What are Zedprex Side Effects and Prospectus and What Are They Used For?

What is ZEDPREX and what is it used for?

The ZEDPREX capsule is offered in a cardboard box in blisters of 16 capsules, 24 capsules or 30 capsules.

ZEDPREX is included in the group of drugs known as selective serotonin reuptake inhibitor (SSRI) antidepressants.

This medicine is used to treat any of the following in adults

Major depression

Obsessive-compulsive disorder (also known as OCD)

ZEDPREX is used alongside psycho-therapy to reduce bulimia nervosa- overeating and subsequent vomiting removal.

Premenstrual restlessness (pre-menstrual dysphoric disorder)

What are the Side Effects?

Like all drugs, there may be side effects in people who are sensitive to substances found in the content of ZEDPREX iber.

If any of the following happens, stop using ZEDPREXi and report it to your doctor immediatelyapply to the emergency department of the trail or the nearest hospital: you:

If you have thoughts of self-harm or suicide at any time

• if you notice a severe rash on your vein or if an allergic reaction occurs, such as itching, swelling in the lips/tongue or stenosis/breath,

If you feel uneasy and can't stand still or sit still, a condition called akathisia may have occurred; increasing your dose of ZEDPREX can make you feel worse. If your skin color starts to turn red or if you develop various skin reactions or if you have blisters or peeling on your skin, these are all very serious side effects.

If you have one of these, you have a serious allergy to ZEDPREX. You may need immediate medical attention or hospitalization.

All of these very serious side effects are quite rare.

If you notice any of the following, tell your doctor immediately or contact the emergency department of the hospital closest to you.

Unexplained fever with increased respiratory rate or heart rate, sweating, stiffness or tremor in muscles, confusion, confusion, etc, a combination of various symptoms, including excessive tension or sleepiness (as an infrequent) (known as serotonin syndrome)

• Weakness, lethargy or confusion in people who are mostly elderly and receiving diuretics (diuretics)

Prolonged or painful hardening in men

Excessive sensitivity and excessive tension

Heart problems such as rapid and irregular heartbeat, fainting, dizziness or collapse when standing up, which is a sign of an abnormality in the functioning of the heartbeat.These are all serious side effects. Urgent medical intervention may be required.

If you notice any of the following, tell your doctor.

Insomnia

Headache

Diarrhea, stomach disorder (nausea)

Fatigue

Not feeling hungry, weight loss

Irritability, anxiety

Restlessness, weakness of concentration

Feeling nervous

Decrease in sex drive or sexual problems (including difficulty in the continuity of hardening for sexual activity)

Sleep problems, unusual dreams, fatigue and insomnia

Dumbness

Change in taste sensation

Uncontrollable tremor movements

Blurred vision, the,

Rapid and irregular heartbeat sensation

Al bass

Yawning

Indigestion, vomiting

Dry mouth

Rash, hives, itching

Excessive sweating

Joint pain

Frequent urination

Unexplained vaginal bleeding

Tremor sensation or cold

A sense of alienation from oneself

Strange thinking

Abnormal feeling of happiness

Orgasm problems

Tooth grinding

Problems with muscle looking, involuntary movements, or balance or coordination

Expansion of the pupils

Low blood pressure, the,

Short breathing

Difficulty swallowing

• slough

Increase in the tendency to bruise on the skin

Cold sweating

Difficulty urinating

Sensitivity to heat or cold

Low salt levels in the blood

Untypical aggressive behavior

Varan (hallucinations)

Unrest

Panic attacks

Seizures,

Inflammation of blood vessels (vascular)

Rapid swelling of tissues around the neck, face, lips and/or throat

Pain in the esophagus

Sensitivity to the sun

Coming from the breasts

Decrease in platelets, which increases the risk of bleeding or decay

Suicidal thoughts or self-harm

Memory weakness

Lung problems

Jaundice, abnormal liver function test results

Muscle pain, the,

Difficulty urinating

Confusion (confusion)

Stuttering

Nose bleeding

Ringing in the ears

Redness associated with unexplained decay or bleeding on the skin

Risk of bone fractures Increased risk of bone fractures has been observed in patients taking this type of medication.

In addition to the side effects listed above in children and adolescents, ZEDPREX slows growth or possibly leads to a delay in sexual maturity. Nasal bleeding has been widely reported in the cold sores.

Most of these side effects go away when treatment is continued. These are mild side effects of ZEDPREX.

How is ZEDPREX Used?

Always take ZEDPREX ⁇ exactly as your doctor tells you to. If you are unsure, consult your doctor or pharmacist.

Depression: The recommended dose is one capsule per day (20 mg). Within 3-4 weeks of starting treatment, your doctor will review your dosage and adjust it if necessary. Where appropriate, the dose may be increased gradually up to a maximum of 3 capsules (60 mg fluoxetine). The dose should be increased carefully to ensure that you are taking the lowest effective dose. When you first start taking your depression medication, you may not feel better right away. This is normal because depressive symptoms may not improve until the first few weeks have passed. Patients with depression should be treated for a period of at least 6 months.

Bulimia nervosa: One capsule (20 mg) three times a day or three capsules once (60 mg).

Obsessive-compulsive disorder (OCD): The recommended dose is one capsule per day (20 mg). 2 Weeks after treatment is started, your doctor will review your dose and adjust it if necessary. If appropriate, the dose may be increased gradually up to a maximum of three capsules (60 mg). If no improvement is observed within 10 weeks, ZEDPREX therapy should be re-evaluated.

Menstrual restlessness [pre-menstrual dysphoric disorder (PMDB)]: During the menstrual cycle, a dose of 20 mg every day or intermittently starting 14 days before the onset of menstruation until the first day of menstruation and repeated every cycle is recommended.

Swallow the capsules with some water.

Do not chew the capsules.

Always follow your doctor's instructions.

Do not take more capsules than your doctor tells you to.

Use in children

ZEDPREX ⁇ is not recommended for use in children and adolescents.

Use in the elderly:

If you are older, your doctor will be more careful when increasing the dose, and the daily dose should generally not exceed two capsules (40 mg). The maximum dose is 3 capsules per day (60 mg).

Special Use Cases

Kidney /Heavy insufficiency

Patients with impaired renal function do not need to adjust a special dose other than the dose recommended by the doctor.

If you have a liver-related problem or are taking another medication that may affect ZEDPREXI, your doctor may decide to give you a lower dose or to tell you to use ZEDPREXI every two days.

Unless your doctor gives you a separate recommendation, follow these instructions.

Do not forget to take your medicine on time.

Your doctor will let you know how long your treatment with ZEDPREX will last. Do not stop treatment early because you cannot get the desired result.

If you have an impression that the ZEDPREXin effect is too strong or weak, talk to your doctor or pharmacist.

ZEDPREX

What to Do in case of Overdose?

Talk to a doctor or pharmacist who has used more than you should use ZEDPREX.

If you have taken too much medicine, contact the emergency room of the nearest hospital immediately or report the situation to your doctor immediately.

If possible, take the ZEDPREX box with you.

Symptoms of overdose include: Nausea, vomiting, seizures, problems with the heart (such as irregularity in the heartbeat and cardiac arrest), lung-related problems, and changes in the mood that progress from restlessness to coma.

What Should I Do When I Forget to Use ZEDPREX?

If you forget to take a dose, do not worry. Take your next dose at normal time the next day.

Do not take double doses to offset forgotten doses.

Taking your medicine at the same time every day will help remind you that you need to take your medicine regularly every day.

Post Treatment For Those Using ZEDPREX

Do not discontinue treatment with ZEDPREX unless your doctor tells you to. It is important that you continue to take your medicine. Even if you feel better, do not leave your medication without asking your doctor.

Make sure you always have enough medicine with you.

When you suddenly stop using ZEDPREX, you may notice the following effects (absorption effects): Tingling sensation such as dizziness, needling, sleep disorders (live dreams, nightmares, inability to sleep), feeling restless or agitated, and, unusual fatigue or weakness, feeling anxious, nausea/vomiting, chills, headaches.

According to most people, all the symptoms seen when ZEDPREX is stopped are mild and go away on their own within a few weeks. If you experience symptoms when you stop treatment, consult your doctor.

When you are taking ZEDPREX ⁇ , your doctor will recommend that you slowly reduce your dose within a week or two. This helps to reduce the risk of the effects that may occur in terminating the treatment.

If you have additional questions about the use of ZEDPREX ⁇ , consult your doctor or pharmacist. If you experience these or any other disease effects, tell your doctor.

Things to consider before using ZEDPREX

Who Shouldn't Use ZEDPREX?

• you are allergic to fluoxetine or any of the other components of ZEDPREX (hypersensitivity). If you develop a rash or other allergic reactions (such as itching, percentage, or swelling of the lips or shortness of breath), stop taking your medication immediately and tell your doctor immediately.

• if you are using drugs known as nonseminative monoamine oxidase inhibitors (MAOs) or reversible (MAOIs) type A (also known as MAOs, which are also used to treat depression), in this case, serious, even fatal reactions may occur. Examples of MAOIs are: nialamide, iproniazide, moclobemide, phenelzine, tranilsipromine, isocarboxazide and toloxaton and linazolid (antibiotic) used to treat depression.

On the other hand, if you are receiving irreversible MAOI (e.g., tranilsipromine) treatment, fluoxetine should be started at least 2 weeks after discontinuation of the drug. However, the treatment of fluoxetine may be started the day after discontinuation of some reversible MAOIs (moclobemide, linezolid, for example) called MAOI-A.

Do not take any of your MAOIs for at least five weeks after you stop taking ZEDPREX. If ZEDPREX has been given for a long period of use and/or at a high dose, your doctor should consider extending the interval.

Do not take ZEDPREX if you are taking medications containing tioridacin. Do not take medications containing tioridazine for 5 days after you have stopped taking ZEDPREX. When tioridazine-containing drugs are used in conjunction with ZEDPREX, they cause serious heart rhythm problems, leading to sudden death.

Do not take ZEDPREX if you are taking medications containing antipsychotic-acting pimozide.

What Should People Using ZEDPREX Pay Attention to?

• if you have sarah disease (epilepsy) or have had seizures in the past, have seizures, or have an increase in seizure frequency, tell your doctor immediately; you may need to discontinue use of ZEDPREX;

If you have had extreme feeling and mobility (mania) before; notify your doctor immediately if you have had a manic episode; discontinuation of ZEDPREX may be required;

• If you have diabetes (diabetes) (your doctor may need to adjust the dose of insulin or other antidiabetic treatment);

If you have problems with the liver (your doctor may need to adjust the dose of the drug);

If you have problems with the heart;

If you know that you have low resting heart rate and/or salt loss as a result of prolonged severe diarrhea and vomiting, or if you are taking diuretic (diuretic) medication;

Increased intraocular pressure (glaucoma);

If you are taking diuretics (diuretics), especially if you are old;

If you are receiving electroconvulsive (electroshock) treatment;

• if you have a history of bleeding disorder or bruises or unusual bleeding occurs;

Is It Used With Other Drugs?

If you are taking Tamoxifen (used to treat breast cancer) (see. ‘Usage’ with other drugs).

If you feel uneasy and have an overactive condition, such as being unable to stand or sit in place, a condition called akathisia may have occurred; increasing your dose of ZEDPREX may make you feel worse.

If there are changes in the fever, muscle stiffness or tremor (slowing), change in your mental state (confusion), extreme sensitivity and extreme restlessness; you may be suffering from serotonin syndrome or neuroleptic malignant syndrome. Although this syndrome is rarely seen, it can cause life-threatening conditions, tell your doctor immediately, you may need to discontinue use of ZEDPREX.

Suicidal thinking and worsening of your depression or anxiety disorder

If you have mental depression (depression) and/or anxiety (anxiety) disorders, you may have thoughts of self-harm or suicide. This risk may increase when you first start taking antidepressants. Because it usually takes 2 weeks, sometimes longer to show the effect of these drugs.

In this case, you can think of it as follows:

If you have previously thought of suicide or self-harm

• adult. Information from clinical trials has shown an increased risk of suicidal behavior in adults with psychiatric conditions under the age of 25 who have been treated with antidepressants.

If you have thoughts of self-harm or suicide at any time, contact your doctor or go to the hospital immediately.

It may be helpful to tell any of your relatives that you have depression or anxiety disorder. Ask them to read this instruction. You may want them to tell you that your depression or anxiety is getting worse, or that they are concerned about changes in your behavior.

When patients under the age of 18 take this class of drugs, there is an increased risk of suicide attempts, suicidal thoughts, and side effects such as opposition (mainly aggression, confrontation, and anger). Long-term safety knowledge of ZEDPREX urn, growth, puberty, spiritual, emotional and behavioral development is limited. ZEDPREX is not recommended for use in children and adolescents.

If these warnings apply to you, even at any time in the past, please consult your doctor.

Food and Beverage Consumption with ZEDPREX

What are the foods and drinks that are inconvenient to be consumed with the specified medication? What should we eat or not eat?

You can take ZEDPREX ‘i with or separately with food according to your preference. You should avoid drinking alcohol while taking this medicine.

Is it Used During Pregnancy (Pregnancy) Period?

Consult your doctor or pharmacist before using the medicine.

There are reports that during the first few months of pregnancy, mothers of fluoxetine had an increased risk of birth defects affecting the heart. In the general population, 1% of babies are born with a heart defect. This rate is 2’% in babies whose mothers use fluoxetine. You can stop using ZEDPREX during pregnancy by reducing the dose after discussing with your doctor. However, your doctor may also advise you to continue using ZEDPREX based on your condition.

When taking fluoxetine-like drugs during pregnancy, especially in the last 3 months of pregnancy, can increase the risk of a serious condition called resistant pulmonary hypertension (PPHN) in the newborn, which leads to rapid breathing and a bluish appearance in babies. These symptoms begin within the first 24 hours after the baby is born. If your baby has such a condition, consult your doctor immediately.

Care should be taken during pregnancy, especially in the last stage of pregnancy or just before birth, as the following effects are reported in newborn babies: the state of hypersensitivity to stimuli (ability), tremor, muscle weakness, etc, problems during constant crying, sucking, or sleeping.

If you notice that you are pregnant during your treatment, consult your doctor or pharmacist immediately.

Can it be Used During Breastfeeding?

Consult your doctor or pharmacist before using the medicine.

Fluoxetine passes into breast milk and can cause side effects in infants. If you absolutely need to breastfeed, your doctor may reduce the dose of fluoxetine.

Vehicle and machinery use

This medicine may affect your decision-making ability or compliance. Do not drive or operate machinery without consulting your doctor or pharmacist.

What is ZEDPREX Active Agent?

Not valid.

Is It Used With Other Drugs?

This medicine may interact with some other medications. Interaction with the following drugs may occur:

ZEDPREX should not be used in conjunction with some non-selective MAOI and MAOI type A, It should be started 2 weeks after discontinuation of irreversible MAOI (e.g., tranilsipromine) therapy. However, the treatment of fluoxetine may be started the day after discontinuation of some recycled MAOIs (for example, moclobemide, linezolid,) called MAOI-A. Some MAOI type B (selegeline) may be used in conjunction with ZEDPREX, provided your doctor closely follows you.

Lithium, tryptophan; the risk of serotonin syndrome increases when these drugs are used in conjunction with ZEDPREX. When ZEDPREX is used in combination with lithium, your doctor will increase the frequency of control.

Phenytoin (used for sara); since ZEDPREX can affect the levels of this drug in the blood, you should be more careful if it is to be used together.

Tramadol (painkiller) or triptans (for migraine); increased risk of hypertension (increased blood pressure).

Medications that can affect the heart rhythm. Class IA and III antiarrhythmics, antipsychotics

(e. phenothiazine derivatives, pimozide, haloperidol), tricyclic antidepressants, some antimicrobial agents (e.g., sparfloxacin, moxifloxacin, erythromycin IV, pentamide) antimalarial therapy, especially halofantrin, some antihistamines

(astemizole, mizolastin).

Flecainide or incainide (for heart related problems), carbamazepine (for sara), etc,

tricyclic antidepressants (for example, imipramine, desipramine and amitriptyline);

Because ZEDPREX can change the levels of these drugs in the blood, your doctor may reduce the dose of these drugs.

Tamoxifen (for breast cancer treatment); because ZEDPREX can change the blood levels of these drugs, your doctor may use different antidepressants.

Warfarin (watering the blood), Non-Steroidal Anti-inflammatory Drugs (acting pain, fever and inflammation) or other drugs that can dilute the blood (clozapine and aspirin); ZEDPREX may alter the effect of these drugs on blood clotting. When using warfarin

your doctor will need to do some tests.

Yellow cantarone (St when using ZEDPREX. Treatment with John ⁇ Wort) should not be started, because undesirable effects may increase. yellow cantarone (St when ZEDPREX treatment is started. You should stop using the Johnis Wort) plant San cantaron and let your doctor know.

If you are currently taking any prescription or over-the-counter medications or have recently used them, please tell your doctor or pharmacist about them.

To download the ZEDPREX prospectus as a PDF file here
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