Fluotin 20 Stella Treatment of depression, obsessive forced impulse disorder (2 blisters x 10 tablets)

Dosage form Box of 2 blisters x 10 tablets
Specifications Fluoxetin

Ingredient

Composition information	Content
Fluoxetin	20mg

Uses

indications

Fluotin 20 drugs are indicated in the following cases:

Treatment of depression.

Rapid - obsessive impulse disorders.

Invisible food.

Panic syndrome. Menstrual disorders.

Pharmacology

Fluoxetine is a selective inhibitor to re -receive Serotonin (SSRI).

Anti -depression effect, anti -forced impulse disorders - obsession and anti -intensive food of fluoxetine related to the inhibition of Serotonin reception in the central nervous system.

antagonists of Muscarin, histamine and α1-adrenergic receptors are thought to be associated with different anti-cholinergic, sedative and cardiovascular effects of the classic three-round antidepressants.

Dynamic pharmacokinetics

Fluoxetine is well absorbed in the gastrointestinal tract with peak concentration in plasma appearing about 6-8 hours after drinking. Oral bioavailability is not affected by food.

Fluoxetine is widely metabolized by methyl reduction in the liver into metabolites with the main activity of norfluoxetine. The drug is excreted mainly in urine. The drug is associated with protein about 95%.

Fluoxetine is widely distributed throughout the body. Fluoxetine has a fairly 1-3 -day waste selling time after acute doses and 4-6 days for long -term doses; Norfluoxetine metabolites have a longer half -life of about 4 -16 days. Plasma stability will be achieved after a few weeks.

In addition, fluoxetine and metabolites can exist for a significant time after treatment and this has led to caution related to the next use of other serotonergic drugs. Fluoxetine and norfluoxetine are distributed into breast milk.

Before taking Fluotin 20 Stella Treatment of depression, obsessive forced impulse disorder (2 blisters x 10 tablets)

How to use

Fluotin 20 drugs are prepared in the form of hard -oral tablets.

Dosage

The dose is often used in the case of depression

Adults: The initial dose usually used Fluoxetine is 20 mg x 1 time/day oral in the morning. If there is no clinical response after weeks, the daily dose may be increased gradually, up to up to 80 mg/day (60 mg for the elderly). Dosage of over 20 mg/day can be divided into 2 times, for example in the morning and at noon or 1 time/day.

8 -year -old children: The initial dose is 10 mg, which should be increased to 20 mg/day after 1 week (except for lightweight children should not increase the dose for several weeks and then only when poor clinical response).

The dose is often used in case of incurable food

The recommended dose is 60 mg x 1 time/day.

Adults: Fluoxetine's initial dose is 20 mg x 1 time/day increases to 60 mg/day after a few weeks if not responded. The dose of up to 80 mg/day has been used, sometimes divided into 2 times.

Children 7 years or older: The starting dose is 10 mg/day; In children with light weight, increased to a dose of 20 - 30 mg/day after a few weeks, if necessary. Teenagers and younger children can increase to a dose of 20 mg/day after 2 weeks; An additional dose can be increased to 60 mg/day after a few weeks when necessary.

The common dose is used in the case of panic syndrome

The initial dose is 10 mg x 1 time/day. After 1 week, the dose should be increased to 20 mg/day; An additional dose may be increased by 60 mg/day after a few weeks if not progressing.

The dose of 20 mg/day is used in treatment. The non -continuous use of drugs is also allowed.

Fluoxetine is metabolized in the liver, therefore, lower doses, such as the recommended daily dose in patients with severe liver failure.

Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.What do

do when overdose? Symptoms of overdose include nausea, vomiting, epilepsy, cardiovascular failure from asymptomatic arrhythmia to cardiac arrest, lung function and signs of changing the status of the central nervous system from stimulation to coma. Death due to exclusive fluoxetine overdose is very rare.

Monitor heart signs and important signs along with symptomatic and supportive treatment. No specific antidote.

mandatory diuretic, appraisal, dialysis and blood change are not beneficial. Activated carbon can be used with sorbitol, which can be similar or more vomiting or gastric lavage.

In overdose treatment, considering the relevant possibility of many drugs, it is necessary to monitor health closely for a long time in patients who have used excessive quantities of three -round antidepressants if they are taking or have been using fluoxetine recently.

What to do when you forget 1 dose? If it is nearly time to take the next dose, skip the forgotten dose and take medicine at the next recommended dose. Do not take double dose to compensate for the forgotten dose.

Side Effects

When using Fluotin 20, you may experience unwanted effects (ADR).

is very common, ADR ≥ 1/10

Body: Fatigue.

digestive: diarrhea, nausea.

Mental: Insomnia.

Neurological: headache.

Common, 1/100 ≤ ADR

Body: Feeling fear, chills.

digestive: vomiting, indigestion, dry mouth.

Mental: anxiety, panic, awake, stress, decreased libido, sleep disorders, abnormal dreams.

Neurological: dizziness, taste, indifference, drowsiness, tremor.

Metabolism and nutrition: Reduce appetite.

eyes: blurred vision.

Cardiovascular: Brushing the chest. blood vessels: flushing. Respiratory: yawning.

Skin and subcutaneous tissue: rash, urticaria, itching, increased sweating.

Bone muscle, connective tissue and bone: joint pain.

Kidney and urinary: Regular urination.

Reproductive and breast bleeding agency: gynecological bleeding, impaired erection function, ejaculation disorders.

Uncommon, 1/1000 ≤ ADR

Body: Uncomfortable, abnormal feeling, cold feeling, hot feeling.

Digestive: Difficult to swallow. Mental: The mood is excited, refreshed, unusual thinking, abnormal orgasm, grinding teeth. Neurological: Increasing mental activity, movement disorders, loss of air conditioning, balancing disorders, muscle convulsions.

Eyes: Dilate pupils.

blood vessels: Hypotenem pressure.

Skin and subcutaneous tissue: Hair loss, increasing the trend of bruising, cold sweat.

Muscle muscle, connective tissue and bone: muscle seizures.

Kidney and urinary: Difficult urinating.

Reproductive and Breast Agency: Sexual impairment.

rare, 1/10,000 ≤ ADR

Digestive: Esophageal pain

Immune: Anaphylaxis, serum disease.

Metabolism and nutrition: Hypoglycemia.

Mental: Light excitement, manic, hallucinations, agitation, panic. nerve: convulsions, irritation, tongue syndrome.

vascular vascular: vasculitis, vasodilation. Skin and subcutaneous tissue: angioedema, bruising, light sensitive reaction, hemorrhage.

Respiratory: Sore throat.

Kidney and urinary: Urinary retention. Reproduction and breast: Demonstrate a lot of milk.

Instructions on how to handle ADR

When experiencing side effects of the drug, it is necessary to stop using and notify the doctor or go to the nearest medical facility for timely treatment.

Warnings

Before using the drug you need to read the instructions carefully and refer to the information below.

contraindicated

Fluotin drugs are contraindicated in the following cases:

Hypersensitivity to fluoxetine or any ingredients of the drug.

Monoamine inhibitors (MAII): Fluoxetine should not be used in combination with Maoi or at least 14 days after stopping treatment with Maoi.

Because Fluoxetine and its main metabolites have a very long selling time, at least 5 weeks after stopping the new fluoxetine, it should start using maoi.

Contraindicated simultaneously with pimozid.

Do not use thioridazine with fluoxetine or at least 5 weeks after stopping using fluoxetine.

Be cautious when using

because of the epilepsy effect, should be carefully used SSRI drugs in patients with epilepsy or a history of these disorders. Treatment should be stopped if the seizure develops or increases the frequency of epilepsy.

Patients with heart disease or a history of bleeding disorders.

Patients with glaucoma.

Patients with diabetes because SSRIs may change blood sugar control.

Fluoxetine is metabolized in the liver should be used carefully or reduce the dose in patients with liver function.

Patients should be closely monitored throughout the initial treatment stage to significantly improving depression because suicide is a risk associated with depression patients.

Fluotin 20 contains lactose excipients. This drug should not be used for patients with rare genetic problems galactose intolerance, total lactase enzyme deficiency or poorly absorbed glucose-galactose.

The ability to drive and operate machinery

although fluoxetine shows that it does not affect the mental mental mental in healthy volunteers, any medication that affects nerves can reduce the mind of consideration or skills. Acceptance should avoid driving or operating dangerous machines until they are sure their operations are not affected.

Pregnancy

Fluoxetine safety has not been set during pregnancy and thus recommended Fluoxetine use.

breastfeeding period

fluoxetine and metabolites it is distributed into breast milk. Therefore, Fluoxetine should not be used in nursing women and should notify the doctor if planning to breastfeed.

Drug interaction

metabolism of fluoxetine related to the isenzyme system of cytochrome CYP2D6 in the liver. Simultaneous treatment with metabolic drugs mainly by this isoenzym and has a narrow treatment index (such as flecainid, encainid, carbamazepine and 3 -round antidepressants), they must start or adjust these drugs at low doses. This also applies if fluoxetine has been used in the previous 5 weeks.

Electrical shock (ECT): Prolonged convulsions when treated simultaneously with fluoxetine rarely occur.

The drug is associated with protein: Because fluoxetine is strongly connected to protein, the theory of drugs can be pushed out of the cohesive position or can replace the cohesive position with protein -cohesive drugs such as oral anticoagulants and digitoxin. Patients who are taking fluoxetine with any drug are highly connected to protein, so they are monitored for the possibility of unwanted effects related to this treatment.

Medicines acting on the central nervous system like lithium should be used caution with fluoxetine. Lithium concentration increases or decreases and can also poison lithium. Need to monitor lithium concentration.

Previous stabilizers with phenytoin, when starting to treat simultaneously with fluoxetine, increasing phenytoin concentration in plasma and toxicity of phenytoin clinically.

The cavalry of the drug:

Due to the absence of studies on the correspondence of fluotin 20, this drug does not mix with other drugs.

Storage

Store in closed packaging, dry place. The temperature does not exceed 30 ° C.

Other drugs

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