Consider routine labs with your GP if fatigue persists despite hydration + intake fixes: common checks include iron status, B12, vitamin D and thyroid especially if you have dietary restrictions or known risk factors
Ongoing research is examining whether this also applies to adults
Suicidal thoughts or behaviors Serotonin syndrome: fast heart rate, dizziness, sweating, flushing, tremor (shakiness), muscle stiffness, muscle twitching or spasms, uncoordinated movement, distress, seizures, distress, hallucinations, coma Seizures Allergic reactions: hives, rash, blisters, swelling of the lips or tongue, difficulty breathing Abnormal heart rhythm (QT prolongation): chest pounding, short of breath, chest pain, feeling faint or lightheaded Severe bleeding: bruising that doesnt improve, black-colored stools, pink or red-colored urine, coughing up or vomiting blood, or unusual bleeding from the nose or gums Low blood sodium levels: nausea, fatigue, headache, confusion, disoriented, hallucinations (seeing things that arent real), seizures, unconsciousness Effects of other drugs, drug classes and over-the-counter products on Prozac The following medications may interact with Prozac: Monoamine Oxidase Inhibitors (MAOIs) Drugs Metabolized by CYP2D6: Fluoxetine is a potent inhibitor of CYP2D6 enzyme pathway
Simply start with our recommendations, adjust as needed, and make sure to always have fresh water available
Preparing for Your Consultation If you want to ask your doctor about adding topiramate to your Ozempic regimen, be prepared with the following information: A full list of all supplements and medications you currently take
