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Drug Safety-related Labeling Changes (SrLC)

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PROZAC WEEKLY (NDA-021235)

(FLUOXETINE HYDROCHLORIDE)

Safety-related Labeling Changes Approved by FDA Center for Drug Evaluation and Research (CDER)

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03/24/2017 (SUPPL-23)

Approved Drug Label (PDF)

6 Adverse Reactions

6.2 Other Reactions

(Additions and/or revisions are underlined)

Following is a list of treatment-emergent adverse reactions reported by patients treated with fluoxetine in clinical trials…

Reactions are classified by body system using the following definitions: frequent adverse reactions are those occurring in at least 1/100 patients;…

Investigations – Frequent: QT interval prolongation (QT(subscript c)F greater than or equal to 450 msec) (superscript 3).

 

(Superscript 3) QTprolongation data are based on routine ECG measurements in clinical trials.

01/04/2017 (SUPPL-26)

Approved Drug Label (PDF)

5 Warnings and Precautions

5.2 Serotonin Syndrome

Additions and/or revisions underlined:

The development of a potentially life-threatening serotonin syndrome has been reported with SNRIs and SSRIs, including PROZAC WEEKLY, alone but particularly with concomitant use of other serotonergic drugs (including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, amphetamines, and St. Johns Wort) and …

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

MEDICATION GUIDE

Addition underlined:

Before starting PROZAC WEEKLY, tell your healthcare provider if you:

Are taking certain drugs or treatments such as:

  • Amphetamines

PATIENT COUNSELING INFORMATION

17.3 Serotonin Syndrome

Additions and/or revisions underlined:

Patients should be cautioned about the risk of serotonin syndrome with the concomitant use of PROZAC WEEKLY and other serotonergic agents including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, amphetamines, and St. John’s Wort …