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Prozac is an antidepressant medication used to treat and relieve symptoms of Major Depressive Disorder (MAD) as well as obsessive compulsive disorder (OCD), bulimia nervosa, and panic disorder.

Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that increases the availability of serotonin in your brain by blocking its neuronal reuptake. Prozac also affects the neurotransmitters in your brain to help maintain a balance of chemicals. This helps relieve symptoms associated with different mental health issues including MAD, OCD, and panic disorder.

Prozac is used to treat various mental health conditions and may help treat manic depression caused by bipolar I disorder when taken with another medication called olanzapine. This antidepressant medication causes fewer anticholinergic, hypotensive, and sedative effects than tricyclic antidepressants.

Uses and Dosage

The dose of Prozac prescribed will vary depending on the individual and condition being treated. Follow your doctor’s instructions and read packaging labels carefully when taking this medication.

  • Swallow the capsule whole
  • Take in the morning
  • Adults take 20 to 80mg daily
  • Do not take more than 80mg a day
  • Do not double dose
  • Symptoms may take up to 4 weeks to improve
  • Do not suddenly stop taking Prozac
  • Tell your doctor if you experience changes in sexual function
  • Store at room temperature away from moisture

Side Effects

Fluoxetine may cause some side effects while it affects your serotonin levels. Speak with your doctor for more information regarding symptoms you may encounter when taking fluoxetine.

Common Prozac side effects:

  • Insomnia, strange dreams
  • Headache, dizziness, drowsiness
  • Vision changes
  • Tremors or shaking
  • Feeling anxious or nervous
  • Pain, weakness, tiredness
  • Upset stomach, decreased appetite
  • Nausea, vomiting, diarrhea
  • Dry mouth, sweating, hot flashes
  • Changes in weight
  • Stuffy nose, sinus pain, sore throat, flu symptoms
  • Decreased sex drive, impotence, difficulty having an orgasm

Serious Side Effects

Some more serious side effects may occur when taking Prozac. Stop using this antidepressant and call your doctor immediately if you notice any of the following symptoms:

  • Blurred vision, tunnel vision, seeing halos around lights
  • Eye pain or swelling
  • Fast or pounding heartbeats, fluttering in your chest
  • Shortness of breath
  • Sudden dizziness, like you might pass out
  • Low sodium levels (headache, confusion, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady)
  • Severe nervous system reaction (stiff muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out)

Seek immediate medical attention if you develop symptoms of serotonin syndrome which include:

  • Agitation
  • Hallucinations
  • Fever
  • Sweating, shivering
  • Fast heart rate
  • Muscle stiffness, twitching
  • Loss of coordination
  • Nausea, vomiting, diarrhea

Allergic Reactions

Do not take Prozac if you are allergic to fluoxetine. Stop taking this medication and call your doctor if you notice signs of an allergic reaction or severe skin reaction.

Prozac allergy symptoms may include:

  • Hives
  • Difficulty breathing
  • Swelling in your face or throat
  • Fever
  • Sore throat
  • Burning eyes
  • Skin pain
  • Red or purple rash
  • Blistering or peeling skin


Do not take Prozac if you are being treated with methylene blue injection or if you also take pimozide or thioridazine.

Do not take Prozac 14 days before or after using a MAO inhibitor such as isocarboxazid, rasagiline, selegiline, phenelzine, or transcypromine. Wait at least 5 weeks after stopping Prozac before you can take thioridazine or an MAOI.

Some young people may have suicidal thoughts when they first start taking an antidepressant. Monitor changes in mood or symptoms and stay in contact with a doctor. Older adults may be more susceptible to experiencing Prozac side effects.

Prozac may impair your judgement, thinking, or motor skills. Be careful when driving, operating heavy machinery, or performing any tasks requiring alertness when taking this antidepressant.

Avoid drinking alcohol while taking Prozac because it can cause an increase in fluoxetine side effects.

Tell your doctor about any new or worsening symptoms you experience such as changes in mood or behaviour, anxiety, panic attack, sleeping problems, if you feel impulsive, irritable, agitated, aggressive, restless, or more depressed, or if you have suicidal thoughts.

Do not stop taking Prozac without asking your doctor.

Tell your doctor about all the medications you take but especially any other antidepressant such as Celexa, Cymbalta, Desyrel, or Effexor.

To ensure the safety of taking Prozac, tell your doctor if you have every had any of the following:

  • Cirrhosis of the liver
  • Urination problems
  • Diabetes
  • Narrow-angle glaucoma
  • Seizures or epilepsy
  • Sexual problems
  • Bipolar disorder
  • Drug abuse
  • Suicidal thoughts
  • Electroconvulsive therapy

Consult with your doctor before taking this antidepressant while pregnant. Taking any SSRI antidepressant in late pregnancy could cause medical complications. Tell your doctor right away if you become pregnant while taking Prozac.

If you are breastfeeding while using Prozac, let your doctor know if you notice agitation, fussiness, feeding problems, or troubles gaining weight in your baby.

Form and Strength

This medication is available in capsule form.

Prozac capsule strengths:

  • 10mg
  • 20mg
  • 40mg
  • 60mg

The 10mg and 40mg capsules are available in groups of 100; the 20mg capsules are available in quantities of 90 and 96; and the 60mg capsules come in quantities of 30 and 90.


How long does it take for Prozac to work?

The speed at which Prozac is absorbed into your body and begins relieving your symptoms will depend on your body’s metabolism of fluoxetine. This antidepressant may take up to 4 or 6 weeks to fully improve your symptoms. Some feel its affects within 2 weeks while others take over 8 for full effects.

Does Prozac cause weight gain or loss?

When you first start taking Prozac, you may experience slight weight loss, but over time you may experience some weight gain. One of the side effects of Prozac is decreased appetite, so your weight may fluctuate with your symptoms and appetite. These weight fluctuations tend not to be serious or extreme.

Is Prozac a controlled substance / addictive?

Prozac is not considered a controlled substance and does not have addictive properties. Thanks to its relief of symptoms related to MAD, OCD, panic disorder, and other conditions, some users may feel dependent on this antidepressant. If you suddenly stop taking Prozac, you may also feel symptoms of withdrawal.



Additional information

Brand Name:


Scientific Name:


Other Names:

Fluoxetine, Prozac


10mg, 20mg, 40mg, 60mg

Quantities Available:

28, 30, 84, 90, 100