PME issue. Isnomia is big side effect?

Fludac 20 mg contains fluoxetine, an SSRI antidepressant. Although it is commonly used for depression, fluoxetine is also prescribed for conditions such as anxiety, obsessive thoughts/OCD and certain other mental-health conditions. Therefore, the absence of depressive symptoms does not necessarily mean the prescription is inappropriate. Your concern about insomnia is valid. Sleep disturbance is a recognised side effect of fluoxetine, although it does not occur in everyone. Other possible early side effects include nausea, headache, loose stools, dizziness, restlessness/anxiety, appetite or weight changes and sexual side effects such as reduced libido or difficulty with orgasm/ejaculation. Many initial side effects become less troublesome as the body adjusts.

Since you have not started Fludac yet, please clarify with the prescribing doctor what specific symptoms or condition they are treating and what duration of treatment they have planned. This is particularly important if you feel that you do not have depression or any significant anxiety/OCD-type symptoms. If the medicine has been prescribed for anxiety, excessive worrying, intrusive thoughts or another specific indication, it may still be appropriate even without depression. You may also connect with us at 9 3 1 5 6 6 1 5 6 5 for better treatment and personalised guidance regarding your symptoms and concerns.

Do not become overly worried about insomnia simply because you have read about it—it is a possible, not inevitable, side effect. Maintaining a regular sleep schedule, avoiding excessive caffeine particularly later in the day, limiting screen exposure before bedtime and keeping a relaxed bedtime routine can support good sleep. If you develop marked agitation, unusually elevated mood, severe worsening of anxiety, suicidal thoughts or any other significant reaction after starting the medicine, contact your prescribing doctor promptly. Thank you