Paper
Growth Failure Associated with the Use of High Dose Prozac (Fluoxetine Hydrochloride) in a Patient with Type 1 Diabetes Mellitus
Published Jan 1, 1999 · R. Navon, G. Frank
Journal of Pediatric Endocrinology and Metabolism
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Abstract
Prozac (fluoxetine hydrochloride) is an antidepressant that has quickly become one of the most prescribed medications in use today. It belongs to the group of serotonin selective reuptake inhibitors (SSRIs), a new class of psychotropic medications with a significantly more tolerable side effect profile than their predecessors. As soon as short term safety and efficacy data became available, fluoxetine became more widespread in its use among the pediatric population. In addition to its use as an antidepressant, fluoxetine is widely used in anxiety disorders'". The most commonly encountered side effects include agitation, gastrointestinal upset, and headache. While other side effects have been encountered, growth failure has not been described. We present a 13 year-old patient who experienced profound growth failure during fluoxetine therapy.
High doses of fluoxetine (fluoxetine hydrochloride) can cause profound growth failure in patients with type 1 diabetes mellitus.
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