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  药店国别: 美国药房
产地国家: 美国
所属类别: 神经系统药物->抗抑郁药
处方药:处方药
包装规格: 20毫克/胶囊 28胶囊/盒
计价单位:
  点击放大  
生产厂家中文参考译名:
礼来
生产厂家英文名:
LILLY
该药品相关信息网址1:
http://www.drugs.com/mtm/sarafem.html
该药品相关信息网址2:
http://www.rxlist.com/sarafem-drug.htm
原产地英文商品名:
SARAFEM PULVULE 20mg/cap 28capas/box
原产地英文药品名:
FLUOXETINE HCL
中文参考商品译名:
SARAFEM PULVULE 20毫克/胶囊 28胶囊/盒
中文参考药品译名:
盐酸氟西汀
原产地国家批准上市年份:
1987/12/29
英文适应病症1:
Depression
英文适应病症2:
Obsessive-compulsive disorder
英文适应病症3:
Bulimia
临床试验期:
完成
中文适应病症参考翻译1:
抑郁症
中文适应病症参考翻译2:
强迫症
中文适应病症参考翻译3:
暴食症
药品信息:

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 详细处方信息以本药内容附件PDF文件(2010101500034522.pdf)的“原文Priscribing Information”为准
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部分中文氟西汀处方资料(仅供参考)

Fluoxetine氟西汀

醫師為何開此藥?
抑鬱症、暴食症、強迫症。

如何使用此藥?
1.請確實依照醫師指示使用,不可任意突然停藥,須服4週才能完全發揮藥效。
2.一般建議早上服用。

剂量与用法
用于成人口服。
抑郁症—成人及老年患者:每天服用20至80mg。建议起始剂量为20mg,若数周后无明显疗效可以增加剂量,但增加剂量会增加副反应发生的可能性。
强迫症—每天服用20至60mg。建议起始剂量为20mg每天。若数周后无明显疗效可以增加剂量,但增加剂量会增中副反应发生的可能性。
神经性贪食症(暴食症)—成人及老年患者:每天服60mg。
儿童:尚无儿童服用百优解的安全性及有效性的数据。

使用此藥時該注意什麼?
1.在服用本藥之前,請告知醫師過去病史,尤其是癲癇、糖尿病、心臟血管疾病、肝腎疾病等。
2.避免飲酒,酒精會增強此藥造成的鎮靜作用。
3.本藥可能讓您想睡。除非您已確定它對您的影響,否則請避免從事容易引起傷害的危險活動,如開車、操作機械。
4.本藥可能會讓您頭暈眼花,當您從躺著或坐著的姿勢要站起來時,可能會感覺姿勢不穩甚至快昏倒,所以起來的速度最好要緩慢一點。
5.請將本劑連同藥袋放置於室溫之陰涼乾燥處避光儲存,請勿冷藏或冷凍。請勿放在孩童可以取得的場所。
6.服用此藥期間如需服用其它藥品時,請主動告訴您的醫師或藥師。

此藥品可能引起的副作用及處理方式:
若症狀持續數日或嚴重時,請停藥並立即就醫或與醫師連絡。
1.常見的副作用為:頭痛、嗜睡、失眠、焦慮、神經不安、噁心、腹瀉、性功能障礙等。
2.當您發生下列症狀時,請與您的醫師聯絡:發生皮疹、蕁麻疹、呼吸困難、發燒、水腫等。

忘記服藥時該怎麼辦:
若忘記服藥,則於想起時儘快服用;如果一天服藥超過兩次以上,若距離下次服藥時間少於4小時,則不需要補服,按原時間服用即可,切勿一次服用兩倍劑量。

懷孕或哺乳時該怎麼辦:
如果您準備懷孕或已懷孕,應告知並與您的醫師討論;不建議於授乳期間使用本品,最好能改用其它的乳製品以取代母乳。

Generic Name: fluoxetine (floo OX e teen)
Brand Names: Prozac, Prozac Weekly, Rapiflux, Sarafem, Selfemra

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What is Sarafem (fluoxetine)?
Fluoxetine is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Fluoxetine affects chemicals in the brain that may become unbalanced and cause depression, panic, anxiety, or obsessive-compulsive symptoms.

Fluoxetine is used to treat major depressive disorder, bulimia nervosa (an eating disorder) obsessive-compulsive disorder, panic disorder, and premenstrual dysphoric disorder (PMDD).

Fluoxetine is sometimes used together with another medication called olanzapine (Zyprexa) to treat depression caused by bipolar disorder (manic depression). This combination is also used to treat depression after at least 2 other medications have been tried without successful treatment of symptoms.

Fluoxetine may also be used for other purposes not listed in this medication guide.

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What is the most important information I should know about Sarafem (fluoxetine)?
Do not take fluoxetine together with pimozide (Orap), thioridazine (Mellaril), or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).
You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. SSRI antidepressants may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking fluoxetine, do not stop taking the medication without first talking to your doctor.

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What should I discuss with my healthcare provider before taking Sarafem (fluoxetine)?
Do not use fluoxetine if you are using any of the following drugs:
pimozide (Orap);
thioridazine (Mellaril); or
an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam).

Serious and sometimes fatal reactions can occur when these medicines are taken with fluoxetine. You must wait at least 14 days after stopping an MAO inhibitor before you can take fluoxetine. You must wait 5 weeks after stopping fluoxetine before you can take thioridazine (Mellaril) or an MAOI.

If you have any of these other conditions, you may need a dose adjustment or special tests to safely fluoxetine:
cirrhosis of the liver;
kidney disease;
diabetes;
seizures or epilepsy;
bipolar disorder (manic depression); or
a history of drug abuse or suicidal thoughts.

You may have thoughts about suicide while taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.

Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

FDA pregnancy category C. SSRI antidepressants may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking fluoxetine, do not stop taking the medication without first talking to your doctor. Fluoxetine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give fluoxetine to anyone younger than 18 years old without a doctor's advice.

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How should I take Sarafem (fluoxetine)?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results from the medication.

Do not break, chew, or open an extended-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
Measure the liquid form of fluoxetine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

It may take 4 weeks or longer before you start feeling better. Do not stop using fluoxetine without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
To treat premenstrual dysphoric disorder, the usual dose of fluoxetine is once daily while you are having your period, or 14 days before you expect your period to start. Follow your doctor's instructions.

Store fluoxetine at room temperature away from moisture and heat.

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What happens if I miss a dose?
Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

If you miss a dose of Prozac Weekly, take the missed dose as soon as you remember and take the next dose 7 days later. However, if it is almost time for the next regularly scheduled weekly dose, skip the missed dose and take the next one as directed.Do not take extra medicine to make up the missed dose.

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What happens if I overdose?
Seek emergency medical attention if you think you have taken too much of this medication. Overdose may cause nausea, vomiting, fever, sleepiness, rapid or uneven heartbeat, confusion, fainting, seizures, or coma.

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What should I avoid while taking Sarafem (fluoxetine)?
Avoid drinking alcohol, which can increase some of the side effects of fluoxetine. Fluoxetine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

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Sarafem (fluoxetine) side effects
Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:
severe blistering, peeling, and red skin rash;
very stiff (rigid) muscles, high fever, sweating, fast or uneven heartbeats, tremors, overactive reflexes;
nausea, vomiting, diarrhea, loss of appetite, feeling unsteady, loss of coordination; or
headache, trouble concentrating, memory problems, weakness, confusion, hallucinations, fainting, seizure, shallow breathing or breathing that stops.

Less serious side effects may include:
cold symptoms such as stuffy nose, sneezing, sore throat;
drowsiness, dizziness, feeling nervous;
mild nausea, upset stomach, constipation;
increased appetite, weight changes;
sleep problems (insomnia);
decreased sex drive, impotence, or difficulty having an orgasm; or
dry mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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What other drugs will affect Sarafem (fluoxetine)?
Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin and NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with fluoxetine may cause you to bruise or bleed easily.

Tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures or anxiety). They can add to sleepiness caused by fluoxetine.

Tell your doctor about all other medications you are using, especially:
alprazolam (Xanax);
clopidogrel (Plavix);
clozapine (Clozaril, Fazaclo);
flecainide (Tambocor);
haloperidol (Haldol);
seizure medication such as phenytoin (Dilantin) or carbamazepine (Tegretol);
tryptophan (also called L-tryptophan);
vinblastine (Velban);
a blood thinner such as warfarin (Coumadin);
almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig); or
any other antidepressants such as amitriptyline (Elavil), escitalopram (Lexapro), imipramine (Tofranil), sertraline (Zoloft), and others.

This list is not complete and there may be other drugs that can interact with fluoxetine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

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Where can I get more information?
Your pharmacist can provide more information about fluoxetine.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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 详细处方信息以本药内容附件PDF文件(2010101500034522.pdf)的“原文Priscribing Information”为准
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更新日期: 2012-5-7
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