Seromex
Seromex contains fluoxetine and is used to treat serious depression, obsessive-compulsive disorder, and bulimia nervosa.
Form
liukeneva tabletti
Strength
10 mg
Active Ingredient
Fluoxetine hydrochloride
Manufacturer
ratiopharm GmbH
How to Use
Dosage
Typically, the starting dose for adults is 20 mg once a day. Your doctor may adjust this dose.
Method
Swallow tablets whole with water, or dissolve them in half to one glass of water and drink immediately. 20 mg tablets can be divided.
Important
The maximum daily dose is 60 mg.
Possible Side Effects
COMMON
- •Insomnia, headache, diarrhea, nausea, fatigue
- •Loss of appetite, weight loss
- •Nervousness, anxiety, restlessness, feeling tense
- •Trouble concentrating
- •Lower sex drive or problems with sex (like trouble getting an erection)
- •Sleep problems, strange dreams, drowsiness
- •Dizziness
- •Changes in taste
- •Uncontrolled shaking or tremors
- •Blurred vision
- •Fast or irregular heartbeat
- •Flushing (red face)
- •Yawning
- •Dry mouth
- •Stomach problems, vomiting
- •Rash, hives, itching
- •Too much sweating
- •Joint pain
- •Needing to pee often
- •Unexplained vaginal bleeding
- •Feeling shaky or cold shivers
RARE
- •Feeling like you're outside your body
- •Strange thoughts, unusually happy mood
- •Sexual problems, including trouble having an orgasm (sometimes lasting after treatment ends)
- •Thoughts of harming yourself or suicide
- •Grinding teeth
- •Muscle twitches, movements you can't control, or problems with balance and walking
- •Memory problems
- •Larger pupils
- •Ringing in the ears (tinnitus)
- •Low blood pressure
- •Shortness of breath
- •Nosebleeds
- •Trouble swallowing
- •Hair loss
- •Bruising easily
- •Bleeding in the stomach or intestines
- •Cold sweat
- •Trouble peeing
- •General feeling of being unwell, feeling unusual, feeling hot or cold
- •Abnormal liver test results
- •Low salt levels in blood
- •Fewer platelets (cells that help blood clot), leading to more bleeding and bruising
- •Fewer white blood cells
- •Wild behavior
- •Seeing or hearing things that aren't there (hallucinations)
- •Agitation (extreme restlessness)
- •Panic attacks
- •Confusion
- •Stuttering
- •Aggression
- •Seizures
- •Inflammation of blood vessels (vasculitis)
- •Sudden swelling of the neck, face, mouth, and/or throat
- •Pain in the food pipe (esophagus)
- •Sore throat (pharyngitis)
- •Liver inflammation (hepatitis)
- •Lung problems
- •Sensitivity to sunlight
- •Bleeding under the skin
- •Muscle pain
- •Milk production from breasts (galactorrhea)
- •Bleeding from mucous membranes
Important Warnings
- Do not take Seromex if you are allergic to fluoxetine or any other ingredient. If you get a rash or allergic reaction (like itching, swollen lips or face, or trouble breathing), stop taking the tablets immediately and seek medical help.
- Do not take Seromex with certain other medicines called MAO inhibitors, as this can cause very serious reactions. Wait at least two weeks after stopping an MAO inhibitor before starting Seromex, and at least 5 weeks after stopping Seromex before starting an MAO inhibitor.
- Do not take Seromex if you are taking metoprolol for heart failure, as it can make your heart beat too slowly.
- If you experience fever, stiff muscles, shaking, confusion, irritability, or extreme agitation, contact your doctor immediately as these could be signs of serotonin syndrome, which can be life-threatening.
- If you have thoughts of harming yourself or suicide at any point during this treatment, contact your doctor immediately or go straight to a hospital.
Show 4 more warnings
- If you feel restless and can't sit or stand still (akathisia), contact your doctor. Increasing the Seromex dose may make this worse.
- Tell your doctor immediately if your skin becomes red, develops different skin reactions, or starts to blister or peel. This is rare.
- For patients under 18, there is a higher risk of side effects like suicide attempts, suicidal thoughts, and hostility. Seromex should only be used in 8-18 year olds for moderate to severe depression, alongside psychotherapy, and not for other conditions. It should not be used in children under 8 years of age.
- Seromex may affect your judgment and coordination. Do not drive or operate machinery until you know how Seromex affects you.