Long-term efficacy (more than 24 weeks) has not been demonstrated in OCD.īulimia nervosa: Adults and the elderly: A dose of 60mg/day is recommended.

Some clinicians advocate concomitant behavioural psychotherapy for patients who have done well on pharmacotherapy. The need for treatment should be reassessed periodically. Dosage adjustments should be made carefully on an individual patient basis, to maintain the patient at the lowest effective dose. While there are no systematic studies to answer the question of how long to continue fluoxetine treatment, OCD is a chronic condition and it is reasonable to consider continuation beyond 10 weeks in responding patients. If a good therapeutic response has been obtained, treatment can be continued at a dosage adjusted on an individual basis. If no improvement is observed within 10 weeks, treatment with fluoxetine should be reconsidered. Although there may be an increased potential for undesirable effects at higher doses, in some patients, if after two weeks there is insufficient response to 20mg, the dose may be increased gradually up to a maximum of 60mg. Patients with depression should be treated for a sufficient period of at least 6 months to ensure that they are free from symptoms.Īdults and the elderly: The recommended dose is 20mg daily. Dosage adjustments should be made carefully on an individual patient basis, to maintain the patients at the lowest effective dose. Although there may be an increased potential for undesirable effects at higher doses, in some patients, with insufficient response to 20mg, the dose may be increased gradually up to a maximum of 60mg. Dosage should be reviewed and adjusted if necessary, within 3 to 4 weeks of initiation of therapy and thereafter as judged clinically appropriate.

Adults and the elderly: The recommended dose is 20mg daily.

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