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Olanzapine/fluoxetine images:

Overview	Photos	How To Use	Side Effects	Precautions	Missed Dose	Drug Interactions

Olanzapine/fluoxetine Symbyax Uses Treats depression that is a part of bipolar disorder. This medicine contains a selective serotonin reuptake inhibitor (SSRI) antidepressant. Storage Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any outdated medicine or medicine no longer needed. Keep all medicine away from children and never share your medicine with anyone. How To Use APPEARANCE: Capsule. Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to. This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. Ask your pharmacist for the Medication Guide if you do not have one. Your doctor might ask you to sign some forms to show that you understand this information. You may take this medicine with or without food. Side Effects Call your doctor right away if you notice any of these side effects: Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing. Change in how much or how often you urinate. Fast, slow, uneven, or pounding heartbeat. Feeling very thirsty, hungry, or weak. Fever, unusual sweating, or feeling too hot. Light-headedness, fainting. Muscle stiffness, spasms, twitching, or other muscle movements you cannot control (especially in your face or mouth). Sudden or severe headache, problems with vision, speech, or walking. Trouble breathing or swallowing. Trouble sleeping, racing thoughts, feeling very nervous, energetic, restless, or having unusual or severe confusion. Precautions You should not use this medicine if you have had an allergic reaction to olanzapine (Zyprexa®) or fluoxetine (Prozac®, Sarafem®). Do not use this medicine if you have used an MAO inhibitor (MAOI) such as Eldepryl®, Marplan®, Nardil®, or Parnate® within the past 14 days. Do not use thioridazine (Mellaril®) or an MAOI for at least 5 weeks after you stop using Symbyax®. Missed Dose If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose. Drug Interactions Make sure your doctor knows if you are pregnant, or if you have diabetes or a family history of diabetes. Tell your doctor if you have forgetfulness or confusion related to aging (such as Alzheimer's disease or other kind of dementia). Make sure your doctor knows if you have seizures, liver disease, prostate problems, narrow-angle glaucoma, trouble swallowing, or a history of breast cancer or severe constipation. Your doctor needs to know if you have any kind of heart or circulation problems, including heart disease, low blood pressure, high blood pressure, heart failure, heart rhythm problems, or a history of heart attack or stroke. Do not breast feed while you are using this medicine. For some children and teenagers, this medicine can increase thoughts of suicide. All of the warnings in this leaflet are true for a child or teenager who is using this medicine. Tell your doctor right away if you start to feel more depressed. Also tell your doctor right away if you have thoughts about hurting yourself. Report any unusual thoughts or behaviors that trouble you, especially if they are new or get worse quickly. Make sure your caregiver knows if you have trouble sleeping, get upset easily, have a big increase in energy, or start to act reckless. Also tell your doctor if you have sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. Let your doctor know if you or anyone in your family has bipolar disorder (manic-depressive) or has tried to commit suicide. If you develop new hives or a skin rash, even a mild one, stop using this medicine and call your doctor right away. You might get overheated while using this medicine. Drink plenty of water during hot weather, while exercising, or while using a hot tub or sauna. If your body gets too hot, you might feel dizzy, weak, tired, or confused. You might have an upset stomach or vomit. Call your doctor if drinking cool water and moving away from the heat does not cool you down. This medicine may make you dizzy or drowsy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert. If your symptoms do not improve or if they get worse, call your doctor.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.