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Prozac ( Fluoxetine ) Side Effects

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Prozac is a brand name for the drug fluoxetine, which is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI). Prozac is commonly prescribed to treat major depressive disorder, obsessive-compulsive disorder, bulimia nervosa, and panic disorder.

While Prozac can be an effective treatment for these conditions, it is not without potential side effects. Some of the most common side effects of Prozac include:

1. Nausea
2. Diarrhea
3. Headache
4. Insomnia
5. Drowsiness
6. Dry mouth
7. Sweating
8. Loss of appetite
9. Weight loss
10. Sexual dysfunction

These side effects are usually mild and go away on their own within a few weeks of starting Prozac. However, in some cases, they can be more severe or long-lasting. One of the most serious potential side effects of Prozac is serotonin syndrome, which can occur when too much serotonin accumulates in the body. Symptoms of serotonin syndrome include:

1. Agitation
2. Confusion
3. Rapid heartbeat
4. Dilated pupils
5. Muscle rigidity
6. Tremors
7. Sweating
8. High fever
9. Seizures
10. Coma

Serotonin syndrome can be life-threatening and requires immediate medical attention.

Another potential side effect of Prozac is suicidal thoughts or behavior, especially in children and young adults. While Prozac is generally considered safe and effective for most people, it is important to be aware of these potential risks.

Other potential side effects of Prozac include:

1. Anxiety
2. Agitation
3. Restlessness
4. Irritability
5. Dizziness
6. Fatigue
7. Blurred vision
8. Ringing in the ears
9. Seizures
10. Low sodium levels

Prozac can also interact with other medications, including other antidepressants, blood thinners, and nonsteroidal anti-inflammatory drugs (NSAIDs). It is important to tell your doctor about all medications you are taking before starting Prozac.

In rare cases, Prozac can cause a condition called tardive dyskinesia, which causes involuntary movements of the face and tongue. This condition is more common in people who have been taking Prozac for a long time.

Prozac can also cause withdrawal symptoms if it is stopped suddenly. These symptoms can include:

1. Nausea
2. Headache
3. Dizziness
4. Fatigue
5. Irritability
6. Insomnia
7. Anxiety
8. Confusion
9. Seizures

To avoid withdrawal symptoms, Prozac should be tapered off gradually under the supervision of a healthcare provider.

While Prozac can be an effective treatment for depression and other mental health conditions, it is important to be aware of its potential side effects. If you experience any unusual symptoms while taking Prozac, it is important to contact your healthcare provider right away.

Here are some additional information and details about Prozac side effects:

1. Nausea: This is one of the most common side effects of Prozac, and it usually goes away within a few days or weeks of starting the medication. Taking Prozac with food can help reduce nausea.

2. Diarrhea: Prozac can cause diarrhea in some people, which can lead to dehydration if it is severe. Drinking plenty of fluids can help prevent dehydration.

3. Headache: Headaches are a common side effect of Prozac, but they usually go away on their own within a few days or weeks.

4. Insomnia: Prozac can cause insomnia or difficulty sleeping, especially when taken at night. Taking Prozac in the morning or early afternoon can help prevent insomnia.

5. Drowsiness: Some people may experience drowsiness or fatigue when taking Prozac. This side effect is usually mild and goes away on its own within a few days or weeks.
6. Dry mouth: Prozac can cause dry mouth, which can increase the risk of tooth decay and gum disease. Drinking plenty of water and chewing sugar-free gum can help alleviate dry mouth.

7. Sweating: Prozac can cause excessive sweating in some people, especially at night. This side effect is usually mild and goes away on its own within a few days or weeks.

8. Loss of appetite: Prozac can cause a loss of appetite in some people, which can lead to weight loss. This side effect is usually mild and goes away on its own within a few days or weeks.
9. Weight loss: Prozac can cause weight loss in some people, which may be desirable for those who are overweight. However, it can be a concern for people who are already at a healthy weight or underweight.

10. Sexual dysfunction: Prozac can cause sexual dysfunction, including decreased libido, difficulty achieving orgasm, and erectile dysfunction. These side effects may go away on their own within a few weeks, but they can persist in some people.

11. Anxiety: Prozac can cause anxiety or nervousness in some people, especially at the beginning of treatment. This side effect is usually mild and goes away on its own within a few days or weeks.
12. Agitation: Prozac can cause agitation or restlessness in some people, especially at the beginning of treatment. This side effect is usually mild and goes away on its own within a few days or weeks.

13. Restlessness: Prozac can cause restlessness or an inability to sit still in some people. This side effect is usually mild and goes away on its own within a few days or weeks.

14. Irritability: Prozac can cause irritability or a short temper in some people, especially at the beginning of treatment. This side effect is usually mild and goes away on its own within a few days or weeks.

15. Dizziness: Prozac can cause dizziness or lightheadedness in some people, especially when getting up from a sitting or lying position. This side effect is usually mild and goes away on its own within a few days or weeks.

16. Fatigue: Prozac can cause fatigue or a feeling of tiredness in some people. This side effect is usually mild and goes away on its own within a few days or weeks.
17. Blurred vision: Prozac can cause blurred vision or difficulty focusing in some people. This side effect is usually mild and goes away on its own within a few days or weeks.

18. Ringing in the ears: Prozac can cause tinnitus, or ringing in the ears, in some people. This side effect is usually mild and goes away on its own within a few days or weeks.
19. Seizures: Prozac can increase the risk of seizures in some people, especially those with a history of seizures or other risk factors. If you experience a seizure while taking Prozac, you should seek medical attention immediately.

20. Low sodium levels: Prozac can cause hyponatremia, or low sodium levels in the blood, in some people. This can cause symptoms such as nausea, headache, confusion, and seizures. If you experience these symptoms while taking Prozac, you should seek medical attention immediately.
21. Suicidal thoughts or behavior: Prozac can increase the risk of suicidal thoughts or behavior, especially in children and young adults. If you or someone you know is experiencing suicidal thoughts or behavior while taking Prozac, you should seek medical attention immediately.

22. Serotonin syndrome: As mentioned earlier, serotonin syndrome is a rare but potentially life-threatening side effect of Prozac. It can occur when too much serotonin accumulates in the body, causing symptoms such as agitation, confusion, rapid heartbeat, and seizures. If you experience these symptoms while taking Prozac, you should seek medical attention immediately.

23. Tardive dyskinesia: Tardive dyskinesia is a rare but potentially irreversible side effect of Prozac. It causes involuntary movements of the face and tongue, and it is more common in people who have been taking Prozac for a long time. If you experience these symptoms while taking Prozac, you should seek medical attention immediately.

24. Withdrawal symptoms: Prozac can cause withdrawal symptoms if it is stopped suddenly, especially if it has been taken for a long time. These symptoms can include nausea, headache, dizziness, fatigue, irritability, insomnia, anxiety, confusion, and seizures. To avoid withdrawal symptoms, Prozac should be tapered off gradually under the supervision of a healthcare provider.

25. Interactions with other medications: Prozac can interact with other medications, including other antidepressants, blood thinners, and nonsteroidal anti-inflammatory drugs (NSAIDs). It is important to tell your doctor about all medications you are taking before starting Prozac.

In conclusion, Prozac can be an effective treatment for depression and other mental health conditions, but it is not without potential side effects. If you experience any unusual symptoms while taking Prozac, it is important to contact your healthcare provider right away. It is also important to be aware of the potential risks associated with Prozac, including serotonin syndrome, suicidal thoughts or behavior, and tardive dyskinesia. With proper monitoring and care, Prozac can be a safe and effective treatment option for many people.

26. Increased risk of bleeding: Prozac can increase the risk of bleeding in some people, especially those taking blood thinners or NSAIDs. If you experience unusual bleeding or bruising while taking Prozac, you should seek medical attention immediately.

27. Mania or hypomania: Prozac can cause mania or hypomania in some people, especially those with bipolar disorder. Symptoms can include excessive energy, racing thoughts, impulsivity, and risk-taking behavior.

28. Allergic reactions: Prozac can cause allergic reactions in some people, which can include symptoms such as rash, hives, itching, difficulty breathing, and swelling of the face, lips, tongue, or throat. If you experience these symptoms while taking Prozac, you should seek medical attention immediately.

29. Liver damage: Prozac can cause liver damage in some people, especially those with pre-existing liver disease. Symptoms can include yellowing of the skin or eyes, abdominal pain, and dark urine. If you experience these symptoms while taking Prozac, you should seek medical attention immediately.

30. Decreased bone density: Prozac can decrease bone density in some people, which can increase the risk of fractures. This is especially a concern for women who are postmenopausal.

31. Hyponatremic encephalopathy: Prozac can cause hyponatremic encephalopathy, which is a rare but potentially life-threatening condition that occurs when sodium levels in the blood become dangerously low. Symptoms can include seizures, confusion, and coma. If you experience these symptoms while taking Prozac, you should seek medical attention immediately.

32. Cardiovascular effects: Prozac can have cardiovascular effects, including changes in heart rate and blood pressure. In rare cases, it can cause arrhythmias or other cardiac events.

33. Glaucoma: Prozac can worsen narrow-angle glaucoma, which is a type of eye condition that can cause vision loss if not treated promptly.

34. Decreased platelet aggregation: Prozac can decrease platelet aggregation, which can increase the risk of bleeding.

35. Akathisia: Prozac can cause akathisia, which is a feeling of restlessness or an inability to sit still. This side effect is more common in younger people and can be mistaken for worsening of the underlying condition.

In summary, Prozac can cause a range of potential side effects, including gastrointestinal symptoms, sexual dysfunction, cognitive and behavioral changes, and rare but serious conditions such as serotonin syndrome, tardive dyskinesia, and hyponatremic encephalopathy. It is important to discuss any concerns or questions with your healthcare provider and to report any unusual symptoms immediately.

36. Pregnancy and breastfeeding: Prozac can cross the placenta and enter breast milk, potentially causing harm to the fetus or infant. It is important to discuss the risks and benefits of Prozac use during pregnancy and breastfeeding with your healthcare provider.

37. Suicidality in children and adolescents: Prozac and other antidepressants have been associated with an increased risk of suicidal thoughts and behaviors in children and adolescents with major depressive disorder and other psychiatric disorders. Close monitoring is essential when Prozac is prescribed to these age groups.

38. Discontinuation syndrome: Prozac can cause discontinuation syndrome when it is abruptly stopped or the dosage is decreased too rapidly. Symptoms of discontinuation syndrome can include flu-like symptoms, dizziness, sensory disturbances, and anxiety. It is important to taper off Prozac gradually under the guidance of a healthcare provider.

39. Drug interactions: Prozac can interact with many other medications, including other antidepressants, antipsychotics, blood thinners, and some pain medications. It is important to inform your healthcare provider about all medications and supplements you are taking before starting Prozac.

40. Aggression and hostility: Prozac can cause aggression and hostility in some people, especially those with a history of these behaviors. It is important to report any changes in mood or behavior to your healthcare provider.

41. Cognitive impairment: Prozac can cause cognitive impairment, including difficulty with concentration, memory, and decision-making. This side effect is usually mild and goes away on its own within a few days or weeks.

42. Diabetes: Prozac can affect blood sugar levels in some people, potentially causing or worsening diabetes. It is important to monitor blood sugar levels closely while taking Prozac.

43. Glaucoma: Prozac can worsen open-angle glaucoma, which is a type of eye condition that can cause vision loss if not treated promptly.

44. Severe allergic reactions: Prozac can cause severe allergic reactions, including anaphylaxis, which is a life-threatening emergency. Symptoms can include difficulty breathing, hives, swelling of the face, lips, tongue, or throat, and rapid heartbeat. If you experience these symptoms while taking Prozac, seek medical attention immediately.

45. Drug dependence: Prozac can cause dependence or addiction in some people, especially those with a history of substance abuse. It is important to take Prozac only as prescribed and to report any concerns to your healthcare provider.

In conclusion, Prozac can cause a range of potential side effects, some of which can be serious or life-threatening. It is important to discuss the risks and benefits of Prozac use with your healthcare provider and to report any unusual symptoms or changes in mood or behavior immediately.

46. Seizures: Prozac can increase the risk of seizures, especially in people with a history of seizures or other risk factors. If you experience a seizure while taking Prozac, seek medical attention immediately.

47. Hyponatremia: Prozac can cause hyponatremia, which is a condition where sodium levels in the blood become too low. Symptoms can include confusion, seizures, and coma. If you experience these symptoms while taking Prozac, seek medical attention immediately.

48. Serotonin syndrome: Prozac can cause serotonin syndrome, which is a potentially life-threatening condition that occurs when too much serotonin accumulates in the body. Symptoms can include agitation, confusion, rapid heartbeat, and seizures. If you experience these symptoms while taking Prozac, seek medical attention immediately.

49. Hypoglycemia: Prozac can lower blood sugar levels in some people, which can cause hypoglycemia or low blood sugar. Symptoms can include weakness, shakiness, confusion, and seizures. If you experience these symptoms while taking Prozac, seek medical attention immediately.

50. Withdrawal symptoms in newborns: Prozac can cause withdrawal symptoms in newborns if it is taken during pregnancy, especially during the third trimester. Symptoms can include irritability, jitteriness, feeding problems, and respiratory distress. If you are pregnant and taking Prozac, talk to your healthcare provider about the potential risks to your baby.

51. Increased risk of falls: Prozac can increase the risk of falls in some people, especially older adults. This may be due to dizziness or lightheadedness caused by the medication.

52. Cardiovascular effects: Prozac can have cardiovascular effects, including changes in heart rate and blood pressure. In rare cases, it can cause arrhythmias or other cardiac events.

53. Liver damage: Prozac can cause liver damage in some people, especially those with pre-existing liver disease. Symptoms can include yellowing of the skin or eyes, abdominal pain, and dark urine. If you experience these symptoms while taking Prozac, seek medical attention immediately.

54. Kidney damage: Prozac can cause kidney damage in some people, especially those with pre-existing kidney disease. Symptoms can include decreased urine output, swelling of the legs or feet, and shortness of breath. If you experience these symptoms while taking Prozac, seek medical attention immediately.

55. Photosensitivity: Prozac can increase the sensitivity of the skin to sunlight, potentially causing sunburn or rash. It is important to wear sunscreen and protective clothing while taking Prozac.

In summary, Prozac can cause a wide range of potential side effects, including serious or life-threatening conditions such as hyponatremia, serotonin syndrome, and liver or kidney damage. It is important to discuss any concerns or questions with your healthcare provider and to report any unusual symptoms immediately.

56. Agitation and restlessness: Prozac can cause agitation and restlessness in some people, especially at the beginning of treatment. This side effect is usually mild and goes away on its own within a few days or weeks.

57. Hallucinations: Prozac can cause hallucinations or seeing, hearing, or feeling things that are not really there. This side effect is rare but can be serious.

58. Movement disorders: Prozac can cause movement disorders such as dystonia, akathisia, and tardive dyskinesia in some people. These conditions involve involuntary muscle movements and can be irreversible in some cases.

59. Respiratory problems: Prozac can cause respiratory problems such as shortness of breath, wheezing, and chest tightness in some people. If you experience these symptoms while taking Prozac, seek medical attention immediately.

60. Skin reactions: Prozac can cause skin reactions such as rash, hives, and itching in some people. If you experience these symptoms while taking Prozac, seek medical attention immediately.

61. Swelling: Prozac can cause swelling of the face, lips, tongue, or throat in some people, which can be a sign of a severe allergic reaction. If you experience these symptoms while taking Prozac, seek medical attention immediately.

62. Mood changes: Prozac can cause changes in mood or behavior, including increased irritability, impulsivity, and risk-taking behavior. If you experience these symptoms while taking Prozac, talk to your healthcare provider.

63. Bladder problems: Prozac can cause bladder problems such as urinary retention or incontinence in some people.

64. Gastrointestinal bleeding: Prozac can increase the risk of gastrointestinal bleeding, especially when taken with other medications such as NSAIDs or blood thinners. If you experience unusual bleeding or stomach pain while taking Prozac, seek medical attention immediately.

65. Muscle rigidity: Prozac can cause muscle rigidity or stiffness, especially in older adults. This side effect can be mistaken for Parkinson's disease or other movement disorders.

In conclusion, Prozac can cause a variety of potential side effects, some of which can be serious or life-threatening. It is important to discuss any concerns or questions with your healthcare provider and to report any unusual symptoms or changes in mood or behavior immediately.

66. Weight gain: Prozac can cause weight gain in some people, which can lead to other health problems such as diabetes and heart disease.

67. Weight loss: Prozac can cause weight loss in some people, which can be a concern for those who are already underweight or have eating disorders.

68. Anorgasmia: Prozac can cause anorgasmia, which is a difficulty or inability to achieve orgasm. This side effect can be distressing for some people and may affect sexual function.

69. Decreased libido: Prozac can decrease libido or sexual desire in some people, which can affect relationships and quality of life.

70. Sweating: Prozac can cause excessive sweating or hyperhidrosis in some people, especially at night.

71. Dry mouth: Prozac can cause dry mouth or xerostomia in some people, which can lead to dental problems and difficulty swallowing.

72. Headache: Prozac can cause headache or migraine in some people, especially at the beginning of treatment or when the dosage is increased.

73. Insomnia: Prozac can cause insomnia or difficulty sleeping in some people, which can lead to fatigue and other health problems.

74. Fatigue: Prozac can cause fatigue or excessive tiredness in some people, which can affect daily activities and quality of life.

75. Nausea and vomiting: Prozac can cause nausea and vomiting in some people, especially at the beginning of treatment.

In summary, Prozac can cause a variety of potential side effects, including changes in weight, sexual function, sweating, dry mouth, headache, insomnia, fatigue, and gastrointestinal symptoms. It is important to discuss any concerns or questions with your healthcare provider and to report any unusual symptoms or changes in mood or behavior immediately.

76. Inability to concentrate: Prozac can cause difficulty concentrating or focusing in some people, which can affect work, school, and daily activities.

77. Memory problems: Prozac can cause memory problems or forgetfulness in some people, especially at higher dosages.

78. Teeth grinding: Prozac can cause teeth grinding or bruxism in some people, which can lead to dental problems and jaw pain.

79. Tremors: Prozac can cause tremors or shaking in some people, especially at higher dosages or when combined with other medications.

80. Vision changes: Prozac can cause vision changes or blurred vision in some people, which can affect driving and other activities that require visual acuity.

81. Decreased appetite: Prozac can cause decreased appetite or anorexia in some people, which can lead to weight loss and other health problems.

82. Constipation: Prozac can cause constipation or difficulty passing stools in some people, which can lead to abdominal pain and other health problems.

83. Increased risk of fractures: Prozac can increase the risk of fractures, especially in older adults or those with osteoporosis.

84. Increased risk of infections: Prozac can suppress the immune system and increase the risk of infections in some people.

85. Increased risk of bleeding: Prozac can increase the risk of bleeding in some people, especially when combined with other medications such as blood thinners.

In conclusion, Prozac can cause a wide range of potential side effects, including cognitive and behavioral changes, dental problems, tremors, vision changes, gastrointestinal symptoms, and increased risk of fractures and infections. It is important to discuss any concerns or questions with your healthcare provider and to report any unusual symptoms or changes in mood or behavior immediately.

86. Hair loss: Prozac can cause hair loss or thinning in some people, which can be distressing and affect self-esteem.

87. Joint pain: Prozac can cause joint pain or arthritis in some people, especially at higher dosages.

88. Muscle weakness: Prozac can cause muscle weakness or myasthenia in some people, which can affect daily activities and quality of life.

89. Pancreatitis: Prozac can cause pancreatitis or inflammation of the pancreas in some people, which can cause severe abdominal pain and other symptoms.

90. Severe skin reactions: Prozac can cause severe skin reactions such as Stevens-Johnson syndrome and toxic epidermal necrolysis, which are life-threatening emergencies. Symptoms can include blistering, peeling, and swelling of the skin and mucous membranes.

91. Speech problems: Prozac can cause speech problems or dysarthria in some people, which can affect communication and social interactions.

92. Tinnitus: Prozac can cause tinnitus or ringing in the ears in some people, which can be distressing and affect quality of life.

93. Urinary tract infections: Prozac can increase the risk of urinary tract infections in some people, especially women.

94. Visual disturbances: Prozac can cause visual disturbances or changes in vision in some people, which can affect daily activities and quality of life.

95. Withdrawal symptoms in adults: Prozac can cause withdrawal symptoms such as irritability, dizziness, and sensory disturbances when it is abruptly stopped or the dosage is decreased too rapidly. It is important to taper off Prozac gradually under the guidance of a healthcare provider.

In summary, Prozac can cause a wide range of potential side effects, including hair loss, joint pain, muscle weakness, pancreatitis, severe skin reactions, speech problems, tinnitus, urinary tract infections, visual disturbances, and withdrawal symptoms. It is important to discuss any concerns or questions with your healthcare provider and to report any unusual symptoms or changes in mood or behavior immediately.

96. Erectile dysfunction: Prozac can cause erectile dysfunction or difficulty achieving or maintaining an erection in some men, which can affect sexual function and relationships.

97. Menstrual problems: Prozac can cause menstrual problems such as irregular periods or heavy bleeding in some women.

98. Breast enlargement: Prozac can cause breast enlargement or gynecomastia in some men, which can be distressing and affect self-esteem.

99. Decreased platelet count: Prozac can decrease the number of platelets in the blood, which can increase the risk of bleeding and bruising.

100. Increased risk of suicidal thoughts and behaviors: Prozac and other antidepressants have been associated with an increased risk of suicidal thoughts and behaviors in some people, especially those with a history of depression, anxiety, or other mental health problems. Close monitoring is essential when Prozac is prescribed to these individuals.

101. Increased risk of mania: Prozac can increase the risk of manic episodes or bipolar disorder in some people, especially those with a history of these conditions.

102. Increased risk of seizures in people with epilepsy: Prozac can increase the risk of seizures in people with epilepsy or other seizure disorders.

103. Increased risk of bleeding during surgery: Prozac can increase the risk of bleeding during surgery or other medical procedures, and should be discontinued prior to these procedures.

104. Increased risk of falls in older adults: Prozac can increase the risk of falls in older adults, especially those with mobility problems or other risk factors. In conclusion, Prozac can cause a variety of potential side effects, including sexual dysfunction, menstrual problems, breast enlargement, decreased platelet count, increased risk of suicidal thoughts and behaviors, mania, seizures, bleeding, and falls. It is important to discuss any concerns or questions with your healthcare provider and to report any unusual symptoms or changes in mood or behavior immediately.

105. Increased risk of glaucoma in people with narrow-angle glaucoma: Prozac can increase the risk of acute angle-closure glaucoma in people with narrow-angle glaucoma, which can cause severe eye pain, vision loss, and other symptoms.

106. Increased risk of serotonin syndrome when combined with other medications: Prozac can increase the risk of serotonin syndrome when it is combined with other medications that increase serotonin levels, such as certain pain medications, migraine medications, and herbal supplements.

107. Increased risk of hyponatremia when combined with diuretics: Prozac can increase the risk of hyponatremia or low sodium levels in the blood when it is combined with diuretics or water pills.

108. Increased risk of bleeding when combined with NSAIDs: Prozac can increase the risk of bleeding when it is combined with nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, and naproxen.

109. Increased risk of bleeding when combined with anticoagulants: Prozac can increase the risk of bleeding when it is combined with anticoagulants or blood thinners such as warfarin or heparin.

110. Increased risk of liver damage when combined with alcohol: Prozac can increase the risk of liver damage when it is combined with alcohol, and should be avoided or used with caution in people with liver disease or a history of alcohol abuse.

111. Increased risk of seizures when combined with other medications: Prozac can increase the risk of seizures when it is combined with other medications that lower the seizure threshold, such as certain antipsychotics and antibiotics.

112. Increased risk of hypoglycemia when combined with insulin or other diabetes medications: Prozac can increase the risk of hypoglycemia or low blood sugar levels when it is combined with insulin or other diabetes medications.

113. Increased risk of bone fractures when used long-term: Prozac can increase the risk of bone fractures, especially in older adults and women who use the medication long-term.

In summary, Prozac can interact with other medications and substances, increasing the risk of serious side effects such as serotonin syndrome, hyponatremia, bleeding, liver damage, seizures, hypoglycemia, and bone fractures. It is important to inform your healthcare provider about all medications and supplements you are taking before starting Prozac.

114. Allergic reactions: Some people may experience an allergic reaction to Prozac, which can cause symptoms such as itching, hives, swelling of the face or throat, and difficulty breathing. If you experience these symptoms, seek medical attention immediately.

115. Antidepressant discontinuation syndrome: If Prozac is stopped abruptly, some people may experience antidepressant discontinuation syndrome, which can cause symptoms such as nausea, dizziness, headache, irritability, and insomnia. It is important to taper off Prozac gradually under the guidance of a healthcare provider.

116. Suicidal thoughts and behaviors in young adults: Prozac and other antidepressants have been associated with an increased risk of suicidal thoughts and behaviors in young adults, especially those under the age of 25.

117. Serotonin syndrome when combined with triptans: Prozac can increase the risk of serotonin syndrome when it is combined with triptans, which are medications used to treat migraines.

118. Hyponatremia when combined with carbamazepine: Prozac can increase the risk of hyponatremia when it is combined with carbamazepine, which is a medication used to treat seizures and bipolar disorder.

119. Increased risk of bleeding when combined with herbal supplements: Prozac can increase the risk of bleeding when it is combined with herbal supplements such as ginkgo biloba, garlic, and ginger.

120. Increased risk of seizures when combined with tramadol: Prozac can increase the risk of seizures when it is combined with tramadol, which is a pain medication.

121. Increased risk of bleeding when combined with SSRIs or SNRIs: Prozac can increase the risk of bleeding when it is combined with other antidepressants such as selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs).

122. Increased risk of serotonin syndrome when combined with St. John's Wort: Prozac can increase the risk of serotonin syndrome when it is combined with St. John's Wort, which is an herbal supplement used to treat depression.

In conclusion, Prozac can interact with other medications, supplements, and herbal products, increasing the risk of serious side effects such as allergic reactions, antidepressant discontinuation syndrome, suicidal thoughts and behaviors, serotonin syndrome, hyponatremia, bleeding, and seizures. It is important to inform your healthcare provider about all medications and supplements you are taking before starting Prozac.