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Marea Harris

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About Author — Marea is a professional writer with over 7 years' experience in the industry. She holds a Bachelor's degree in Business Administration and a Master's degree in Marketing.

Most PlushCare articles are reviewed by M.D.s, Ph.Ds, N.P.s, nutritionists and other healthcare professionals. Click here to learn more and meet some of the professionals behind our blog. The PlushCare blog, or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. For more information click here.

Depression and its related disorders can severely impact a person’s independence, occupational performance, and overall well-being. Fortunately, there are a range of medications available to combat the causes of depression and other mood and panic disorders to give rise to a calm, collected mental clarity that supports optimal daily functioning and health.

One of the different medications used to treat depression is fluoxetine. What is this medication, how does it work, what are its side effects, and can you benefit from its use? Find the answer to these questions and where to get a fluoxetine prescription online by reading through this guide.

What is Fluoxetine?

Fluoxetine is an antidepressant medication that’s often sold under the brand names Prozac and Sarafem, to name a few. It is typically used in the treatment of depressive disorder, obsessive-compulsive disorder, bulimia nervosa, premenstrual dysphoric disorder, and panic disorder.

How Does Fluoxetine Work?

Fluoxetine is a selective serotonin reuptake inhibitor. It works by preventing the uptake of serotonin to encourage the body to produce more. This in effect, increases the amount of serotonin that’s absorbed by the post-synaptic terminals of neural cells, thus reducing the effects of depression and certain other related mood and panic disorders.

Fluoxetine Dosage and Treatment

The dosage of fluoxetine is a very delicate calculation that requires professional knowledge on the function and purpose of the drug. Doctors carefully compute the ideal dose on a patient to patient basis, as providing more or less of the drug could result to potentially detrimental outcomes.

Do not under any circumstances change the dosage amount or the schedule prescribed by your doctor. Fluoxetine is a very potent medication and must not be used for any reasons other than those allowed by your doctor.

Keep in mind that the numbers below are not set in stone. Your doctor will still ultimately be in charge of deciding the proper dosage for you. Nonetheless, they might fall within the following parameters:


  • 60 mg once every day taken in the morning

Depression and Obsessive Compulsive Disorder:

  • Initial dose: 20 mg once on the first day
  • Following doses: between 20 – 60 mg a day depending on your reaction to the medication

Panic Disorder:

  • Initial dose: 10 mg once on the first day
  • Following doses: between 20 to 60 mg once daily

Premenstrual Dysphoric Disorder:

  • 20 mg once a day every day throughout the duration of the menstrual period
  • OR 20 mg once everyday 14 days before the anticipated beginning of your menstrual period until the first full day of your period, to be repeated with each cycle

Benefits of Fluoxetine

Fluoxetine helps to normalize a person’s mood and reduce feelings of stress, anxiety, and panic. When taken following your doctor’s recommendations, fluoxetine can restore proper occupational and social performance.

Side Effects of Fluoxetine

Medications used in the treatment of mental and psychiatric disorders are known to produce the most side effects because of their direct impact on the hormones that dictate brain function. It is possible to experience significant discomfort when using medications like fluoxetine, however as long as they’re tolerable and they don’t interfere with your daily occupational functioning, then there may not be a reason to visit your doctor.

Here are some of the side effects you can expect with the use of fluoxetine:

  • Headaches
  • Dizziness
  • Lightheadedness
  • Fatigue
  • Elation
  • Convulsions
  • Hunger
  • Dry mouth
  • Increased thirst
  • Lack of energy
  • Mood or behavioral changes
  • Unsteady gait
  • Weakness
  • Fidgeting
  • Poor muscle control
  • Strange or abnormal dreams
  • Changes in vision
  • Breast enlargement or pain
  • Feeling of heat or warmth
  • Sudden weight loss or gain
  • Changes in taste
  • Swelling of the face or hands

Keep in mind that while most of these side-effects are normal, increased severity may warrant a visit to your doctor. If you feel overwhelmed with the effects of the medication on your body, visit your doctor to find out whether you can have the dose adjusted or if you can have the medication replaced all together.

If you experience any of the following adverse reactions, cease the use of fluoxetine immediately and visit your doctor to avoid any life-threatening complications.

  • Severe muscle stiffening
  • Hallucinations
  • Loss of consciousness
  • Hives or rashes
  • Irregular heart beat
  • Difficulty breathing
  • Vomiting
  • Unusual lactation
  • Generalized body swelling
  • Chest pain
  • Blood in urine or stool
  • Unusual bleeding from the gums, nose, or other body parts

Bear in mind that some patients experience suicidal thoughts upon taking their first dosage of fluoxetine. Take the necessary precautions and make sure there are trustworthy people around you like close family members and friends to help you cope with the changes as you incorporate the medication in your daily regimen.


Considerations and Precautions for Fluoxetine

Not everyone will benefit fully from the use of fluoxetine. In some cases, fluoxetine might even pose greater risks than the benefits that it offers. This is especially true in cases where individuals take certain medications that could interact with the use of fluoxetine. If you take any of the following drugs, discuss them with your doctor to determine whether or not fluoxetine would be ideal for your case:

  • Acetaminophen
  • Almotriptan
  • Amiodarone
  • Amoxapine
  • Amphetamine
  • Anagrelide
  • Arsenic trioxide
  • Astemizole
  • Bedaquiline
  • Bepridil
  • Brexpiprazole
  • Buspirone
  • Clomipramine
  • Citalopram
  • Cisapride
  • Crizotinib
  • Desipramine
  • Dofetilide
  • Dolasetron
  • Doxepin
  • Iloperidone
  • Lithium
  • Mifepristone
  • Naproxen
  • Pimozide
  • Vilazodone

This is not an all-inclusive list. In fact, fluoxetine has 277 major drug interactions and close to a thousand moderate and minor interactions. Discuss your complete medical regimen with your doctor to find out whether fluoxetine would be safe to take with your maintenance medications.

If you suffer from any of the following medical conditions, it’s equally imperative that you discuss them with your doctor as taking fluoxetine in the presence of these conditions can result to potentially life-threatening complications.

  • Diabetes
  • Hyponatremia
  • Glaucoma
  • Liver disease
  • Mania
  • Platelet disease
  • QT prolongation
  • Seizure disorders
  • Renal dysfunction and disease

Can You Buy Fluoxetine Online?

Fluoxetine can be a dangerous drug in the wrong hands, that’s why it can only be acquired by presenting a doctor’s prescription. If you want to buy fluoxetine through an online pharmacy, you need to be prepared with a prescription which you can acquire through PlushCare.

PlushCare’s online service lets you speak face to face with a board licensed doctor through your computer or smart phone. Discuss your condition and receive sound medical advice to help you best address your wellness concerns. If your doctor finds it necessary for your unique situation, they may provide you with a fluoxetine prescription online, along with a prescription for any other medication that might be necessary for your health.

Visit the PlushCare website today to learn more about their services. Set an appointment by clicking here or give them a call through their hotline at (888)660-5348 to get a prescription for fluoxetine online without having to leave your home.

PlushCare takes content accuracy seriously so we can be your trusted source of medical information. Most articles are reviewed by M.D.s, Ph.D.s, NPs, or NDs. Click here to meet the healthcare professionals behind the blog.

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