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A blood thinner warfarin, coumadin and others ; exenatide byetta ; clarithromycin biaxin ; disopyramide norpace ; a monoamine oxidase inhibitor maoi ; aspirin or other salicylates including pepto-bismol ;fluoxetine prozac, sarafem ; probenecid benemid ; an antibiotic such as ciprofloxacin cipro , ofloxacin floxin , norfloxacin noroxin , levofloxacin levaquin , and others; somenonsteroidal anti-inflammatory drugs nsaids ; sulfa drugs bactrim, gantanol, septra, and others ; or other oral diabetes medications, especially acarbose precose , metformin glucophage , miglitol glyset , pioglitazone actos , or rosiglitazone avandia .

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Safety and effectiveness of SARAFEM in the pediatric population have not been established [see BOXED WARNING and WARNINGS AND PRECAUTIONS ]. When considering sarafem over the counter use of SARAFEM in a child or adolescent.the potential risks must be balanced with the clinical need. Significant toxicity.including myotoxicity.long-term neurobehavioral and reproductive toxicity.and impaired sarafem over the counter development.has sarafem over the counter observed following exposure of juvenile animals to fluoxetine. Some of these effects occurred at clinically relevant exposures.

Digoxin.warfarin.other highly protein-bound drugs. increased risk of adverse reactions to either drug.

This list is not complete and other drugs may interact with fluoxetine. Tell your doctor about all medications you use. This includes prescription.over-the-counter.vitamin.and herbal products. Do not start a new medication without telling your doctor.

Whether these systemic reactions and rash have a common underlying cause or are due to different etiologies or pathogenic processes is not known. Furthermore.a specific underlying immunologic basis for these reactions has not been identified. Upon the appearance of rash or of other possibly allergic phenomena for which an alternative etiology cannot be identified.SARAFEM should be discontinued.

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fluoxetine sarafem is usually taken once a day, either every day of the month or on certain days of the month.

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