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What side effects can this medication cause? Side effects from fluoxetine are common: upset stomach drowsiness weakness or tiredness excitement or anxiety insomnia nightmares dry mouth skin more sensitive to sunlight than usual changes in appetite or weight Tell your doctor if any of these symptoms are severe or do not go away: constipation difficulty urinating frequent urination blurred vision changes in sex drive or ability excessive sweating If you experience any of the following symptoms, call your doctor immediately: jaw, neck, and back muscle spasms slow or difficult speech shuffling walk persistent, fine tremor or inability to sit still fever, chills, sore throat, or flu-like symptoms difficulty breathing or swallowing severe skin rash or hives yellowing of the skin or eyes irregular heartbeat What storage conditions

Table Of Contents: Generic names (Common brand names) Description Uses Proper use Cautions Side effects Special considerations -------------------------------------------------------------------------------- Generic names (Common brand names): alprazolam (Xanax, Alpprazolam Intensol, Alprax, Alzolam, Constan, Solanex, Tafil, Tranfimazin, Valeans, Xanor, Zenax, Zoldax) chlordiazepoxide (Lipoxide, A-poxide, Brigen, Libritabs, Menrium, Librium, Arsitran, Balance, Benpine, Benzodiapin, CDP, Chlordiazachel, Chuichin, Contol, Diazebrum, Diazepina, Elenium, Epoxide, Equilibrium, H-Tran, Huberplex, Kalbrium, Karmoplex, Libnum, Medilium, Mitran, Multum, Neuropax, Normide, Novopoxide, O.C.M., Omnalio, Poxi, Radepur, Raysedan, Reposal, Restocalm, Retcol, Risachief, Risolid, Servium, Sintesedan, Solium, Spaz-10, Tensinyl, Tropium, Vapine, Zenecit) clonazepam (Klonopin, Clonex, Iktorivil, Landsen, Rivotril) clorazepate (Tranxene, Gen-XENE, Tranxene-SD, Tranxene T-Tab, Ansiopaz, Covengar, Enadine, Justum, Mendon, Moderane, Nansius, Nevracten, Novoclopate, Tencilan, Transene, Tranxilen, Tranxilium, Travex) diazepam (Diazepam Intensol, Valium, T-Quil, Valrelease, Vazepam, Zetran, Psychopax, Q-Pam, Radizepam, Relanium, Reliver, Rival, Ro-Azepam, Saromet, Scriptopam, Sipam, Solis, Sonacon, Stesolid, Vatran, Vazen, Vivol, Winii, X-O'Spaz, Zepaxid, Baogin, Britazepam, Centrazepam, Consillum, Seduxen, Alboral, Aliseum, Alupram, Amiprol, Anlin, Ansiolin, Antenex, Anxicalm, Anxionil, Armonil, Arzepam, Assival, Atensine, Azedipamin, Calmpose, Caudel, Chuansuan, Desconet, Diaceplex, Dialag, Dialar, Diapam, Diapax, Diapine, Diatran, Diazemuls, Diazepan, Dipaz, Dipezona, Disopam, Dizam, Doval, Drenian, Ducene, Eridan, Euphorin, Evacalm, Gewacalm, gradual, Gubex, Horizon, Jinpanfan, Kratium, Lamra, Lembrol, Lovium, Mandro, Meval, Nellium, Nerozen, Neurosedin, Nivalen, Nixtensyn, Notense, Novazam, Novodipam, Paceum, Pacitran, Parzam, Paxate, Paxum, Plidan, Pomin, Propam) estazolam (ProSom, Esilgan, Eurodin, Evrodin, Nuctulon, Tasedan) flurazepam (Dalmane, Durapam, Benozil, Dalmadorm, Dalmate, Dormodor, Felison, Fluleep, Flunox, Fluzepam, Fordrim, Insumin, Irdal, Midorm, Natam, Nergart, Nindral, Niotal, Novoflupam, Paxane, Remdue, Somlan, Staurodorm, Valdorm) halazepam (Paxipam, Alapryl, Pacinone) lorazepam (Ativan, Alzapam, Lorazepam Intensol, Almazine, Anxiedin, Aplacassee, Azurogen, Bonton, Duralozam, Efasedan, emotion, Emotival, Kalmalin, Larpose, Laubeel, Loram, Lorans, Lorat, Lorax, Lorenin, Lorivan, Lozepam, Merit, Nervistopl, Novolorazem, Punktyl, Rocosgen, Sedatival, Sedizepan, Sidenar, Silence, Sinestron, Somnium, Stapam) oxazepam (Serax, Adumbran, Alepam, Aplakil, Azutranquil, Benzotran, Bonare, Durazepam, Enidrel, Expidet, Hilong, Limbial, Lotin, Murelax, Nesontil, Noctazepam, Novoxapam, Oxanid, Oxepam, Praxiten, Primizum, Propax, Psiquiwas, Purata, Serepax, Seresta, Sigacalm, Sobile, Sobril, Vaben, Wakezepam, Zapex) prazepam (Centrax, Demetrin, Equipax, Equipaz, Lysanzie, Prasepine, Prazene, Quipax, Reapam, Sedapran, Trepidan) quazepam (Doral, Dormaline, Oniria, Pamerex, Quazium, Quiedorm, Selepam, Temodal) temazepam (Restoril, Razepam, Cerepax, Euhypnos, Lenal, Levanxene, Levanxol, Normison, Planum) triazolam (Halcion, Dumozolam, Novidorm, Nuctane, Somese, Somniton, Songar, Tialam, Trialam) * This list does not necessarily include all brand names. -------------------------------------------------------------------------------- Description: Benzodiazepines slow down the nervous system, which results in a more relaxed, calm feeling. -------------------------------------------------------------------------------- Uses: These medications have various uses and are prescribed to treat panic disorders, muscle spasms, nervousness, insomnia, anxiety, and certain convulsive disorders. -------------------------------------------------------------------------------- Proper use: Do not use for everyday nervousness and stress. Do not exceed dosage recommended by health care provider. Flurazepam (Dalmane) may take several days before taking full effect. If being used in the treatment of epilepsy or other convulsive disorder, the medication must be taken at regularly spaced intervals each day. If the medication is being used to treat insomnia, it should only be taken if patient can schedule at least 7 to 8 hours of sleep. These medications should only be used as a short-term measure to help induce sleep. Missed dose: If treating a seizure disorder, take a missed dose as soon as it is remembered if it is within 1 hour of the original schedule. Otherwise, skip the forgotten dose and take the next dose at next scheduled time. Do not double the dose. -------------------------------------------------------------------------------- Cautions: INFORM YOUR HEALTH CARE PROVIDER about any past reactions to alprazolam (Xanax) chlordiazepoxide (Librium) clonazepam (Klonopin) clorazepate (Tranxene) diazepam (Valium) estazolam (ProSom) flurazepam (Dalmane) halazepam (Paxipam) lorazepam (Ativan) oxazepam (Serax) prazepam (Centrax) quazepam (Doral) temazepam (Restoril) triazolam (Halcion) if you have any of the following medical conditions chronic alcohol use or drug abuse (present or past history) brain disease difficulty swallowing (for children) epilepsy or other seizure disorder glaucoma hyperactivity kidney, liver, or lung disease mental depression mental illness (severe) myasthenia gravis porphyria pregnancy or considering pregnancy sleep apnea (momentarily stop breathing while asleep) -------------------------------------------------------------------------------- Side effects: SERIOUS Notify the health care provider as soon as possible if any of these symptoms occur: body as a whole convulsions fever and chills muscle weakness shakiness slow reflexes slurred speech (continuous) staggering uncontrolled body movements weakness (severe) respiratory shortness of breath difficulty breathing (absent temporarily) eyes, ears, nose, and throat throat, mouth ulcers sore throat vision changes yellow eyes skin skin redness or inflammation yellow skin heart and blood vessels heartbeat, slow hypotension bleeding and/or bruising nervous system behavior problems coma confusion (continuous) hallucinations memory loss mental depression stupor trouble sleeping agitation fatigue MINOR These effects need no attention unless they become annoying: body as a whole clumsiness difficulty urinating dry mouth increased thirst muscle spasm sex drive - decreased slurred speech trembling eyes, ears, nose, and throat blurred vision drooling gastrointestinal constipation diarrhea nausea or vomiting stomach pain heart and blood vessels heartbeat, fast nervous system dizziness, lightheadedness vivid dreams It may take up to 3 weeks for the body to readjust after discontinuing these medications. Contact the health care provider if any of the following are noticed after discontinuing: body as a whole increased sense of touch, pain increased sweating muscle cramps eyes, ears, nose, and throat increased sense of hearing skin sensitivity to light tingling or other unusual feelings in the skin gastrointestinal nausea and/or vomiting abdominal pain heart and blood vessels irregular heartbeat (fast) nervous system confusion hallucinations irritable nervousness trouble sleeping -------------------------------------------------------------------------------- Special considerations: ALCOHOL If you drink alcohol while taking one of these medications, it can make you feel very sleepy, clumsy, or confused. It can impair your ability to drive a car. Avoid drinking while you take one of these medications. If you are taking one of these medications to help you sleep, there is another good reason for avoiding alcohol. Drinking alcohol may make you drowsy at first, but it makes it more likely that you will wake up later on in the night and have a hard time going back to sleep. BREAST FEEDING Some benzodiazepines do pass into breast milk. The manufacturers recommend that in most cases women should not use them while breast feeding. The American Academy of Pediatrics is concerned about possible side effects in a nursing baby when the mother takes one of these medications for a long time. Ask your health care provider for advice before using them if you are breast feeding. DISCONTINUING MEDICATION Discontinue these medications only under the supervision of the health care provider. Depending on the length of time the medication has been used, it may be necessary to taper off the medication. The dosage of other medication may have to be adjusted. DRIVING AND HAZARDOUS EQUIPMENT OPERATION Do not drive or operate hazardous equipment until the effects of the medication have been determined. ELDERLY The elderly may have increased sensitivity to these medications and may have greater problems with side effects. FOODS No problems are expected. GENERAL INFORMATION Benzodiazepines have a tendency to cause dependency long after their usefulness has ceased. It is best to use these medications for as short a time as possible and in the lowest dose that provides adequate relief of the condition. INFANTS AND CHILDREN These drugs can be used in pediatric patients. Children have increased sensitivity to these medications and have a higher chance of side effects. Types of side effects seen are similar for children and adults. PREGNANCY It is best to avoid benzodiazepines during pregnancy, however, you should weigh the risks and benefits with the health care provider before taking these medications. An increased risk of birth defects is possible with these medications, especially in the first 3 months of pregnancy. These medications can also cause problems to the unborn child if used during the last few months of pregnancy. SEXUAL FUNCTION When taking alprazolam (Xanax) it is rare to see: decreased libido impaired erection and ejaculation impaired erection inhibited female orgasm changes in menstruation When taking clonazepam (Klonopin): increased libido breast enlargement in males When taking diazepam (Valium): changes in menstruation in larger doses decreased libido impaired potency in males inhibited female orgasm When taking quazepam (Doral) it is rare to see: decreased libido impotence SUN EXPOSURE No problems are expected. --------------------------------------------------------------------------------