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If you have diabetesfluoxetine may affect your blood sugar levelsMonitor your blood sugar regularly and share the results with your doctorYour doctor may need to adjust your medicationdietand exercise when you start or stop fluoxetine.

Fluoxetine can stay in your body for many weeks after your last dose and may interact with many other medicationsBefore using any medicationtell your doctor or pharmacist if you have taken fluoxetine in the previous 5 weeks.

Patients should be monitored for these symptoms when discontinuing treatment with SARAFEMA gradual reduction in the dose rather than abrupt cessation is recommended whenever possibleIf intolerable symptoms occur following a decrease in the dose or upon discontinuation of treatmentthen resuming the previously prescribed dose may be consideredSubsequentlythe dose may continue to be decreased but at a more gradual ratePlasma fluoxetine and norfluoxetine concentration decrease gradually at the conclusion of therapy which may minimize the risk of discontinuation symptoms with this drug.

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