Flunil 20 MG Capsule

Manufacturer: Intas Pharmaceuticals Ltd
Medicine composition: Fluoxetine
Prescription vs OTC: Prescription by Doctor not required

This medicine is primarily used for the treatment of major depression; treatment of binge-eating and vomiting in patients with moderate-to-severe bulimia nervosa;. It is also used for treating obsessive-compulsive disorder.

Flunil 20 MG Capsule is used for the treatment of obsessive-compulsive disorder (OCD), depression, sudden panic attacks, bulimia (eating disorder) and premenstrual dysphoric disorder (symptoms of tension, irritability and depression before menstruation). The medication can improve your sleep, mood, appetite as well as the energy level.

It belongs to the drug group known as selective serotonin reuptake inhibitors (SSRIs). It works by increasing the serotonin amount in your body, which is a natural substance present in your brain that helps in maintaining mental balance.

Flunil 20 MG Capsule dosage will depend on your present health condition and how your body reacts to the first dose. Your doctor may prescribe a low dose initially and then increase it gradually.

It is advised not to stop the medication abruptly without consulting your doctor, as there is a possibility of experiencing withdrawal symptoms such as mood changes, dizziness, anxiety, confusion, agitation or irritability. It may take 4-5 weeks and sometimes even longer for Flunil 20 MG Capsule to show its full effectiveness.

You can suffer from mild side effects like nervousness, nausea, dry mouth, weakness, drowsiness and decreased sexual performance while taking Flunil 20 MG Capsule. You can consult your doctor if they refuse to go away after some time. However, there can be some serious side effects too in some cases that require immediate medical attention:

Flunil 20 MG Capsule can make you feel drowsy or dizzy. It is advised not to drive or do any other activity that requires your complete concentration. In case you are an elderly patient, be careful when you are getting up from a sitting or sleeping position to avoid a sudden fall. Also, you must avoid alcohol while you are under this medication.

Following conditions can be restored by utilising this prescription:

  • Allergy

  • Monoamine oxidase inhibitors

Here are some possible side effects of this medication

  • How long is the duration of effect?

    The effect of this medication lasts for an average duration of 12 to 14 days.
  • What is the onset of action?

    The peak effect of this medication can be observed in 6 to 8 hours.
  • Are there any pregnancy warnings?

    This medication is not recommended for use during pregnancy unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine.
  • Is it habit forming?

    No habit forming tendency has been reported
  • Are there any breast-feeding warnings?

    This medication is not recommended for use in breastfeeding women unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine. Monitoring of undesired effects like colic, fussiness, and drowsiness is necessary.
  • Does this affect kidney function?

    Dosing adjustment in renal impairment:
    • Single dose studies: Pharmacokinetics of fluoxetine and norfluoxetine were similar among subjects with all levels of impaired renal function, including anephric patients on chronic hemodialysis.
    • Chronic administration: Additional accumulation of fluoxetine or norfluoxetine may occur in patients with severely impaired renal function.
    • Hemodialysis: Not removed by hemodialysis.
  • Does this affect liver function?

    Dosing adjustment in renal impairment:Elimination half-life of fluoxetine is prolonged in patients with hepatic impairment; a lower or less frequent dose of fluoxetine should be used in these patients.
    • Cirrhosis patients: Administer a lower dose or less frequent dosing interval.
    • Compensated cirrhosis without ascites: Administer 50% of normal dose.
  • Is It safe with alcohol?

    Consumption of alcohol must be avoided.

Below is the list of medicines, which have the same composition, strength and form as Flunil 20 MG Capsule , and hence can be used as its substitute.

  • Missed Dose instructions

    Take the missed dose as soon as you remember. If its almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
  • Overdose instructions

    Seek emergency medical treatment or contact the doctor in case of an overdose.

This medication belongs to the class selective serotonin reuptake inhibitors. It works by inhibiting the reuptake of serotonin thus increasing its concentration in the brain and helps in reducing the symptoms.

Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

  • Interaction with Alcohol

    Consumption of alcohol with this medicine is not recommended as it can result in dizziness and difficulty in concentration. Avoid activities that need mental alertness like driving or operating heavy machinery.
  • Interaction with Lab Test

    Albumin level is increased while the patient is taking Fluoxetine. This inferred to a false positive result for the same.
  • Interaction with Medicine

    • CYP2D6 enzyme substrate (minor), CYP3A3/4 enzyme substrate; CYP2C9 enzyme inducer; CYP1A2, 2C19, 2D6, and 3A3/4 enzyme inhibitor.
    • Flunil 20 MG Capsule inhibits the metabolism of tricyclic antidepressants (amitriptyline, desipramine, imipramine, nortriptyline) resulting is elevated serum levels; if combination is warranted, a low dose of TCA (10-25 mg/day) should be utilized.
    • Flunil 20 MG Capsule may cause hyponatremia; additive hyponatremic effects may be seen with combined use of a loop diuretic (bumetanide, furosemide, torsemide); monitor for hyponatremia.
    • Flunil 20 MG Capsule inhibits the reuptake of serotonin; combined use with a serotonin agonist (buspirone) may cause serotonin syndrome.
    • Flunil 20 MG Capsule may inhibit the metabolism of carbamazepine resulting in increased carbamazepine levels and toxicity; monitor for altered CBZ response.
    • Cyproheptadine, a serotonin antagonist may inhibit the effects of serotonin reuptake inhibitors (Flunil 20 MG Capsule); monitor for altered antidepressant response.
    • Flunil 20 MG Capsule inhibits the metabolism of dextromethorphan; visual hallucinations occurred in a patient receiving this combination; monitor for serotonin syndrome.
    • Flunil 20 MG Capsule may inhibit the metabolism of haloperidol and cause extrapyramidal symptoms (EPS); monitor patients for EPS if combination is utilized.
    • Flunil 20 MG Capsule should not be used with nonselective MAOIs (isocarboxazid, phenelzine). Fatal reactions have been reported. Wait 5 weeks after stopping Flunil 20 MG Capsule before starting an MAOI and 2 weeks after stopping an MAOI before starting Flunil 20 MG Capsule.
    • Patients receiving Flunil 20 MG Capsule and lithium have developed neurotoxicity. If combination is used, monitor for neurotoxicity.
    • Flunil 20 MG Capsule may inhibit the metabolism of metoprolol and propranolol resulting in cardiac toxicity; monitor for bradycardia, hypotension, and heart failure if combination is used.
    • Flunil 20 MG Capsule inhibits the reuptake of serotonin; combined use with other drugs which inhibit the reuptake (nefazodone, sibutramine) may cause serotonin syndrome. Monitor patient for altered response with nefazodone; avoid sibutramine combination.
    • Flunil 20 MG Capsule inhibits the metabolism of phenytoin and may result in phenytoin toxicity; monitor for phenytoin toxicity (ataxia, confusion, dizziness, nystagmus, involuntary muscle movement).
    • Flunil 20 MG Capsule has been reported to cause mania or hypertension when combined with selegiline; this combination is best avoided.
    • Flunil 20 MG Capsule may inhibit the metabolism of lovastatin and simvastatin resulting in myositis and rhabdomyolysis; these combinations are best avoided.
    • Flunil 20 MG Capsule combined with tramadol (serotonergic effects) may cause serotonin syndrome; monitor.
    • Flunil 20 MG Capsule may inhibit the metabolism of trazodone resulting in increased toxicity; monitor.
    • Flunil 20 MG Capsule inhibits the reuptake of serotonin; combination with tryptophan, a serotonin precursor, may cause agitation and restlessness; this combination is best avoided.
    • Flunil 20 MG Capsule may alter the hypoprothombinemic response to warfarin; monitor.
  • Interaction with Disease

    Depression

    Use with caution the patients suffering from depression and other psychiatric disorders due to the increased risk of suicidal thoughts especially at the beginning of the treatment and at the time of dose change. Discontinue the medicine and inform the doctor if these symptoms appear.

    Glaucoma

    Use with caution in the patients with angle-closure glaucoma or history of glaucoma due to the risk of increasing the intraocular pressure.
  • Interaction with Food

    Information not available.

Ques: What is Flunil 20 MG Capsule?

Ans: This medication has Fluoxetine as an active ingredient present. It performs its action by increasing the production of serotonin (chemical messengers) in the body.

Ques: What are the uses of Flunil 20 MG Capsule?

Ans: This medication is used for the treatment and prevention from conditions and symptoms of diseases like post-traumatic stress disorder, panic disorder, major depression, mood swings, mood swings, anxiety disorders, mental illness, and obsessive-compulsive disorder.

Ques: What are the Side Effects of Flunil 20 MG Capsule?

Ans: This is a list of possible side-effects which may occur due to the constituting ingredients of this medication. These include insomnia, dry mouth, vomiting, dyspepsia, diarrhea, asthenia, sexual dysfunction, and stomach disorders.

Ques: What are the instructions for storage and disposal Flunil 20 MG Capsule?

Ans: This medication should be stored at room temperature, away from heat and direct light. Keep it away from the reach of children and pets.
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

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Content Details
Written By
PhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child Care
Pharmacology
Reviewed By
MBBS, Master in Healthcare Administration, Diploma in Occupational Health
General Physician
Table of Content
About Flunil 20 MG Capsule
What are the uses of Flunil 20 MG Capsule
What are the contraindications of Flunil 20 MG Capsule ?
What are the side effects of Flunil 20 MG Capsule ?
Key highlights of Flunil 20 MG Capsule
What are the substitutes for Flunil 20 MG Capsule ?
What are the dosage instructions?
How does this medication work?
What are the interactions of Flunil 20 MG Capsule ?
FAQs about Flunil 20 MG Capsule