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Doctor insights on: Sarafem Medication

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Is there any difference between Prozac (fluoxetine) and sarafem (sister drugs) or not?

Is there any difference between Prozac (fluoxetine) and sarafem (sister drugs) or not?

Same drug.: Same drug ( fluoxetine ) but different trade names. "serafem" was a name chosen to attract the female population. ...Read more

Dr. Heidi Fowler
1,057 doctors shared insights

Fluoxetine (Definition)

Fluoxetine (brand prozac) is an antidepressant in the class known as serotonin selective reuptake inhibitors aka ssris. Fda approved in 1987 for the treatment of major depressive disorder. Subsequently approved for obsessive compulsive disorder, bulimia nervosa, panic disorder, and premenstrual dysphoric disorder. Significantly safer and much better ...Read more


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Can I take Prozac (fluoxetine) at night? Just starting the medication. Worried it will keep me up at night. I take levothyroxine in the mornings.

Can I take Prozac (fluoxetine) at night? Just starting  the medication. Worried it will keep me up at night. I take levothyroxine in the mornings.

Not a worry: Hi. Prozac at night is usually fine but insomnia has been described, but insomnia is so common, we can't guarantee a relationship. If you want, go ahead and take the fluoxetine in the morning WITH the l-thyroxine. There is a myth about taking l-thyroxine on an empty stomach that drives me crazy. Take it (consistently) however you want to...your doc will adjust the l-thyroxine dose to accommodate. ...Read more

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Is Prozac (fluoxetine) a good medication for depression?

Is Prozac (fluoxetine) a good medication for depression?

Excellent: Inexpensive also but like anything else, it's all about you and what works for you. Talk to your doctor. Sometimes we try several until we find what works best for you. ...Read more

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What medication works best for borderline personality disorder? Does Prozac (fluoxetine) help a lot?

What medication works best for borderline personality disorder? Does Prozac (fluoxetine) help a lot?

Psychotherapy/Drugs: The best treatment for borderline personality disoerder without any coexiasting conditions is psychotherapy and mindfulness meditation training.Drugs may be be used for co existing conditions and symptoms associated with bpd.Paxil (paroxetine) may be used for co existing depression.Haloperidol may reduce anger, Aripiprazole may reduce interpersonal problems, impulcivity;psychotic paranoid symptoms etc. ...Read more

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What to do if I am taking Prozac (fluoxetine) for anxiety a d chronic pain, what do you kno about this medication?

What to do if I am taking Prozac (fluoxetine) for anxiety a d chronic pain, what do you kno about this medication?

Fluoxetine...: ...is an SSRI medication that is approved for major depression and some forms of anxiety. Like any medication it is effective for some patients and not for others. I am not aware that it is approved for chronic pain. ...Read more

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My daughter is currently taking  Prozac(10mg), she has now been prescribed Concerta (18mg).  Is it ok to combine these two medications. She is 14  ?

My daughter is currently taking  Prozac(10mg), she has now been prescribed Concerta (18mg).  Is it ok to combine these two medications. She is 14  ?

Same Dr for Rx's?: There is an increased risk of some serious Prozac (fluoxetine) side effects so there needs to be coordination and dose adjustment if needed. Always be sure each Dr is fully aware of all other Rx's. Please do consider a good adolescent psychologist for best outcomes too. Therapy improves effects and lessens need for drugs. ...Read more

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, i'm a 64 year old woman on several medications including blood pressure insulinmorphine prozac (fluoxetine).Lost insurance am I going to die without my meds?

, i'm a 64 year old woman on several medications including blood pressure insulinmorphine prozac (fluoxetine).Lost insurance am I going to die without my meds?

There r options: These meds all sound necessary, but most if not all are available at walmart, where you can get 90 days' worth for $9...You can have withdrawal if u suddenly stop morphine if u have taken a high dose for a long time...Sugars and blood pressure may be out of control off Insulin or BP meds, but depends how severe each condition.See pcp to switch to generics or cheaper options. ...Read more

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Is there a non-medication that will make my Prozac (fluoxetine) stronger or make anxiety/depression lower?

Is there a non-medication that will make my Prozac (fluoxetine) stronger or make anxiety/depression lower?

Please don't mix: Natural meds/supplements w/prescription drugs. It changes the dose and makes it unclear as to what is working. Talk w/your doc. He/she may have some suggestions. Exercise and healthy diet is a better choice. ...Read more

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I take both Prozac and wellbutrin (bupropion) daily - what will happen if I do cocaine while taking these medications?

I take both Prozac and wellbutrin (bupropion) daily - what will happen if I do cocaine while taking these medications?

Meds & street drugs: Use of any illicit drug its self damaging to brain system makes life long irreversible changes in the neuronal circuitry.Combining with meds is never a good idea and can cause opposing effects that can be making mood and anxiety symptoms worse and at times difficult to treat.If you still need to use a substance to covet for mood and anxiety meds your current meds are not well talk to psychiayrst. ...Read more

Dr. Andrew Ho Dr. Ho
3 doctors agreed:
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My psychology professor says that Prozac's really bad for people, but It seems to be the only medication that controls my OCD, is it all that bad?

Dr. Andrew Ho Dr. Ho
3 doctors agreed:
My psychology professor says that Prozac's really bad for people, but It seems to be the only medication that controls my OCD, is it all that bad?

Licensed for reason: Doctors are licensed to practice medicine for good reasons. If you get medical advice from un-licensed individuals (including professors, lawyers, politicians, etc), there may be good reason why their advice should not carry the same weight as your doctor's advice. In the end, it is your body and your decision, but if you read the history of medicine, you will appreciate licensure. ...Read more

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Dr. Wants to add 37.5 mg of Effexor (venlafaxine) to my Prozac 10 mg. afraid of seratonin syndrome. can this happen. I'm very sensitive to medications.

Dr. Wants to add 37.5 mg of Effexor (venlafaxine) to my Prozac 10 mg. afraid of seratonin syndrome. can  this happen. I'm very sensitive to medications.

Talk to your DR: I would tell your Psychiatrist of your concerns being so medication sensitive. I've only encountered 1 patient in 23 years who had this.. Although I'm a psychologist I monitor my patients closely for mood and side effects ( a large percentage are on Meds) and can provide feedback and consultation w their PCP or psychiatrist. I think you need to discuss this with your Dr and maybe proceed slowly. ...Read more

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Is Prozac (fluoxetine) safe to take with Parkinson's medication such sinemet?

Usually, yes: Generally you can take Prozac (fluoxetine) with sinemet. You need ongoing follow-up though, since either can cause changes in behavior and mental status. ...Read more

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What's the best medication for extreme snappiness, and extremely tired very irritable. I've tried Prozac, Wellbutrin etc. ?

What's the best medication for extreme snappiness, and extremely tired very irritable. I've tried Prozac, Wellbutrin etc. ?

Irritable: A medication is not the only way to fix this. Please think holistically. See doc to make sure you do not have medical issues such as thyroid or other hormone imbalances. How is your diet and exercise level? Are there decisions you need to make? Consider seeing a mental health pro for support and clarification. Peace and good health. ...Read more

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I am currently on Prozac (fluoxetine) and the medication gave me muscle weakness and I fell. Is there a way I can regain my strength?

I am currently on Prozac (fluoxetine) and the medication gave me muscle weakness and I fell. Is there a way I can regain my strength?

Call your doctor!: It would be very, very, very uncommon for Prozac alone to directly adversely affect muscle strength! there are however drug drug interactions and electrolyte changes that can occur with medications like fluoxetine. You should make your physician aware of this episode without delay. ...Read more

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Does the medication celexa cause weight gain? I was on it for three years and now i'm prozac (fluoxetine). Could these two medications cause weight gain?

Yes: Although Celexa is labeled as weight neutral and Prozac (fluoxetine) is weight negative. I have actually seen weight gain as well sometimes with these meds. A lot depends on the patient their own personal reaction to medicines. Check with your doctor to see if another medicine would be better and less likely to cause weight gain for you. ...Read more

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I've been on 10mg Prozac (fluoxetine) for 3 months for anxiety and depression. I feel better now.Will i get a withdrawal if i suddenly stop taking the medications?

Yes : Yes, it can be dangerous to stop ssri (prozac (fluoxetine) etc) suddenly. Best to taper off under your doctor's guidance. It will not take long. Hope you keep feeling well. ...Read more

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I have been diagnosed w/ social anxiety disorder. I get anxiety and blushing. My doctor put me in prozac (fluoxetine). Is Prozac (fluoxetine) a good medication for my symptoms?

Common choice: Your doctor made a choice that is very common. However, psychological therapy or counseling is also a 1st choice without side effects and with skill acquisition for living more comfortably in general. They can work together if necessary, but i'd try therapy first and add drugs if needed. Just my bias. Good luck. ...Read more

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I cant stop eating and purge for a very long time i have took alot of medications but with no effect (prozac , risperidal, (risperidone) anafranil and efexor xr) ..help please ?

I cant stop eating and purge for a very long time i have took alot of medications but with no effect (prozac , risperidal, (risperidone) anafranil and efexor xr) ..help please ?

If you purge: frequently you may well be expelling the medications you are taking. Please see a doctor. You may get the help you need in a hospital and then outpatient therapy w/someone who specializes in eating disorders. Peace and good health. Purging will also ruin your teeth. ...Read more

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Is it safe to be put under to have wisdom teeth removed while on 40mg of prozac (fluoxetine)? What about pain medication?

Is it safe to be put under to have wisdom teeth removed while on 40mg of prozac (fluoxetine)? What about pain medication?

IV sedation: With the profound local anesthesia and IV sedation you will have no recall of the events of the dental treatment or experience any pain. In your case IV sedation is recommended. Best of luck and do not stop your Prozac (fluoxetine) and amitriptyline. ...Read more

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Would there be any efficacy in taking 10 mg of Prozac (fluoxetine) for anxiety/depression I am extremely sensitive to all medications/antidepressants?

Low dose Prozac (fluoxetine) : If still symptomatic and if normally medication sensitive it's reasonable to start at a low dose with the goal of titrating slowly to a standard therapeutic treating dose to get optimal results. Some even use alternating dose days. For example 10-20-10-20. If unable to tolerate would consider alternative medication or an adjunct to the Prozac (fluoxetine) . ...Read more

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Which ADHD medication (e.G., ritalin, (methylphenidate) adderall, stattera, etc.) is least likely to result in interactions when combined with an ssri such as prozac?

Which ADHD medication (e.G., ritalin, (methylphenidate) adderall, stattera, etc.) is least likely to result in interactions when combined with an ssri such as  prozac?

PRACTICAL: As i recall patients with ssri's and stimulants at the same time, i don't recall seeing significant difficulties. Might be possible, but not probable in my experience. ...Read more

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Will depression medication such as Prozac (fluoxetine) affect pregnancy tests? Also can they make periods lighter?

Will depression medication such as Prozac (fluoxetine) affect pregnancy tests? Also can they make periods lighter?

No I do not think so: Medicines like Prozac (fluoxetine) are not known to affect pregnancy testing or bleeding significantly.

I found this article to help answer your question about bleeding- it appears there is no association.
"Serotonin reuptake inhibitor antidepressants and abnormal bleeding: a review for clinicians and a reconsideration of mechanisms."
J Clin Psychiatry. 2010 Dec;71(12):1565-75. ...Read more

Dr. Alan Ali
778 doctors shared insights

Prozac (Definition)

Prozac is a serotonin reuptake blocker which is a kind of ...Read more


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