Possible Side Effects of Prozac in Kids

Possible Side Effects of Prozac in Kids Depression Treatment Medication Print Potential Prozac Side Effects in Children Side effects are often mild in children By Lauren DiMaria linkedin Lauren DiMaria is a member of the Society of Clinical Research Associates and childhood psychology expert. Learn about our editorial policy Lauren DiMaria Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on February 03, 2020 Rebecca Nelson/Taxi/Getty Images More in Depression Treatment Medication Causes Symptoms Diagnosis Types Childhood Depression Suicide In This Article Table of Contents Expand Side Effects Suicidal Ideation Risk and Benefits View All Back To Top Prozac (fluoxetine) is the only approved antidepressant for children ages 8 and older. As such, it is a commonly prescribed medication for children and teens  with major depressive disorder  and sometimes bipolar disorder. Prozac is one of the most commonly prescribed selective serotonin reuptake inhibitor (SSRI) medications for adults and it has been shown to be the most effective one for kids. While its not advised that Prozac is prescribed to every child, it can be part of a successful treatment plan for some individuals. Before your child begins taking Prozac, its important that you understand its potential side effects. Have a conversation with your childs doctor about these and be sure to monitor your childs behavior carefully if he does start taking it. Common Side Effects   Prozac is generally well-tolerated in children, and few stop taking it because of bothersome side effects. The side effects of Prozac are often mild and short-lasting. If they occur, side effects usually happen at the start of treatment and often resolve within a few weeks without any need for additional intervention. Common side effects may include: Gastrointestinal symptoms (e.g., nausea, upset stomach, diarrhea)Sleep changes (e.g., insomnia, somnolence, vivid dreams, nightmares, impaired sleep)RestlessnessSweatingHeadachesRestless legsAppetite changes (increase or decrease)Sedation Less Common Side Effects   Additionally, a small percentage of children who take Prozac may show increased impulsivity, agitation, or irritability. These symptoms appear to be more likely in children with bipolar disorder, or those who are predisposed to develop it. Be sure to let your childs healthcare provider know if she has ever experienced a manic or hypomanic state, or if there is a family history of bipolar disorder. Serious Side Effects Although rare, Prozac is associated with certain more serious side effects. If you notice any of the following in your child, contact your healthcare provider immediately: New or worsening anxiety or depression symptomsSevere agitation or restlessnessUncontrollable anger or violencePanic attacks (e.g., difficulty breathing, racing heartbeat)Symptoms of mania (e.g., racing thoughts, pressured and fast speech, excessive risk-taking)Unusual changes in behavior or moodProblems with coordination Increased Thoughts of Suicide Another serious side effect that warrants special attention is the risk of suicidal thoughts or behavior. The  FDA has issued a public warning that suicidal thoughts and behavior may increase in children and adolescents up to age 25 who are taking SSRI antidepressant medications. The risk is highest when the medication is first taken and whenever the dose is changed. Though its important for everyone to be aware of suicidal ideation and self-harm signs in youth, its even more imperative when children are taking an SSRI. Some of the warning signs include an increase in sadness, isolation, panic attacks, or aggressiveness. These may be subtle and lead to  thoughts about suicide or dying,  suicide attempts,  or self-injury. Weighing the Risks According to reviews reported by the National Institute of Mental Health, the benefits of antidepressants most likely outweigh the risks for children and adolescents with major depression and anxiety disorders. A study published in The Lancet went further and compared various antidepressants. The conclusion states that, while these medications do not seem to offer a clear advantage for treating a childs depression, Prozac is likely the best option. Like all medications, the decision to start treatment with an SSRI should carefully weigh the expected benefits and risksâ€"including potential side effectsâ€"of the drug. While many side effects may resolve with time, a child should not suffer unnecessarily  from additional complications. There are many  depression treatment options  that can help minimize the potential for these side effects. A Word From Verywell Generally, it is still preferred that children with depression only use antidepressants as a last resort and therapy remains the first treatment option.  Although most side effects of Prozac in children are usually mild and temporary, discuss all side effects, regardless of severity, with your childs clinician.  As a team, you can work together to figure out the best treatment.