title: Fluoxetine: adverse effects and drug-drug interactions.
abstract: This overview summarizes the major and minor side effects and drug interactions of fluoxetine. The adverse reactions include the "serotonin syndrome", cardiovascular complications, extrapyramidal side effects such as akathisia, dyskinesias, and parkinsonian-like syndromes and an apparently increased risk of suicidality. Fluoxetine-induced mania and hypomania, seizures and sexual disorders are evaluated along with minor symptoms of allergic reactions, stuttering, hematological changes, psoriasis, and inappropriate secretion of the antidiuretic hormone. The major fluoxetine-drug interactions involve the amino acids L-dopa and L-tryptophan, anorexiants, anticonvulsants, antidepressants, anxiolytics, calcium channel blockers, cyproheptadine, lithium salts, and drugs of abuse. The underlying mechanism and the paradoxical effects of fluoxetine are addressed.
authors.affiliation: University of North Dakota School of Medicine, Grand Forks.
authors.forename: F S
authors.initials: FS
authors.lastname: Messiha
mesh_terms: D004347:Drug Interactions; D005116:Extrapyramidal Tracts / Q000187:drug effects; D005473:Fluoxetine / Q000009:adverse effects*; D006321:Heart / Q000187:drug effects; D006801:Humans; D001523:Mental Disorders / Q000139:chemically induced; D019966:Substance-Related Disorders / Q000503:physiopathology
chemical_list: D005473:Fluoxetine