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Oral contraceptives are
medications that prevent pregnancy. They are one type of birth
control. Oral contraceptives may contain combinations of
estrogen and progestin or progestin alone. Combinations of
estrogen and progestin prevent pregnancy by inhibiting the
release of the hormones LH and FSH from the pituitary gland in
the brain. LH and FSH play key roles in the development of the
egg and preparation of the lining of the uterus for
implantation of the embryo. Progestin also makes the uterine
mucus that surrounds the egg more difficult for sperm to
penetrate and, therefore, for fertilization to take place. In
some women, progestin inhibits ovulation (release of the egg).
The combination Oral contraceptives are called "monophasic,"
"biphasic," or "triphasic." Monophasic Oral contraceptives
deliver the same amount of estrogen and progestin every day.
Biphasic Oral contraceptives deliver the same amount of
estrogen every day for the first 21 days of the cycle. During
the first half of the cycle, the progestin/estrogen ratio is
lower to allow the endometrium to thicken as it normally does.
During the second half of the cycle, the progestin/estrogen
ratio is higher to allow normal shedding of the lining of the
uterus to occur. The triphasic Oral contraceptives have
constant or changing estrogen concentrations and varying
progestin concentrations throughout the cycle. There is no
evidence that bi- or tri-phasic OCs are superior to monophasic
Oral contraceptives, or vice-versa.
Fluoxetine (Prozac) treats depression, obsessive compulsive
disorder, and eating disorders. Belongs to a group of drugs
called selective serotonin reuptake inhibitors.
Fluoxetine
(Prozac) is one of the world's most widely prescribed
antidepressants; it has been prescribed for more than 54
million people worldwide. Many scientists believe that an
imbalance in serotonin, a neurotransmitter, may be an
important factor in the development and severity of
depression. Serotonin is a chemical messenger that helps
control our sleep patterns, our appetite cravings, and the way
we feel emotionally. Studies show that increasing the
availability of serotonin can greatly reduce symptoms of
depression. Fluoxetine (Prozac) may help to correct this
imbalance by increasing the brain's own supply of serotonin.
The general recommendation is to take Prozac in the morning.
Fluoxetine (Prozac) can be taken with or without food. If you
miss a dose, don't take a double dose. Just continue with your
next scheduled dose.
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