Flunil Suspension 60ml

Tell your doctor before taking this medicine, if you: Are allergic to fluoxetine or any of the other ingredients of this medicine Have epilepsy or fits Have diabetes Suffer from glaucoma (increased pressure in the eye) Have any liver or kidney problems Are an alcoholic Talk to your doctor as soon as possible if you are pregnant or might be pregnant, planning to become pregnant or breast feeding FLUNIL should not be used in children and adolescents under the age of 18 Do not drive or use machinery unless you are sure that you are not affected

Always take this medicine exactly as your doctor has told you Do not take more medicine than your doctor tells you Measure the right amount of medicine using the measuring cup, syringe or a measuring spoon, then drink it The recommended dosage for certain conditions are as follows Depression: The recommended dose is 5ml (20 mg) daily Bulimia nervosa: The recommended dose is 15ml (60 mg) daily Obsessive-compulsive disorder: The recommended dose is 5ml (20 mg) daily If you take more FLUNIL If you take too much, go to your nearest hospital emergency department (or casualty) or tell your doctor straight away If you forget to take FLUNIL If you miss a dose, do not worry. Take your next dose the next day at the usual time. Do not take a double dose to make up for a forgotten dose If you stop taking FLUNIL Do not stop taking this medicine without asking your doctor

Like all medicines, this medicine can cause side effects, although not everybody gets them. Allergic reaction such as rash, itching, swollen lips, tongue or face, wheezing or shortness of breath Faster breathing or heart rate, sweating, muscle stiffness or tremor, confusion, extreme agitation or sleepiness Prolonged and painful erection Irritability and extreme agitation Heart problems, such as fast or irregular heart rate, fainting, collapsing or dizziness upon standing which may indicate abnormal functioning of the heart rate Inexplicable vaginal bleeding Inexplicable bruises or bleeding or bleeding in the gastrointestinal tract Fits Uncontrollable movements Poor appetite Change in taste Nervousness, anxiety Feeling tensed Decreased sex drive or sexual difficulties (including low sexual performance and ejaculation problems) Sleep problems or unusual dreams Tremor Drowsiness Blurred vision Flushing Yawning Indigestion, vomiting Joint pains Passing urine too frequently Feeling shaky or chills Weight loss Headache, dry mouth Feeling detached from yourself Abnormal thinking Abnormally high mood Orgasm problems Teeth grinding Disturbances of motion sequence or coordination Muscle twitching Involuntary impaired balance Memory impairment Enlarged pupils Ringing in the ears Low blood pressure Nose bleeds Difficulties in swallowing Hair loss Cold sweat Feeling hot or cold Low levels of sodium in the blood Low numbers of blood cells Low number of manic reactions (untypical wild behavior) Hallucinations Uproariousness, aggression Panic attacks, stuttering or agitation Bucco glossal syndrome Arrhythmias and QT prolongation Inflammation of blood vessels and vascular Dilation Pharyngitis Esophageal pain Lung problems Sensitivity to sun light Muscle aches Producing breast milk Serum sickness (rash, joint aches, fever, swelling of lymph nodes, shock, low blood pressure) Impaired ADH secretion Increased prolactin levels in the blood Abnormal liver function tests Bone fractures - an increased risk of bone fractures has been observed in patients taking this type of medicines

Tell your doctor, if you are taking medicines such as: Lithium, pimozide, haloperidol or phenothiazines (e.g. chlorpromazine) for mental illness Sparfloxacin, moxifloxacin, erythromycin, pentamidine (antibiotics, used to treat infections) Halofantrine (used for anti-malaria treatment) Iproniazid, linezolid and methyl thioninum chloride (methylene blue) (non-selective MAOI’s – monoamine oxidase inhibitors) Metoprolol (used for heart failure) Nebivolol (used to treat high blood pressure) Propafenone (used to treat abnormal heart rhythms) Atomoxetine (used to treat attention deficit hyperactivity disorder (ADHD) Risperidone (used to treat psychotic disorders) Diuretics (water tablets) Desmopressin (used to reduce amount urine produced by kidneys) Oxcarbazepine (used to treat epilepsy) Mefloquine, chloroquine (anti-malaria) Astemizole, mizolastine, mequitazine, cyproheptadine (anti-histamines) Flecainide or encainide for the heart Carbamazepine or phenytoin for epilepsy or other conditions Medicines for depression e.g. tricyclic anti-depressants, SSRI’s (selective serotonin reuptake inhibitor) Selegeline for Parkinson’s disease Tramadol for pain relief Bupropion (used to help stop smoking) Triptans (e.g. sumatriptan) for migraine or cluster headaches Medicines to thin the blood (e.g. warfarin) Non-steroidal anti-inflammatory drugs (NSAIDs, e.g. ibuprofen) Aspirin (for pain relief) Tryptophan (an amino acid) Tamoxifen (used to treat breast cancer)

Keep this medicine out of reach of children Do not use this medicine after the expiry date Store at room temperature (15-25°C) Protect from light