Patient/caregiver was educated on the side effects of using Fluoxetine as follows:
Central nervous system side-effects
- Fluoxetine can induce some dizziness and make one drowsy. Starting the medication at a low dose, watching for the response, and gradually changing the dose, to help optimum control of your symptoms, can contribute to controlling/reducing the risk for drowsiness and dizziness due to the medication. If the dizziness becomes bothersome, report it to your physician and other health care personnel, for any change in plan of care to be considered. Stay away from activities, such as, driving and operating heavy machinery, until you are used to the side effects caused by fluoxetine intake.
- Fluoxetine use can also result in sleep disturbance with poor quality sleep, hallucinations, and compromised memory.
- Continue taking fluoxetine, as recommended, even if your mood feels better. Discontinuing the medication abruptly, without your physician’s recommendation, can result in disruption of chemical balance in the brain, resulting in worsening of mood disorder. Individuals can present with severe withdrawal symptoms, such as, listlessness, lack of energy, exacerbation of depressive symptoms, anxiety, sleep disturbances, appetite changes, hallucinations, and mania.
- Fluoxetine use carries risk of deterioration of mood disorders and worsening of clinical symptoms of mood disorders. Individuals can present with complaints such as, feeling low, anxiety, panic attacks, trouble sleeping, gross appetite changes, impulsiveness, agitation, aggression, and suicidal thoughts.
Other constitutional side-effects
- Individuals taking fluoxetine can also present with sexual dysfunctions, such as, compromised interest in sex, difficulty attaining and maintaining erection, and/or difficulty having an orgasm.