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Flunil-20 Capsule 10's
Flunil-20 Capsule 10's
Flunil-20 Capsule 10's
Flunil-20 Capsule 10's
Flunil-20 Capsule 10's

Flunil-20 Capsule is used to treat a major depressive disorder, obsessive-compulsive disorder (OCD), bulimia nervosa (eating disorder), and panic disorder. It contains Fluoxetine, which helps in regulating mood and treating depression. In some cases, you may experience side effects such as insomnia (difficulty sleeping), headache, diarrhoea, nausea, fatigue, dry mouth, loss of appetite, and indigestion. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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Side effects of Flunil-20 Capsule
Here are the 7 step-by-step strategies to manage the side effect of "inability to sleep" caused by medication usage:
  • Prepare for a restful night's sleep: Develop a calming pre-sleep routine, like reading or meditation, to help your body relax and prepare for sleep.
  • Create a sleep-conducive Environment: Make bedroom a sleep haven by ensuring it is quiet, dark and calm.
  • Follow a Sleep Schedule: Go to bed and get up at the same time every day to help regulate your body's internal clock and increase sleep quality.
  • Try relaxing techniques like deep breathing, mindfulness meditation and any others.
  • Limit stimulating activities before bedtime: Avoid stimulating activities before bedtime to improve sleep quality.
  • Monitor Progress: Keep track of your sleep patterns to identify areas for improvement.
  • Consult a doctor if needed: If these steps don't improve your sleep, consult a doctor for further guidance and therapy.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
Managing Medication-Triggered Anxiety: A Comprehensive Approach:
  • Inform your doctor about your anxiety symptoms so that you doctor may explore potential drug interactions and alter your treatment plan.
  • Work with your doctor to adjust your medication regimen or dosage to minimize anxiety symptoms.
  • Reduce anxiety symptoms by practicing relaxation techniques like meditation, deep breathing, or yoga.
  • Regular self-care activities, such as exercise, healthy food, and adequate sleep, can assist control anxiety.
  • Surround yourself with a supportive network of friends, family, or a support group to help manage anxiety and stay motivated.
  • Regularly track anxiety symptoms and report any changes to your doctor to ensure your treatment plan is effective and adjusted as needed.
Here are the steps to manage medication-triggered Nervousness:
  • Tell your doctor immediately if you experience symptoms of Nervousness, such as anxiety, jitteriness, or an increased heart rate, after taking medication or adjusting your medication regimen.
  • Your doctor may adjust your medication regimen to alleviate symptoms of Nervousness. This can include switching to a different medication, reducing the dosage, or temporarily stopping the medication. Your doctor may also recommend alternative techniques like relaxation, mindfulness meditation, or journaling. These techniques can help reduce anxiety and Nervousness.
  • Practice stress-reducing techniques, such as deep breathing exercises, yoga, or journaling, to help manage Nervousness.
  • Engage in regular physical activity, such as walking or jogging, to help reduce anxiety and improve mood.
  • Your doctor may advise considering cognitive-behavioural therapy (CBT) or other forms of talk therapy to address underlying anxiety or Nervousness.
  • You should maintain regular follow-up appointments with your doctor to monitor nervousness symptoms, adjust treatment plans as needed, and discuss any concerns or questions.

Health Queries

For sixteen years, I have experienced anxiety, despair, and OCD. completed eight ect sessions. I also take medicine. I take fluoxetine and olanzapine. However, nothing is functioning. Do you have any advice? Additionally, tension can occasionally be too much.

Y. Lakshmi Thulasi

Y. Lakshmi Thulasi

Pharm-D (Post baccalaureate)

Long-standing anxiety, depression, and Obsessive-compulsive disorder that haven?t improved with Fluoxetine, Olanzapine, and even Electroconvulsive therapy need a re-evaluation by a psychiatrist, as doses, combinations, or even the diagnosis may need adjustment. Adding structured psychotherapy like CBT/ERP (especially for OCD), stress-management techniques, and regular routine (sleep, exercise) can make a big difference alongside medicines. Since tension becomes overwhelming at times, please seek a specialist review soon, there are still several effective options available even when initial treatments haven?t worked.

I do not experience pleasure during orgasm. I have OCD and social anxiety disorder and am currently taking Flunil 30 mg. What could be the cause, and what treatment can help?

G.santoshini Reddy

G.santoshini Reddy

M Pharmacy (Pharmaceutics)

Not feeling pleasure during orgasm can be distressing, but it is a common and treatable problem. In your case, the most likely cause is your medication, especially Flunil (fluoxetine), which belongs to a group of antidepressants (SSRIs) known to sometimes reduce sexual desire and pleasure or delay orgasm. Your underlying conditions, like Obsessive-Compulsive Disorder and social anxiety, can also contribute by increasing stress, overthinking, or performance anxiety during intimacy. The best step is to discuss this openly with your doctor and do not stop the medicine on your own. Your doctor may adjust the dose, change to another medicine with fewer sexual side effects, or suggest timing strategies. Along with this, reducing anxiety through relaxation techniques, improving communication with your partner, and sometimes counselling or sex therapy can help improve your experience. In most cases, once the cause is identified and managed, sexual function improves gradually.

What are the available treatments for Dhat syndrome?

G.santoshini Reddy

G.santoshini Reddy

M Pharmacy (Pharmaceutics)

Dhat syndrome is mainly related to anxiety, stress, and misconceptions about semen loss, and it is very treatable with the right approach. The most effective treatment is counselling and reassurance, where a doctor explains that semen loss (such as through nocturnal emissions or masturbation) is normal and not harmful, which helps reduce fear and anxiety. Psychological therapies like counseling or cognitive behavioral therapy (CBT) are often used to manage stress and correct negative thoughts, while medications such as Fluoxetine or Clonazepam may be prescribed if there is significant anxiety or depression. In addition, maintaining a healthy lifestyle with regular exercise, good sleep, avoiding excessive worry about sexual health, and staying mentally active can greatly improve symptoms. With proper guidance and reassurance, most people recover well and lead a normal life.

What is mixed anxiety-depressive disorder?

Dr. S Aneela

Dr. S Aneela

M. Pharm (Pharmacology)., PhD

Mixed anxiety-depressive disorder is a mental health condition where symptoms of anxiety and depression occur together but are not severe enough individually to meet criteria for separate disorders. Treatment usually includes therapy, lifestyle changes, and medications as advised by a doctor.

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Drug-Drug Interactions

verifiedApollotooltip

Drug-Drug Interactions: Inform your doctor if you are taking anti-hypertensive (metoprolol, nebivolol), an opioid antagonist (buprenorphine, naloxone), antibiotic (linezolid), anti-psychotic (pimozide, thioridazine, lithium, risperidone) an antidepressant (methylene blue/methylthioninium chloride, bupropion, Monoamine oxidase inhibitors), anti-arrhythmic (propafenone, flecainide), norepinephrine reuptake inhibitor (atomoxetine), hormone (desmopressin), anti-malarial (mefloquine, chloroquine), antihistamine (mequitazine, cyproheptadine), anti-convulsants (oxcarbazepine, carbamazepine, phenytoin), anti-Parkinson’s (selegiline), pain killers (tramadol, ibuprofen, aspirin), serotonin receptor agonists (sumatriptan), blood thinner (warfarin), and anti-cancer medicaitons (tamoxifen).

Drug-Food Interactions: Do not take St. John’s wort (an herbal supplement to treat depression) along with Flunil-20 Capsule . Avoid consuming alcohol along with Flunil-20 Capsule as it may increase the sedative effects.

Drug-Disease Interactions: Inform your doctor if you have glaucoma, diabetes, epilepsy, mania, bleeding problems, hyponatremia (low sodium levels), heart, liver and kidney dysfunction.

FluoxetineAmitriptyline
Severe
FluoxetineDofetilide
Severe

Drug-Drug Interactions

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FluoxetineAmitriptyline
Severe
How does the drug interact with Flunil-20 Capsule:
Co-administration of Amitriptyline with Flunil-20 Capsule can result in Serotonin syndrome (a condition wherein serotonin levels are increased in the body).

How to manage the interaction:
Although using Flunil-20 Capsule and Amitriptyline together may cause an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have symptoms such as confusion, hallucination, fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Inform a doctor if you have recently taken amitriptyline. You may also experience symptoms like urinary retention, drowsiness, dry mouth, blurred vision, and constipation. Do not discontinue any medications without consulting a doctor.
FluoxetineDofetilide
Severe
How does the drug interact with Flunil-20 Capsule:
Combining Flunil-20 Capsule with Dofetilide can increase the risk of QTc prolongation.

How to manage the interaction:
Taking Flunil-20 Capsule with Dofetilide together can possibly result in an interaction, but it can be taken if a doctor has advised it. If you have any of these symptoms, it's important to contact your doctor right away: an irregular heart rhythm, a heart condition, congenital long qt syndrome, conduction abnormalities, severe or prolonged diarrhea, vomiting, complications, sudden dizziness, lightheadedness, fainting, shortness of breath, or palpitations. Do not stop using any medications without talking to a doctor.
FluoxetineMirtazapine
Severe
How does the drug interact with Flunil-20 Capsule:
Co-administration of Mirtazapine with Flunil-20 Capsule might raise serotonin hormone levels in the body, affecting the brain and nerve cells. Increased serotonin hormone can lead to severe side effects.

How to manage the interaction:
Although there is a possible interaction, Flunil-20 Capsule can be taken with mirtazapine if prescribed by the doctor. Consult the doctor if you experience symptoms of serotonin syndrome such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Do not discontinue the medications without consulting a doctor.
FluoxetineMifepristone
Severe
How does the drug interact with Flunil-20 Capsule:
Co-administration of Flunil-20 Capsule with mifepristone can increase the risk of irregular heart rhythm. Prolonged treatment with Mifepristone may result in low potassium levels.

How to manage the interaction:
Taking Flunil-20 Capsule with mifepristone together is avoided as it can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, breathing difficulty, rapid heartbeat, weakness, tiredness, drowsiness, confusion, painful muscle cramping, nausea, vomiting, constipation, abdominal cramping, chest pain, and/or swelling in the legs or feet, get medical attention. Do not discontinue any medications without consulting a doctor.
FluoxetineEscitalopram
Severe
How does the drug interact with Flunil-20 Capsule:
Co-administration of Escitalopram with Flunil-20 Capsule may increase the risk of serotonin syndrome (a condition wherein serotonin levels are increased in the body).

How to manage the interaction:
Although there is an interaction between Flunil-20 Capsule and escitalopram, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucinations (seeing and hearing things that do not exist), increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
FluoxetineBupropion
Severe
How does the drug interact with Flunil-20 Capsule:
Taking bupropion with Flunil-20 Capsule may increase the risk or severity of seizures (fits).

How to manage the interaction:
Co-administration of bupropion along with Flunil-20 Capsule can lead to an interaction, it can be taken if recommended by a doctor. Do not discontinue any medications without consulting a doctor.
FluoxetineDisopyramide
Severe
How does the drug interact with Flunil-20 Capsule:
Taking Flunil-20 Capsule with disopyramide may increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Although there is a possible interaction, Flunil-20 Capsule can be taken with disopyramide if prescribed by the doctor. Consult the doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications.
FluoxetinePhenelzine
Severe
How does the drug interact with Flunil-20 Capsule:
Taking Flunil-20 Capsule with phenelzine may increase the risk of a serotonin levels in the body.

How to manage the interaction:
Although there is a possible interaction, Flunil-20 Capsule can be taken with phenelzine if prescribed by the doctor. Consult the doctor if you experience symptoms of serotonin syndrome such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhoea. Treatment with Flunil-20 Capsule should be started 14 days after stopping phenelzine.
FluoxetinePethidine
Severe
How does the drug interact with Flunil-20 Capsule:
Co-administration of Meperidine with Flunil-20 Capsule can increase the risk of serotonin levels in the body.

How to manage the interaction:
There may be a possibility of interaction between Pethidine and Flunil-20 Capsule, but it can be taken if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
FluoxetineGatifloxacin
Severe
How does the drug interact with Flunil-20 Capsule:
Taking Flunil-20 Capsule with gatifloxacin may increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Although there is a possible interaction, Flunil-20 Capsule can be taken with gatifloxacin if prescribed by the doctor. Consult the doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications. Do not discontinue the medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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