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Sarafem Coupon - Sarafem 10mg of 28 tablets dose pack
FLUOXETINE belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It is used for premenstrual dysphoric disorder (PMDD). PMDD causes intense mood and physical symptoms a week or two before your period every month. This drug helps improve mood swings, tiredness, tension, and breast tenderness. Compare SSRIs.
Prescription Settings
dose pack
10mg of 28 tablets
1 dose pack
Sarafem Coupon - Sarafem 10mg of 28 tablets dose pack
dose pack
10mg of 28 tablets
1 dose pack

Sarafem Side Effects

What should I watch for?

Tell your doctor if your symptoms do not get better or if they get worse. Visit your doctor or health care professional for regular checks on your progress.

Patients and their families should watch out for new or worsening thoughts of suicide or depression. Also watch out for sudden changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of treatment or after a change in dose, call your health care professional.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

This medicine may affect blood sugar levels. If you have diabetes, check with your doctor or health care professional before you change your diet or the dose of your diabetic medicine.


Common and Rare Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Hives, itching, or skin rash

inability to sit still


Less common

Chills or fever

joint or muscle pain



cold sweats


convulsions (seizures)

cool pale skin


difficulty with concentration


dryness of the mouth

excessive hunger

fast or irregular heartbeat


increased sweating

increased thirst

lack of energy

mood or behavior changes

overactive reflexes

purple or red spots on the skin

racing heartbeat

shakiness or unsteady walk

shivering or shaking

talking, feeling, and acting with excitement and activity you cannot control

trouble with breathing

unusual or incomplete body or facial movements

unusual tiredness or weakness

Incidence not known

Abdominal or stomach pain


back or leg pains

bleeding gums


blistering, peeling, or loosening of the skin


blood in the urine or stools

bloody, black or tarry stools

blue-yellow color blindness

blurred vision

chest pain or discomfort

clay-colored stools


continuing vomiting

cough or dry cough

dark urine

decreased urine output

decreased vision


difficulty with breathing

difficulty with swallowing

dizziness or lightheadedness

eye pain


fast, pounding, or irregular heartbeat or pulse

general body swelling

high fever

hives, itching, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue



irregular or slow heart rate


large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

light-colored stools

loss of appetite

loss of bladder control

muscle twitching



no blood pressure or pulse

noisy breathing


pain in the ankles or knees

painful, red lumps under the skin, mostly on the legs

pains in the stomach, side, or abdomen, possibly radiating to the back

pinpoint red spots on the skin

rapid weight gain

red or irritated eyes

red skin lesions, often with a purple center

redness, tenderness, itching, burning, or peeling of the skin

severe muscle stiffness

severe sleepiness

slurred speech

sore throat

sores, ulcers, or white spots on the lips or in the mouth

stopping of heart

sudden shortness of breath or troubled breathing

sudden weakness in the arms or legs

sudden, severe chest pain

swelling of the face, ankles, or hands

swollen or painful glands

thoughts of killing oneself

tightness in the chest


twitching, twisting, or uncontrolled repetitive movements of the tongue, lips, face, arms, or legs


unpleasant breath odor

unusual bleeding or bruising

unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness

unusually pale skin

use of extreme physical or emotional force

vomiting of blood

yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Decreased appetite

Less common or rare

Abnormal dreams

breast enlargement or pain

change in sense of taste

changes in vision

feeling of warmth or heat

flushing or redness of the skin, especially on face and neck

frequent urination

hair loss

increased appetite

increased sensitivity of the skin to sunlight

menstrual pain

stomach cramps, gas, or pain

unusual secretion of milk, in females

weight loss


Incidence not known

Cracks in the skin

loss of heat from the body

painful or prolonged erections of the penis

scaly skin

swelling of the breasts or breast soreness in both females and males

unusual milk production

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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