Flutonin 20 Hasan treats depression (5 blisters x 10 tablets)

Dosage form Box of 5 blisters x 10 tablets
Specifications Fluoxetin

Ingredient

Composition information	Content
Fluoxetin	20mg

Uses

indications

Flutonin 20 Hasan is indicated in the following cases:

Adults:

Treatment of depression.

Treatment of depression from medium to severe if depression does not cure after 4-6 treatments with psychological therapy. Depression.

Dynamic pharmacokinetics

fluoxetin is well absorbed in the digestive tract after drinking, high links to plasma proteins and widely distributed. Fluoxetin is metabolized by CYP2D6 enzyme into metabolites that are active in norfluoxetin. The sale time of fluoxetin is 4-6 days, mainly through the kidneys.

Before taking Flutonin 20 Hasan treats depression (5 blisters x 10 tablets)

How to use

oral drugs, can take 1 dose or divide into several doses, drink during or between meals. Avoid stopping the drug suddenly.

Dosage

Adults:

Depression: The recommended dose of 20 mg / day. Consider and adjust the dose within 3-4 weeks after the beginning of treatment, a maximum dose of 60 mg/day. Treatment for at least 6 months. After 1 week, a dose of 20 mg / day can be increased by a dose of up to 60 mg / day after a few weeks.

Moderate to severe depression: The starting dose of 10 mg / day. After 1-2 weeks, it can be increased to 20 mg/day.

Patients with hepatic failure: Consider lower doses or less medication.

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 to do when overdose? Symptoms of overdose include nausea, vomiting, seizures, cardiovascular dysfunction, heart function abnormalities, changing the state of the central nervous system. Death from exceeding the unheared Fluoxetin is often very rare.

How to manage: It is necessary to monitor the heart and the signs of survival and general symptoms and supportive measures. There is no specific antidote.

What to do when you forget a dose? However, if close to the next dose, skip the forgotten dose and take the next dose at the time as planned. Do not drink twice as prescribed.

Side Effects

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

Common, ADR> 1/100

Nutrition and metabolism: Reduce cravings.

Mental: Insomnia, anxiety, irritability, restlessness, stress, sexual decline, sleep disorders, abnormal dreams.

Neurology: headache, attention disorders, dizziness, taste disorders, chicken sleep, coma, tremor, disorders of copper, coma ...

eyes: blurred vision.

Cardiovascular: Brushing chest drum, Disorders QT. blood vessels: flushed. Respiratory: yawning. digestive: diarrhea, nausea, vomiting, indigestion, dry mouth.

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

Uncommon, 1/1000

Psychiatric: dissolving personality, excitement, abnormalities in thinking, orgasm, grinding teeth at sleep, suicide (thoughts, behaviors) ...

Eyes: Dilate pupils.

Blood vessels: hypotension.

Respiratory: Difficulty breathing, nosebleeds.

digestive: difficulty swallowing, gastrointestinal bleeding.

Skin and subcutaneous tissue: Hair loss, increased bruises on the skin, cold sweat.

rare: 1/10000

Blood and lymphatic system: thrombocytopenia, neutropenia, leukopenia.

Immune system: Anaphylaxis, serum disease.

Endocrine: Anti -diuretic hormone is not appropriate.

Nutrition and metabolism: lower blood sodium.

Mental: Hung sympathy, hallucinations, excitement ...

ears and vestibular: tinnitus. Cardiovascular: ventricular arrhythmia includes torsion.

Vascular blood: vasculitis, vasodilation.

Skin and subcutaneous tissue: Evana, blood bruises, light sensitive reactions ...

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

Flutonin 20 Hasan is contraindicated in the following cases:

Hypersensitivity to fluoxetin or any ingredients of the drug.

Simultaneously used with non -recovery and non -selective inhibitors.

Simultaneously used with Metoprolol.

Be cautious when using

Be cautious when used for children and teenagers under 18 years of age because it can affect growth, puberty and develop awareness, emotions and behavior.

Rashes, anaphylactic reactions and systemic symptoms progress, sometimes serious (on the kidneys, liver or lungs) have been reported.

Use cautiously in patients with a history of convulsions, manic/mild manic.

Clinical experience in patients with acute heart disease is limited, so be cautious.

Drugs can change blood sugar control in diabetic patients.

Patients should be closely monitored until the disease progresses well signs such as suicide thoughts and self -harm.

The use of fluoxetin is associated with the progression of restless sitting.

Ceremony syndrome when stopping treatment is common, especially if the drug is sudden.

Be careful when taking SSRI in combination with oral anticoagulant drugs, drugs that work on platelet function, drugs that increase the risk of bleeding or on patients with a history of bleeding disorders.

Precautions when using fluoxetin in patients with internal hypertension or those at risk of acute narrow angle glaucoma.

Serotonin syndrome or symptoms like malignant sedative syndrome have been reported.

Use of caution in patients with conditions such as congenital QT syndrome, family history with prolonged QT interval or other condition related to arrhythmia.

The ability to drive and operate machinery

Patients should avoid driving or operating dangerous machines until make sure their abilities are not affected.

Pregnancy

fluoxetin can be used during pregnancy but need to be cautious, especially in the final stage of pregnancy or just before labor start.

Breastfeeding period

If required to treat with fluoxetin, should stop breastfeeding; However, if you continue breastfeeding, the lowest lowest dose of fluoxetin should be used.

Drug interaction

fluoxetin reduces the concentration of metabolites with the main activity of tamoxifen, thus reducing the effect of tamoxifen.

Contraindicated use combined with fluoxetin with Mao inhibitors, stop using fluoxetin at least 5 weeks before starting the treatment of Mao inhibitors.

Combining with the following drug is capable of causing serotonin syndrome: inhibiting tube A (such as Linezolid and Methylene Blue), Lithium, Tramadol, Triptans, Tryptophan, Selegiline, St. John’s World.

Fluoxetin increases the risk of unwanted effects / toxicity of Metoprolol, MEquitazin, Phenytonin, Diuretics, Desmpressin, Carbamazepin, Oxcarbazepine.

Fluoxetin combination with anti -arrhythmic drugs IA, III, Anti -Psychotic Drugs (Phenothiazin derivatives, Pimozid, Haloperidol), three -round antidepressants, some antibiotics (Quinilon groups) ... have the ability to cause extended QT range.

cyproheptadin reduces the antidepressant activity of fluoxetin when used in combination.

Used in combination with other drugs reduces the epilepsy threshold (3 -round antidepressants, other SSRIs, phenothiazin, butyrophenon, mefloquin ...) increases the risk of menstruation.

Storage

in a dry place, less than 300C. Avoid light.

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