Fluoxetine
Long-acting SSRI, forgiving of a missed dose
The generic of Prozac. Its long half-life makes it the most forgiving SSRI if you miss a day, and it is often the better choice where an irregular schedule is the main barrier to staying on treatment.
Our nurse practitioner treats uncomplicated depression and anxiety within primary-care scope. We are not a psychiatric practice. Bipolar disorder, psychosis, eating disorders, substance use disorder, active suicidal thinking and anyone already under a psychiatrist are referred out rather than started here — and we will help you find that care. We also do not prescribe benzodiazepines, stimulants or any other controlled substance.
Regulatory status
FDA-approved finished drug product.
Frequency
Once daily, oral
Route
Oral
Supply
30-day supply
Minimum age
18+
What patients get from this
- Long half-life means a missed dose matters less
- Decades of safety data behind it
- Often activating, which can help with low energy
- One of the least expensive options available
We will not prescribe this if
- Concurrent or recent MAOI use
- Concurrent thioridazine or pimozide
- Known bipolar disorder without a mood stabiliser
- Current pregnancy or breastfeeding
The intake asks about each of these. Some answers stop the process; others are flagged for your nurse practitioner.
Labs your NP may order
- CMP
- TSH
Draw at our Fort Lauderdale clinic or a reference lab near you. Your NP reviews the results and posts them to your account.
Please read
- Antidepressants carry a boxed warning for increased suicidal thinking in people under 25. Your NP screens for this at every visit.
- Interacts with a long list of medicines. Bring your full list to your visit.
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