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Prozac belongs to the antidepressant’s range. The drug’s active ingredient fluoxetine can selectively inhibit the serotonin’s reuptake, minimal impact on the exchange of norepinephrine, acetylcholine and dopamine. The medicament’s effectiveness and also safety have been completely examined in clinical researches with almost 12,000 patients. Prozac eliminates the phenomenon of anhedonia, reduces anxiety, the feeling of fear, tension. No toxic effect on heart. Food intake does not influence on degree of absorption. Medicine does not cause sedation and orthostatic hypotension. You may buy Prozac online on our site. In general indications for use are various origins of depressions, combination therapy of alcoholism, eating disorders. Prozac 10mg 120 pills are widely used by patients.
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Prozac is intended to cure depression especially accompanied by fear, including the ineffectiveness of other antidepressants, and bulimia nervosa. It has effect with obsessive-compulsive disorders, endogenous depression, improves mood, eliminates dysphoria, reduces tension, anxiety and fear. Anorectic action can cause body weight loss. Patients having diabetes can cause hypoglycemia, with the lifting of fluoxetine – hyperglycemia. Pronounced therapeutic effect in depression occurs after 1-4 weeks, for OCD – after 5 weeks. There is an evidence of remedy’s effectiveness in eating disorders like anorexia nervosa, alcoholism, anxiety disorders, including social phobia, diabetic neuropathy, affective, including Bipolar disorder, dysthymia, autism, panic attacks, premenstrual syndrome, narcolepsy, catalepsy, kleptomania, schizophrenia, schizoaffective disorder, etc. In the drugstore patients may buy prozac without prescription overnight delivery.
Where can I buy Prozac without prescription online USA? Realizing forms and dosages
You can order prozac in any dosage. Medicine is released in capsules 20mg, 10mg, 40mg, 60mg. For depression the dose 20 milligram is recommended to intake in the morning every day, and for the lack of effectiveness you may enlarge to 40 milligram by day. The maximal allowable daily amount is 80 milligram, for elderly patients 60 milligram in 2-3 reception. Patient with bulimia takes 60 mg and OCD 20-60 mg. The therapy course is defined depending on nosology, and condition’s severity, the minimum rate is 3 or 4 weeks. People must follow all directions on prescription label very carefully and take medication as always prescribed. Do not change the quantity by yourself and also do not stop application without first discussing to the doctor. Continue to apply tablets if you feel good. When you miss the dosage, take the forgotten pill as soon as remember. Where can I buy prozac without prescription online USA? In pharmacy online there is the best service and delivery all day.
If you want cheap Prozac without a prescription it is essential to know warning and nonoperating effects
Headache, fatigue, irritability, weakness, agitation, dizziness, anxiety, mania, dry mouth, indigestion, increased salivation, allergic reactions, weight loss, reduced libido, increased sweating are called adverse effects. Intolerance of active ingredient, severe renal or also hepatic failure, inhibitors MAO, risk of suicide, during pregnancy, lactation are contraindications for Prozac’s application. You should use it with care if old age, have a deficiency of liver and / or kidneys, cardiovascular disease, epilepsy, diabetes mellitus, Parkinson’s syndrome, a sharp depletion, hepatic, renal insufficiency. Patients having suicidal tendencies are required careful monitoring especially at treatment’s beginning. The highest suicide’s risk is in people who previously treated with another antidepressant and in individuals who during therapy with remedy note excessive hypersomnia, fatigue, restlessness. In cure of persons with low body weight should be considered anorectic properties of Prozac. Interval between the cancellation of MAO inhibitors and fluoxetine beginning should exceed more than two weeks, but between the abolition about five weeks. Each person has an opportunity to order cheap Prozac without a prescription here on our site online.
Prozac - Comprehensive Usage Guide: instructions, indications, composition, side effects
Composition
- Active Ingredient: Fluoxetine hydrochloride
- Excipients: May include microcrystalline cellulose, colloidal silicon dioxide, croscarmellose sodium, magnesium stearate, and other inactive ingredients depending on the formulation.
Official Forms
- Capsules: Available in various strengths, including 10 mg, 20 mg, and 40 mg capsules.
- Tablets: Available in various strengths, including 10 mg, 20 mg, and 60 mg tablets.
- Oral Solution: Available as a liquid formulation, typically in a concentration of 20 mg/5 mL.
Pharmacological Group
Prozac belongs to the pharmacological group of selective serotonin reuptake inhibitors (SSRIs) (ATC code: N06AB03).
Pharmacological Properties
- Pharmacodynamics: Fluoxetine exerts its antidepressant effects by selectively inhibiting the reuptake of serotonin in the central nervous system, thereby increasing serotonin levels and enhancing neurotransmission.
- Pharmacokinetics: After oral administration, fluoxetine is well-absorbed from the gastrointestinal tract, with peak plasma concentrations reached within 6 to 8 hours. It undergoes extensive hepatic metabolism via the cytochrome P450 enzyme system and has an active metabolite, norfluoxetine, with a longer half-life.
Indications
Prozac is indicated for the treatment of:
- Major depressive disorder
- Obsessive-compulsive disorder (OCD)
- Bulimia nervosa
- Panic disorder
- Premenstrual dysphoric disorder (PMDD)
Contraindications
Prozac is contraindicated in individuals with:
- Hypersensitivity to fluoxetine or any component of the formulation
- Concomitant use with monoamine oxidase inhibitors (MAOIs) or within 14 days of discontinuing MAOI therapy
- Concurrent use with thioridazine due to the risk of QT prolongation and ventricular arrhythmias
Interactions
Fluoxetine may interact with various medications, including:
- MAOIs
- Serotonergic drugs (e.g., serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants)
- Drugs metabolized by the CYP2D6 enzyme system (e.g., tricyclic antidepressants, beta-blockers)
- Warfarin and other anticoagulants
Specifics of Use
- Prozac capsules and tablets should be taken orally once daily in the morning or as directed by a healthcare provider, with or without food.
- The dosage should be individualized based on the patient’s response and tolerance, with initial doses typically lower for certain populations (e.g., elderly patients, patients with hepatic impairment).
- Gradual dose titration may be necessary to minimize the risk of adverse effects.
- It may take several weeks for the full therapeutic effect of Prozac to be achieved, and treatment should be continued even if symptomatic improvement is observed.
Pregnancy and Breastfeeding
- Prozac should be used with caution during pregnancy, especially during the third trimester, due to the potential risk of neonatal complications such as persistent pulmonary hypertension of the newborn (PPHN).
- Breastfeeding is not recommended during Prozac treatment due to the excretion of fluoxetine and its metabolites in breast milk.
Dosage and Administration
- The recommended starting dose for depression is 20 mg/day, with adjustments made in increments of 10 mg/day at weekly intervals, up to a maximum dose of 80 mg/day.
- For OCD, the initial dose is 20 mg/day, with adjustments up to a maximum dose of 80 mg/day.
- Bulimia nervosa and panic disorder may require higher initial doses (e.g., 60 mg/day) with adjustments made based on clinical response.
- PMDD is treated with a dose of 20 mg/day administered intermittently (e.g., daily during the luteal phase of the menstrual cycle).
Overdose
In the event of Prozac overdose, supportive measures should be initiated, and symptomatic treatment may be necessary. Close monitoring of vital signs and cardiac function is essential, with particular attention to QT interval prolongation and arrhythmias.
Side Effects
Common side effects of Prozac may include:
- Nausea
- Insomnia
- Headache
- Somnolence
- Sexual dysfunction
- Weight changes
- Diarrhea
Serious adverse effects such as serotonin syndrome, suicidal ideation, and allergic reactions are rare but require immediate medical attention if they occur.
Storage and Shelf Life
- Prozac capsules and tablets should be stored at room temperature (20-25°C) in a dry place, protected from light and moisture.
- The oral solution should be stored at controlled room temperature (20-25°C) and discarded 4 weeks after opening.
These comprehensive instructions provide valuable information on the composition, pharmacological properties, indications, contraindications, interactions, administration, side effects, and storage of Prozac, facilitating safe and effective antidepressant therapy. Always consult a healthcare professional for personalized medical advice.