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Table 1
Clinical Trial Incidence Rates of Fluoxetine Undesirable Effects
All US IND Placebo-Controlled Clinical Trials
Fluoxetine N = 4,397; Placebo N = 2,918
Body system/Undesirable Effects Fluoxetine Incidence % Placebo Incidence %
Body as a Whole    
Anaphylactoid reaction 0.02 NA
Asthenia 17.9 10.9
Chills 2.2 1.0
Dry Mouth 8.6 5.1
Photosensitivity 0.05 0.03
Pruritis 3.5 2.4
Rash 4.8 4.3
Serum sickness-like reaction 0.02 NA
Sweating 9.9 3.6
Urticaria 1.6 0.8
Vasculitis 0.02 NA
Vasodilatation 2.9 1.7
Digestive System    
Diarrhoea 14.1 9.6
Dyspepsia 8.7 5.7
Dysphagia 0.9 0.3
Nausea 22.4 10.6
Taste Perversion 1.6 0.8
Vomiting 3.3 2.4
Haemic and Lymphatic System    
Ecchymosis 0.6 0.2
Nervous System    
Abnormal dreams 2.1 1.4
Anorexia 9.9 3.1
Anxiety 12.9 10.9
Ataxia 0.2 NA
Buccoglossal syndrome 0.25 0.03
Concentration impaired/Thought process Impaired 4.5 3.0
Depersonalization 0.6 0.1
Dizziness 10.3 7.6
Insomnia 20.2 11.8
Manic reaction 0.11 0.03
Myoclonus 0.3 NA
Nervousness 14.8 10.1
Psychomotor restlessness 0.2 NA
Somnolence 15.2 6.2
Tremor 11.1 2.2
Twitching 0.9 0.5
Palpitation 2.3 1.5
Weight Loss 1.6 0.7
Respiratory    
Yawn 4.4 0.2
Skin and Appendages    
Alopecia 0.4 0.3
Special Senses    
Blurred vision 2.1 1.1
Mydriasis 0.45 0.03
Urogenital System    
Anorgasmia 0.2 NA
Delayed or absent ejaculation 2.0 0.2
Impotence* 2.9 0.6
Libido decreased 4.4 0.4
Priapism/Prolonged erection* 0.1 0.1
Urinary frequency 1.8 1.0
Urination impaired 0.41 0.03
NA = Not Applicable, i.e. no cases in this database
*Incidence based on males only; fluoxetine N=1,472; placebo N=942.

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