Prozac 20 mg 14 capsules
Eli Lilly
Eli Lilly
Composition
Fluoxetine - 20 mg in one tablet.
Pharmacological properties
Fluoxetine is a selective serotonin reuptake inhibitor (SSRI).
Increases the level of serotonin in the synaptic cleft, improving the transmission of nerve impulses.
It is used to treat depression, obsessive-compulsive disorder, panic attacks and other mental conditions.
Indications for use
Depression (including major depression)
Obsessive-compulsive disorder (OCD)
Panic disorders with or without agoraphobia
Bulimia nervosa
Premenstrual dysphoric disorder
Method of administration
The dosage of fluoxetine depends on the patient's age and the condition being treated. Fluoxetine dosage for adults:
Depression
Initial dose: 20 mg once daily.
Maintenance dose: The dose can be gradually increased over several weeks by 20 mg/day.
Maximum dose: 80 mg/day.
When using extended-release tablets, use a dose of 90 mg once a week.
Treatment-resistant depression
Initial dose: 20 mg once daily with 5 mg olanzapine in the evening.
Maintenance dose: The fluoxetine dose can be gradually increased over several weeks by 20 mg/day up to 50 mg, and the olanzapine dose can be increased by 5-20 mg doses.
Bipolar depression
Initial dose: 20 mg fluoxetine once daily with 5 mg olanzapine in the evening.
Maintenance dose: Fluoxetine may be gradually increased over several weeks by 20 mg/day up to 50 mg, and olanzapine may be increased by 5–12.5 mg.
Obsessive-compulsive disorder
Initial dose: 20 mg once daily.
Maintenance dose: The dose may be gradually increased over several weeks by 20 mg/day.
Maximum dose: 80 mg/day.
When using extended-release tablets, use 90 mg once weekly.
Eating disorders: 60 mg once daily.
Panic disorders
Initial dose: 10 mg once daily for one week, then increase to 20 mg once daily.
Maintenance dose: The dose may be gradually increased over several weeks by 20 mg/day.
Maximum dose: 60 mg/day.
Premenstrual dysphoric disorder
Continuous use: 20 mg initially; then the dose can be gradually increased, not exceeding 80 mg/day.
Premenstrual use only: 20 mg once daily, 14 days before menstruation, for the first full day of menstruation. Repeat the dose with each menstrual cycle.
Fluoxetine dosage for children
Depression in children 8 years and older
Initial dose: 10–20 mg once daily. A lower initial dose is recommended for children with low birth weight.
Maintenance dose: If the 10 mg dose is used, the dose can be increased to 20 mg once daily after one week.
Bipolar depression in children 10 years and older
Initial dose: 20 mg fluoxetine once daily with 2.5 mg olanzapine in the evening.
Maintenance dose: The fluoxetine dose can be gradually increased over several weeks by 20 mg/day up to 50 mg, and the olanzapine dose can be increased by 5–12.5 mg in doses.
OCD in children 7 years and older
Initial dose: 10 mg once daily.
Maintenance dose: The dose can be gradually increased after two weeks to a dose of 20 mg/day.
Maximum dose: The maximum dose depends on the child's weight
For adolescents and relatively large children: 20–60 mg/day.
Low-weight children: 20–30 mg/day