Patient/caregiver was educated on precautions to be exercised while taking fluoxetine as follows:
- Do not take fluoxetine with alcohol or opioid pain medications, such as, hydrocodone and codeine, as these products can add to the dizziness and confusion caused by fluoxetine, and contribute to falls and accidents. A number of OTC cough medications and antihistamines, muscle relaxant medications, and antianxiety medications, can potentiate the confusion caused by fluoxetine and so, must be avoided taking along with fluoxetine.
- Fluoxetine intake can result in pupillary dilation and obstruction to the flow of aqueous humor in the eye, and consequent increase in intraocular pressure, thus leading to glaucoma. Individuals can present with eye pain, headache, and blurred vision with haloes around light. Observe compliance with any periodical vision exams recommended. Individuals with history of glaucoma should observe extra caution in watching out for exacerbation of eye pain and deterioration of vision. Report any eye pain and changes with vision, while taking fluoxetine, to your physician immediately, so that, an alternative plan of care could be considered.
- Fluoxetine takes some time to fairly balance the chemicals in the brain, before any improvement in mood and behavior are noted. It could take about 3 – 6 weeks to see this change in mood. So, do not discontinue taking the medication without consulting your physician, as you failed to see the improvement with depressive symptoms immediately after taking the medication.
