Disorder. Last updated on Nov 9, 2021. They can be frightening but there are ways of coping. Prozac For Kids: Uses, Safety, Side Effects And Precautions - MomJunction By Lauren DiMaria If you are using the oral liquid, shake the bottle well before measuring each dose. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Theyll ultimately prescribe the smallest dosage that provides the desired effect. So if withdrawal symptoms occur, they may not start right away. Children can develop a craving for inedible items due to several underlying reasons. Watch kids for signs of serious side effects, including changes in mood and behavior. You should always consult your doctor or another healthcare professional before taking any medication. Your doctor may adjust your dose as needed. Advise families and caregivers of the need for close observation and communication with the prescriber. But if you have severe symptoms, immediately call 911 (or your local emergency number) or go to the nearest emergency room. Your child may take the medication with food, but it is not necessary. Do not break or crush them. You can also call 800-222-1222 to reach Americas Poison Centers or use its online resource. You may take the medicine with or without food. Fluoxetine increases aggressive behavior, affects brain development among adolescent hamsters. The sections above describe the usual dosages provided by the drugmaker. Prozac can cause side effects that range from mild to serious. It contains the active drug fluoxetine. Titrate slowly and adjust dosage as needed in patients who exhibit a combination of factors that may slow metabolism. The 20 mg daily dosage has been shown to be effective for up to 6 months of treatment. Our website services, content, and products are for informational purposes only. Label for PROZAC (fluoxetine). These drugs may interact with Prozac (, MomJunction's articles are written after analyzing the research works of expert authors and institutions. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Prozac Weekly, Sarafem, Rapiflux, Selfemra. Before prescribing this medication, your doctor will talk with you about the dosage instructions specific to your condition. Maintenance dose: 20 to 60 mg orally per day If you miss a dose of Prozac, take it as soon as you remember. Fluoxetine is an antidepressant and belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). Content is reviewed before publication and upon substantial updates. If your doctor prescribes Symbyax, theyll recommend the right dosage for you. Dosage form: capsule How long will I need to wait before any dose changes? Periodically re-examine the need for continued pharmacotherapy. Prozac Oral: Uses, Side Effects, Interactions, Pictures - WebMD Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. The following two tabs change content below. Antidepressants for children and teens - Mayo Clinic Prozac Prices, Coupons, Copay & Patient Assistance - Drugs.com But it also comes as a delayed-release capsule that can be taken once weekly (for depression only). bulimia nervosa (an eating disorder) Prozac is also approved to treat the following conditions in some children: OCD depression depression related to bipolar I disorder* The active ingredient. Fluoxetine (Prozac): Uses, Side Effects, Dosage & Reviews - GoodRx We comply with the HONcode standard for trustworthy health information. One trial, reported two years ago, found that children given Prozac between the ages of eight and 17 were, on average, 1cm shorter and 1.1kg lighter than those on a placebo. Fluoxetine may increase suicidal thoughts in some children and adolescents. Withdrawal symptoms are side effects that can occur when you stop taking a drug that your body has become dependent on. While current evidence indicates that chemical imbalances in the brain do not cause depression, it is still believed that antidepressants can play an essential role in improving mood and relieving other symptoms of depression. Food and Drug Administration (FDA). When using PROZAC and olanzapine in combination, also refer to the Clinical Studies section of the package insert for Symbyax. Below are answers to some commonly asked questions about Prozacs dosage. 1. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Some children, especially children of a lower weight, will be kept on 10 mg per day. Antidepressant drugs are often an effective way to treat depression and anxiety in children and teenagers. Never double doses. There are many types of therapy for depression. This content does not have an Arabic version. If you take Prozac with olanzapine (Zyprexa), your doctor will likely recommend taking both drugs at night. The FDA recommends so because prolonged use of selective serotoniniXA molecule secreted in the brain that transports messages from nerve cells and helps regulate mood, sleep, and appetite reuptake inhibitors (SSRIs) such as Prozac (a brand name for Fluoxetine) can have risks that require thorough evaluation before using them on the pediatric population. The usual dose of fluoxetine for children is 10mg a day but this may be increased to 20mg a day. Ask your doctor if you have any questions. the unsubscribe link in the e-mail. PROZAC monotherapy is not indicated for the treatment of depressive episodes associated with Bipolar I Disorder. Fluoxetine. Fluoxetine (Prozac) use in children: working towards a customised approach. As a selective serotonin reuptake inhibitor, Prozac and generic fluoxetine work by increasing the amount of serotonin in your brain. If you have questions about stopping your Prozac treatment or what side effects to expect, talk with your doctor. Some pharmacies participate in a "take-back" program and can safely dispose of Prozac for you. Sometimes, it may take as long as six weeks to work (13). Satisfaction. Do not double doses. . If you and your doctor determine that its safe and effective for your condition, youll likely take it long term.
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