Sarafem (Fluoxetine) is a selective serotonin reuptake inhibitor (SSRI), it is used for treatment of premenstrual dysphoric disorder (PMDD). Also you may use this medicine to treat other conditions if your doctor prescribes it.
You should take this medicine orally once a day, better in the morning, with or without food, or according to your doctor’s prescription. If it is prescribed by your doctor to take this medicine twice a day, you should take a dose in the morning and a dose at noon. You should take the dosage of the medicine basing on your medical condition and response to therapy. The medication should be taken regularly, then, it will bring the most benefit. It is recommended to use it everyday at the same time(s). Even if you feel well you should continue taking this medicine. If you want to stop taking this medication, first consult your doctor. This medicine is taken according to the prescription, not more or less. The maximum dose recommended for adults treated for premenstrual dysphoric disorder and obsessive-compulsive disorder amounts 80 mg per day. The maximum dose recommended for children with attention-deficit hyperactivity disorder (ADHD) treated for depression amounts 20 mg per day. The period before you get the full benefit of this drug may comprise 4 weeks or longer. If your condition persists or worsens you should inform your doctor.
Sarafem (Fluoxetine) is a selective serotonin reuptake inhibitor (SSRI), it is used to treat depression, obsessive-compulsive disorder, panic attacks, certain eating disorders (bulimia), a severe form of premenstrual syndrome (premenstrual dysphoric disorder or PMDD). The medicine restores the balance of neurotransmitters in the brain, improves mood and feelings of well-being.
If you miss a dose, it should be taken as soon as possible. If the time of the next dose comes, you should skip the missed dose and keep to your usual schedule of taking this medication. The dose should not be doubled to catch up.
The medicine is stored at room temperature between 59-86 degrees F (15-30 degrees C), away from light and moisture. It should not be stored in the bathroom. The medicine should be kept away from children and pets.
Sarafem Safety information
If you are allergic to Sarafem or any other substances, you should inform your doctor or pharmacist before taking this medicine. Before using this medication, you should also tell your doctor or pharmacist your medical history, especially, if you suffer liver disease, kidney disease, stomach bleeding, diabetes, seizure disorder. Though it is uncommon, thoughts or attempts of suicide may occur because of depression. If you have any suicidal thoughts, worsening depression, or any other mental changes or changes of mood (including new or worsening anxiety, agitation, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, rapid speech), you should immediately inform your doctor. Keeping all medical appointments will help your healthcare professional monitor your progress closely and, if it is needed, adjust/change your medication. If you suffer diabetes, Sarafem may affect the levels of your blood glucose. You should regularly monitor your blood glucose, and tell your doctor the results. You may need to adjust the dose of your anti-diabetic medication(s). Sugar and/or small amounts of alcohol may be contained in liquid preparations of this medication. If you have diabetes you should ask your doctor or pharmacist about the safe use of this medicine. You may dizzy or drowsy taking this medication; be cautious if you are engaged in activities that require alertness such as driving or using machinery. It is recommended to limit alcoholic beverages. You should use caution taking this medication in the elderly, they may be more sensitive to its effects, especially drowsiness.
Pregnancy and breastfeeding: During pregnancy Sarafem should be used only when it is clearly needed and the risks for fetal and benefits for pregnant woman should be discussed with the doctor.
In case you have to use this medicine during the last 3 months of pregnancy, infrequently your newborn may have symptoms including feeding or breathing difficulties, seizures, muscle stiffness, jitteriness or constant crying. However this happens rarely. Nevertheless you should not stop taking this drug unless your doctor prescribes you to stop taking it. You should immediately inform your doctor of any such symptoms. As Sarafem passes into breast milk it may have undesirable effects on a nursing infant. Therefore, you are not recommended to breast-feed while taking this drug. You should consult your doctor before breast-feeding.
Sarafem Side effects
The following symptoms may occur during taking this drug: weakness, loss of appetite, nausea, diarrhea, dry mouth, trouble sleeping, drowsiness, dizziness, yawning, sweating. If one or more of listed side effects persist or worsen, we advise you to inform your doctor or pharmacist immediately. Promptly notify your doctor if any of these serious side effects occur: unusual or severe mental changes or changes of mood (e.g., anxiety, mania), weight loss, change in sexual desire and ability, vision changes. Promptly notify your doctor if any of such unlikely but serious side effects occur: uncontrolled movements (tremor), fever/flu-like symptoms. Promptly notify your doctor if any of these highly unlikely but very serious side effects occur: unusual muscle stiffness, fast/irregular heartbeats, chest pain, black stools, vomit that looks like coffee grounds, easy bruising/bleeding, unusual bleeding, seizures. It is unlikely that a serious allergic reaction occur to this medication, but if it occurs you should seek immediate medical attention. Remember that symptoms of a serious allergic reaction are rash, itching, swelling, severe dizziness, trouble breathing. You should consult your doctor or pharmacist if you notice other effects that are not listed above.
You should not share this medicine with others for whom it is not prescribed. This medicine should not be used for other health conditions. This medicine should be kept out of the reach of children. If you take this medication for an extended period of time, you should get refills before your supply runs out.