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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Sunny S , MBBS
48 Hrs returnable
COD available

Online payment accepted

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Whats That

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Composition :

FLUOXETINE-20MG

Manufacturer/Marketer :

Myk Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

Therapeutic Class

PSYCHOTHERAPEUTICS

Country of origin

India

Manufacturer/Marketer address

100 Southview Cres Suite 1708 Winnipeg, Mb, R3Y 0W1 Canada.
Other Info - FIR0089

Author Details

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FAQs

Firstdep-20 Capsule works by inhibiting the reuptake of serotonin by nerves, a mood-enhancing chemical messenger in the brain which communicates between brain cells. This helps in an increase in serotonin concentrations in the nerve synapse, thereby helps in regulating mood and treats depression.

Firstdep-20 Capsule may cause weight loss due to loss of appetite. Eat a healthy diet and exercise regularly to maintain a healthy weight. Please consult your doctor if you experience fluctuations in weight while taking Firstdep-20 Capsule .

Do not discontinue Firstdep-20 Capsule without consulting your doctor as it could lead to withdrawal effects. To treat your condition effectually continue taking Firstdep-20 Capsule for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Firstdep-20 Capsule ; the doctor may reduce the dose gradually.

Firstdep-20 Capsule may cause decreased sex-drive, problems with erection and orgasm. Consult your doctor if you have any concerns regarding this.

Dry mouth could be a side-effect of Firstdep-20 Capsule . Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly, and chewing sugar-free gum/candy might help in stimulating saliva and thereby prevents drying of the mouth.

Please consult your doctor before taking Firstdep-20 Capsule if you have glaucoma as it might cause increased pressure in the eye.

Consult tour doctor before taking Firstdep-20 Capsule if you are diabetic as it might fluctuate blood glucose levels. Regular monitoring of blood sugar levels is advised if you are taking Firstdep-20 Capsule . Talk to your doctor if you experience fluctuations in blood sugar levels.

Firstdep-20 Capsule might increase the risk of bone fractures. Talk to your doctor before taking Firstdep-20 Capsule if you have osteoporosis. Consult your doctor if you experience bone pain.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.
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Alcohol

Unsafe

Avoid consumption of alcohol while taking Firstdep-20 Capsule as it may cause increased dizziness.

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Pregnancy

Caution

Firstdep-20 Capsule belongs to pregnancy category C. Please consult your doctor before taking Firstdep-20 Capsule if you are pregnant, your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Caution

Firstdep-20 Capsule may pass into breastmilk. Consult your doctor before taking Firstdep-20 Capsule ; your doctor will decide whether Firstdep-20 Capsule can be taken by breastfeeding mothers or not.

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Driving

Unsafe

Firstdep-20 Capsule may cause dizziness and might impair your reactions. Do not drive or operate machinery if you experience these symptoms.

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Liver

Caution

Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Caution

Firstdep-20 Capsule should not be given to children below 8years as the safety and effectiveness have not been established.

About Firstdep-20 Capsule

Firstdep-20 Capsule belongs to a group of medicines called antidepressants used to treat a major depressive disorder, obsessive-compulsive disorder (OCD), bulimia nervosa (eating disorder), and panic disorder. Depression is a mood disorder characterised by the feeling of sadness, unhappiness, anger, hopelessness or loss that interferes with a person’s daily activities.
 
Firstdep-20 Capsule contains ‘Fluoxetine’ which is a selective serotonin reuptake inhibitor. It works by inhibiting the reuptake of serotonin by nerves, a mood-enhancing chemical messenger in the brain which communicates between brain cells. This helps in an increase in serotonin concentrations in the nerve synapse, thereby helps in regulating mood and treats depression.
 
Take Firstdep-20 Capsule as prescribed. You are advised to take Firstdep-20 Capsule for as long as your doctor has prescribed it for you depending on your medical condition and response to the treatment. In some cases, you may experience certain common side-effects such as insomnia (difficulty sleeping), headache, diarrhoea, nausea, fatigue, dry mouth, loss of appetite, and indigestion. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.
 
Please do not stop taking Firstdep-20 Capsule on your own as it could lead to withdrawal symptoms. Do not take Firstdep-20 Capsule if you are pregnant or breastfeeding unless prescribed. Do not drive or operate machinery as Firstdep-20 Capsule may cause dizziness and might impair your reactions. Firstdep-20 Capsule should not be given to children below 8years as the safety and effectiveness have not been established. Avoid consuming alcohol along with Firstdep-20 Capsule as it could lead to increased dizziness.  Keep your doctor informed about your health condition and medicines to rule out any side-effects.

Uses of Firstdep-20 Capsule

Depression, Obsessive-Compulsive Disorder (OCD), Bulimia nervosa (eating disorder) 

Medicinal Benefits Mweb

Medicinal Benefits

Firstdep-20 Capsule belongs to a group of antidepressant medicines called selective serotonin reuptake inhibitors. Firstdep-20 Capsule is used to treat major depressive disorder, obsessive-compulsive disorder (OCD), bulimia nervosa (eating disorder), and panic disorder with or without agoraphobia. Firstdep-20 Capsule works by inhibiting the reuptake of serotonin by nerves, a mood-enhancing chemical messenger in the brain which communicates between brain cells. This helps in an increase in serotonin concentrations in the nerve synapse, thereby helps in regulating mood and treats depression. Firstdep-20 Capsule may also be used to treat premenstrual dysphoric disorder (a severe form of premenstrual syndrome). Firstdep-20 Capsule has fewer unwanted effects than other antidepressant drugs. Firstdep-20 Capsule is used in combination with other drugs to treat bipolar disorder and treatment-resistant depression.

Directions for Use

Take Firstdep-20 Capsule with or without food. Your doctor will decide for how long you need to take Firstdep-20 Capsule based on your medical condition and response to treatment. Take Firstdep-20 Capsule exactly as prescribed by the doctor. Tablet/Capsule: Swallow it as a whole with a glass of water; do not chew, or crush the tablet/capsule.Syrup/Suspension/Drops: Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack; shake the pack well before each use.

Side Effects of Firstdep-20 Capsule

  • Insomnia (difficulty sleeping)
  • Headache
  • Diarrhoea
  • Nausea
  • Fatigue
  • Dry mouth
  • Loss of appetite
  • Indigestion

Drug Warnings

Do not take Firstdep-20 Capsule if you are allergic to any of its contents; if you are taking monoamine oxidase inhibitors (MOA) or have taken them in the last 14days, or if you are taking metoprolol (used to treat high blood pressure). Do not take Firstdep-20 Capsule along with opioid antagonists such as buprenorphine and naloxone as it might lead to a serious condition called serotonin syndrome. Consult your doctor immediately if you have suicidal thoughts such as killing or harming yourself. Inform your doctor if you have/had epilepsy, mania, glaucoma, diabetes, bleeding disorders, or hyponatremia (low sodium levels).  Do not take Firstdep-20 Capsule if you are pregnant or breastfeeding unless prescribed. Do not drive or operate machinery as Firstdep-20 Capsule may cause dizziness and might impair your reactions. Firstdep-20 Capsule should not be given to children below 8years as the safety and effectiveness have not been established. Avoid consuming alcohol along with Firstdep-20 Capsule as it could lead to increased dizziness. 

Drug-Drug Interactions

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FluoxetineGatifloxacin
Severe
FluoxetineRasagiline
Severe

Drug-Drug Interactions

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FluoxetineGatifloxacin
Severe
How does the drug interact with Firstdep-20 Capsule:
Taking Firstdep-20 Capsule with gatifloxacin may increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Although there is a possible interaction, Firstdep-20 Capsule can be taken with gatifloxacin if prescribed by the doctor. Consult the doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications. Do not discontinue the medications without consulting a doctor.
FluoxetineRasagiline
Severe
How does the drug interact with Firstdep-20 Capsule:
Taking rasagiline with Firstdep-20 Capsule can increase the risk of serotonin syndrome (A condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Although there is a possible interaction, Firstdep-20 Capsule can be taken with rasagiline if prescribed by the doctor. Consult the doctor if you experience symptoms of serotonin syndrome such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, shaking, incoordination, stomach cramps, nausea, vomiting, and loose stools. Do not discontinue any medications without consulting a doctor.
FluoxetineArsenic trioxide
Severe
How does the drug interact with Firstdep-20 Capsule:
Combining Firstdep-20 Capsule with Arsenic trioxide can increase the risk of irregular heart rhythm.

How to manage the interaction:
Co-administration of Arsenic trioxide with Firstdep-20 Capsule can possibly result in an interaction, but it can be taken if a doctor has advised it. If you have any fainting or irregular heartbeat, it's best to go to the hospital for check-ups. If you experience symptoms like fainting, irregular heartbeat, dizziness, or shortness of breath, make sure to call a doctor right away. Do not stop using any medications without a doctor's advice.
FluoxetinePentazocine
Severe
How does the drug interact with Firstdep-20 Capsule:
Co-administration of Pentazocine with Firstdep-20 Capsule can increase the risk of serotonin syndrome (a condition wherein serotonin levels are increased in the body).

How to manage the interaction:
Although there is a possible interaction between Pentazocine and Firstdep-20 Capsule, but can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucination(seeing and hearing things that do not exist), fits, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
FluoxetineRizatriptan
Severe
How does the drug interact with Firstdep-20 Capsule:
Taking Firstdep-20 Capsule with rizatriptan may increase the risk of a serotonin syndrome (A condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Although there is a possible interaction between Firstdep-20 Capsule and Rizatriptan, it can be taken if your doctor has advised it. If you notice any of these symptoms like confusion, hallucination, fits, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, shaking of hands and legs, incoordination, stomach cramps, nausea, vomiting, and loose stools, contact a doctor. Do not discontinue any medications without consulting a doctor.
FluoxetineDisopyramide
Severe
How does the drug interact with Firstdep-20 Capsule:
Taking Firstdep-20 Capsule with disopyramide may increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Although there is a possible interaction, Firstdep-20 Capsule can be taken with disopyramide if prescribed by the doctor. Consult the doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications.
FluoxetineBupropion
Severe
How does the drug interact with Firstdep-20 Capsule:
Taking bupropion with Firstdep-20 Capsule may increase the risk or severity of seizures (fits).

How to manage the interaction:
Co-administration of bupropion along with Firstdep-20 Capsule can lead to an interaction, it can be taken if recommended by a doctor. Do not discontinue any medications without consulting a doctor.
FluoxetineBrexpiprazole
Severe
How does the drug interact with Firstdep-20 Capsule:
When Brexpiprazole is taken with Firstdep-20 Capsule, the amount of Brexpiprazole in the blood can go up.

How to manage the interaction:
Although taking Firstdep-20 Capsule and Brexpiprazole together can evidently cause an interaction, it can be taken if a doctor has suggested it. Do not stop using any medications without a doctor's advice.
FluoxetineVilazodone
Severe
How does the drug interact with Firstdep-20 Capsule:
When Vilazodone is taken with Firstdep-20 Capsule, may increase the risk of serotonin syndrome (a condition in which a chemical called serotonin increases in your body).

How to manage the interaction:
Although there is a possible interaction, Firstdep-20 Capsule can be taken with Vilazodone if prescribed by the doctor. Consult the doctor if you experience symptoms of serotonin syndrome such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Do not discontinue the medications without consulting a doctor.
FluoxetineAmitriptyline
Severe
How does the drug interact with Firstdep-20 Capsule:
Co-administration of Amitriptyline with Firstdep-20 Capsule can result in Serotonin syndrome (a condition wherein serotonin levels are increased in the body).

How to manage the interaction:
Although using Firstdep-20 Capsule and Amitriptyline together may cause an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have symptoms such as confusion, hallucination, fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Inform a doctor if you have recently taken amitriptyline. You may also experience symptoms like urinary retention, drowsiness, dry mouth, blurred vision, and constipation. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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Drug-Drug Interactions Checker List

  • METOPROLOL
  • NEBIVOLOL
  • BUPRENORPHINE
  • NALOXONE
  • LINEZOLID
  • PIMOZIDE
  • THIORIDAZINE
  • LITHIUM
  • RISPERIDONE
  • METHYLENE BLUE
  • BUPROPION
  • PROPAFENONE
  • FLECAINIDE
  • ATOMOXETINE
  • DESMOPRESSIN
  • MEFLOQUINE
  • CHLOROQUINE
  • MEQUITAZINE
  • CYPROHEPTADINE
  • OXCARBAZEPINE
  • CARBAMAZEPINE
  • PHENYTOIN
  • SELEGILINE
  • TRAMADOL
  • IBUPROFEN
  • ASPIRIN
  • SUMATRIPTAN
  • WARFARIN
  • TAMOXIFEN

Habit Forming

No

Diet & Lifestyle Advise

  • Maintain a healthy diet and exercise regularly helps in improving overall health and boosts self-esteem.
  • Regularly attend therapy sessions.
  • Perform meditation and yoga. This helps in relieving stress and provides relaxation.
  • Follow a regular sleep pattern to improve the amount and quality of sleep you get.
  • Include foods rich in omega fatty acids such as fish, nuts, fresh fruits, vegetables and olive oils.
  • Neurotransmitters are made up of amino acids. Amino acid-rich foods such as meat, dairy products, and certain fruits and vegetables help in the proper maintenance of neurotransmitters. 
  • Complex carbohydrates help in stimulating serotonin (a feel-good neurotransmitter). These include whole grains, legumes, spinach, broccoli, oranges and pears.
  • Exercising helps in the production of the body’s natural antidepressants. It also helps in relieving stress, improving mood, boosts self-esteem, and provides restful sleep.
  • Avoid smoking and alcohol consumption.
  • Learn about your condition, understand the risk factors and follow the doctor’s treatment plan.

Firstdep-20 Capsule Substitute

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