Fludac 20 MG Capsule 15

The most common side effects of Fludac 20 mg capsule are:

• Nausea and vomiting: This is the typical side effect of the Fludac 20 mg capsule. Nausea and vomiting can occur shortly after taking the medication and may last a few days.
• Headache: Fludac 20 mg capsule can cause headaches in some people. These headaches may be severe or mild and last a few days.
• Insomnia: Fludac 20 mg capsule can cause sleep disturbances in some people, including difficulty falling or staying asleep.
• Dizziness: Fludac 20 mg capsule can cause dizziness or lightheadedness in some people. This side effect is ordinarily mild and goes away on its own.
• Dry mouth: Fludac 20 mg capsule can cause a dry mouth in some people. 
• Sexual dysfunction: Fludac 20 mg capsule can cause sexual dysfunction, including decreased libido, difficulty achieving or maintaining an erection, and difficulty reaching orgasm.
• Sweating: Fludac 20 mg capsule can cause excessive sweating in some people. This side effect is usually mild and disappears on its own.
• Fatigue: Fludac 20 mg capsule can cause fatigue or drowsiness in some people. This side effect may occur early in treatment but usually disappears with time.
• Weight changes: Fludac 20 mg capsule can cause weight loss or gain in some people. This side effect may occur early in treatment but usually disappears with time.

Managing the Side effects

Herbal or natural management can alleviate these side effects. Here are some options for managing these side effects:

• Nausea and vomiting: Ginger is a well-known herbal remedy for nausea and vomiting. It can be taken as a tea or in supplement form. Peppermint is also effective in reducing nausea and can be taken as a tea or supplement.
• Dry mouth: Drinking plenty of water throughout the day can help alleviate dry mouth. Chewing sugar-free gum or sucking on sugar-free candy can also help stimulate saliva production.
• Insomnia: Chamomile tea is a popular herbal remedy for insomnia. It has a calming effect and can help promote sleep. Valerian root is also effective in promoting relaxation and can be taken in supplement form.
• Sexual dysfunction: Ginseng has been shown to improve sexual function in both men and women. It can be taken in supplement form.
• Sweating: Sage is a natural remedy that can help reduce sweating. It can be taken as a tea or in supplement form.
• Fatigue: Rhodiola rosea is a herb that can help reduce fatigue and improve energy levels. It can be taken in supplement form.
• Weight changes: Green tea has been shown to have weight loss benefits. It contains catechins, which boost metabolism and promote fat burning. It can be taken as a tea or in supplement form.

Precautions

Pregnancy

Fludac 20mg Capsule should be used with caution during pregnancy as studies in humans have shown that it may cause harm to the developing fetus. The benefits and risks of using Fludac during pregnancy should be carefully weighed before use as prescribed by a physician.

Breastfeeding

Fludac 20mg Capsule is excreted in breast milk and may cause adverse effects on the nursing infant. Therefore, it should be used with caution during breastfeeding. The benefits and risks of using Fludac during breastfeeding should be carefully weighed before use as prescribed by a physician.

Alcohol

Alcohol consumption should be avoided while taking Fludac 20mg Capsule, as it may worsen the side effects of the medication, such as drowsiness and dizziness.

Liver

Fludac 20mg Capsule should be used cautiously in patients with liver problems, as the liver metabolises the medication. Dose adjustments may be necessary for patients with severe liver disease.

Kidney

Fludac 20mg Capsule should be used cautiously in patients with kidney problems. Dose adjustments may be necessary for patients with severe kidney disease.

Using Machine and Driving

Fludac 20mg Capsule may cause drowsiness, dizziness, and blurred vision, impairing the ability to drive or operate machinery. Patients should avoid activities requiring mental alertness until they know how the medication affects them.

Allergy

Fludac 20mg Capsule should not be used in patients who are allergic to fluoxetine or any of the other ingredients in the medication. Patients should inform their healthcare provider if they have had an allergic reaction to fluoxetine or any other medication.

Use In Children

Though it has been approved for use in children aged 7, Fludac 20mg Capsule should be used with caution in children under 18 years of age, as there is limited data on the safety and efficacy of the medication in this age group.

Use In Older Patients

Fludac 20mg Capsule should be used with caution in elderly patients, as they may be more sensitive to the effects of the medication. Dose adjustments may be necessary in elderly patients with impaired liver or kidney function.

Interaction

Drug-Drug Interactions

• Monoamine Oxidase Inhibitors (MAOIs): Concurrent use of Fludac 20mg capsule with MAOIs, such as selegiline, phenelzine, isocarboxazid, may cause serotonin syndrome, a potential life-threatening condition characterised by agitation, hyperthermia, tremor, rigidity, seizures, and coma. Therefore, a washout period of at least 14 days is required before starting treatment with Fludac 20mg capsule.
• Non-Selective Monoamine Oxidase Inhibitors: Non-selective MAOIs, such as phenelzine and tranylcypromine, can also cause serotonin syndrome when combined with Fludac 20mg capsule.
• Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs): Concurrent use of Fludac 20mg capsule with SNRIs, such as venlafaxine and duloxetine, can increase the risk of serotonin syndrome.
• Selective Serotonin Reuptake Inhibitors (SSRIs): Combining Fludac 20mg capsule with other SSRIs, such as paroxetine and sertraline, may increase the risk of serotonin syndrome.
• Tricyclic Antidepressants (TCAs): Concurrent use of Fludac 20mg capsule with TCAs, such as amitriptyline and imipramine, may increase the risk of side effects, such as dry mouth, constipation, and urinary retention.
• Warfarin: Fludac 20mg capsule may increase the anticoagulant effect of warfarin, leading to an increased possibility of bleeding.
• Benzodiazepines: Fludac 20mg capsule may increase the plasma concentration of benzodiazepines, such as alprazolam and diazepam, leading to an increased risk of sedation and respiratory depression.
• Lithium: Concurrent use of Fludac 20mg capsule with lithium may increase the risk of serotonin syndrome and neurotoxicity.
• NSAIDs: Non-steroidal anti-inflammatory drugs (NSAIDs), like aspirin and ibuprofen, may increase the risk of bleeding when combined with Fludac 20mg capsule.
• Anti-arrhythmic Drugs: Fludac 20mg capsule may prolong the QT interval in the heart, leading to an increased risk of arrhythmias when combined with other drugs that also prolong the QT interval, such as certain antipsychotics and antibiotics.

Drug-Food Interactions

It is important to be aware of potential drug-food interactions when taking Fludac capsule, as certain foods can affect the absorption and metabolism of the medication.

• Alcohol: Drinking alcohol while taking Fludac capsule can increase the probability of side effects such as drowsiness, dizziness, and impaired judgement. Patients should avoid alcohol or limit their intake while taking this medication.
• High protein diet: A high protein diet can decrease the effectiveness of fluoxetine by reducing its absorption in the body. Patients should avoid consuming large amounts of protein while taking this medication. 
• St. John's Wort: It is a herbal supplement commonly used to treat depression. However, it can interact with fluoxetine and increase the risk of serotonin syndrome. Patients should avoid taking St. John's Wort while taking Fludac capslue.

Drug-Disease Interactions

It is important to discuss any medical conditions with your healthcare provider before starting Fludac capsule. Here are some drug-disease interactions- 

• Diabetes: Fludac 20 mg capsule can affect blood sugar levels and may require adjustments in insulin or oral hypoglycemic medications in patients with diabetes.
• Epilepsy: Fludac 20 mg capsule can lower the seizure threshold and should be careful in patients with epilepsy.
• Mania: Fludac 20 mg capsule can induce or exacerbate mania or hypomania in patients with bipolar disorder or a history of mania.
• Bleeding problems: Fludac 20 mg capsule should be used carefully in individuals with bleeding disorders or those taking anticoagulants since it can affect platelet function.
• Hyponatremia: Hyponatremia (low sodium levels) can be brought on by Fludac 20 mg capsule, especially in older adults or those taking diuretics. In cases like these, it ought to be applied with prudence.
• Heart disease: Fludac 20 mg capsule can alter heart rate and rhythm and should be used with care in persons with heart problems.
• Liver and kidney dysfunction: The liver metabolises Fludac 20 mg capsule, and the kidneys eliminate it. It should be used with prudence in people with liver or kidney disease since it can build up and raise the risk of side effects.