Olanzapine, Fluoxetine Hydrochloride Oral capsule
What is this medicine?
FLUOXETINE; OLANZAPINE (floo OX e teen; oh LAN za peen) is used to treat episodes of depression that have not been relieved by the use of other medicines and depression caused by bipolar disorder.
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You can take this medicine with or without food. Take your doses at regular intervals. Do not take your medicine more often than directed. You should not suddenly stop taking this medicine. You must gradually reduce the dose or your symptoms may get worse. Ask your doctor or health care professional for advice.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
difficulty in speaking or swallowing
excessive thirst and/or hunger
fast talking and excited feelings or actions that are out of control
fever or chills, sore throat
frequently needing to urinate
muscle spasms or weakness
painful or prolonged erections
suicidal thoughts or other mood changes
swelling of face or legs
unusual bleeding or bruising
unusually tired or weak
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
change in sex drive or performance
constipation or diarrhea
lowered blood pressure
What may interact with this medicine?
Do not take this medicine with any of the following medications:
other medicines containing fluoxetine or olanzapine, such as Prozac, Sarafem, or Zyprexa
certain antibiotics like grepafloxacin and sparfloxacin
MAOIs like Azilect, Carbex, Eldepryl, Marplan, Nardil, and Parnate
other medicines for mental depression
phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine
This medicine may also interact with the following medications:
aspirin or aspirin-like drugs
certain medicines for migraine headaches like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
levodopa and other medications for Parkinson's disease
medicines for anxiety or sleeping problems, such as diazepam or alprazolam
medicines for high blood pressure
medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin
NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
St. John's wort
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Where should I keep my medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
Alzheimer's disease or dementia
diabetes mellitus, high blood sugar or a family history of diabetes
heart disease, irregular heartbeat, or previous heart attack
high blood pressure treated with medication
kidney or liver disease
low blood pressure
receiving electroconvulsive therapy
strokes, or mini-strokes called transient ischemic attacks (TIAs)
an unusual or allergic reaction to fluoxetine, olanzapine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. Continue to take your medicine even if you do not immediately feel better. It can take several weeks before you feel the full effect of this medicine.
Patients and their families should watch out for depression or thoughts of suicide that get worse. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of treatment or after a change in dose, call your doctor.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.
Do not treat yourself for coughs, colds or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.
This medicine can reduce the response of your body to heat or cold. Try not to get overheated or dehydrated from exercise. Avoid temperature extremes, such as saunas, hot tubs, or very hot or cold baths or showers. Dress warmly in cold weather.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.