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Compound Profile

Fluoxetine

Compound profile with evidence, safety, and practical fit.

Review needed — Review medications, pregnancy status, chronic conditions, and clinician guidance before use. Details

Profile-wide ·C Limited
Fluoxetine monograph visual
Generated profile category visual

At a glance

From this profile's structured data
Evidence
Grade C
Profile context
serotonin transporter (SERT), serotonergic signaling
Next steps

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Quick stats

Evidence level
Limited evidence
Typical onset
Varies by prep
Safety rating
Review needed: Safety review pending
Best for
Serotonin Transporter (SERT), Serotonergic Signaling

Safety

Safety & Cautions

Review medications, pregnancy status, chronic conditions, and clinician guidance before use.

Elevated caution

Caution level: Elevated. One caution category applies — read it before use.

  • Interaction-AwareMedication or interaction context is explicitly noted.

Evidence Summary

Profile-wide ·C Limited

Evidence lens

Read as directional context, not settled clinical proof.

LimitedLimited evidence

Human clinical evidence: Present in source signals

Mechanistic / preclinical: Mechanism mapped

Research maturity: Emerging research — main contexts: Serotonin Transporter (SERT) · Serotonergic Signaling

Safety boundary: Safety note available — Review medications, pregnancy status, chronic conditions, and clinician guidance before use.

Evidence Strength

Confidence estimate based on the design quality and consistency of published clinical trials.

Limited evidence

Fluoxetine has a limited evidence rating.

General wellnessGeneral wellness
Citation density
1.0
Sources
2
Effects
2
Research recency
Mixed recency
Evidence Grade

Grade C: Limited Evidence

Evaluation of methodological rigor, population reach, and evidence alignment.

Design Match
Meta analysis
Risk of Bias
Low
Consistency
Not assessed
Strongest recorded design is a meta analysis, drawn from 1 recorded study, 1 in people.
How evidence grades work

Each grade reflects the strength and consistency of published human evidence — not marketing claims. Grades are based on study count, design quality, effect size, consistency, and recency.

Strong
Multiple RCTs, consistent direction, adequate effect size
Moderate
Some RCTs or consistent observational data in humans
Preliminary / Mixed
Animal or in-vitro only, or conflicting human data
Traditional / Theoretical
Traditional use only; no controlled human trials
Clinical Study Summaries (2)1 human evidence source · 0 human trials · Participant totals not consistently reported · Consistency not yet classifiable

Filter by study class

Showing 2 of 2 studies.

What the evidence actually shows

This table contains 2 structured sources, including 1 human evidence source; 0 are human trials.

StudyDesignNDoseDurationPopulationOutcomeResult & magnitudeSource

A 2018 network meta-analysis of 522 randomized trials involving 116,477 adults found all 21 included antidepressants more efficacious than placebo for acute major depressive disorder; fluoxetine was among the treatments with fewer all-cause dropouts than placebo, while head-to-head comparative efficacy varied and evidence certainty ranged from moderate to very low.

Background
Meta-analysis

Statistically combines results from multiple eligible studies; confidence still depends on the quality, consistency, and directness of those studies.

—————A 2018 network meta-analysis of 522 randomized trials involving 116,477 adults found all 21 included antidepressants more efficacious than placebo for acute major depressive disorder; fluoxetine was among the treatments with fewer all-cause dropouts than placebo, while head-to-head comparative efficacy varied and evidence certainty ranged from moderate to very low.PubMed →

Current U.S. labeling identifies fluoxetine as an SSRI and carries a boxed warning about suicidal thoughts and behaviors in pediatric and young adult patients; indication, dosing, interaction, and safety claims should remain tied to the current U.S. prescribing information rather than inferred from SSRI class text alone.

Background
Other / unclear

The study design is not yet classified clearly enough to infer its place in the evidence hierarchy.

—————Current U.S. labeling identifies fluoxetine as an SSRI and carries a boxed warning about suicidal thoughts and behaviors in pediatric and young adult patients; indication, dosing, interaction, and safety claims should remain tied to the current U.S. prescribing information rather than inferred from SSRI class text alone.Source →

Dosing

No standardized dose
No standardized dose is established for this ingredient in our source data. Preparations differ widely, so follow the standardization on the product you actually have and speak to a clinician before starting.

Compare & Sourcing

Compare side-by-side tradeoffs or verify active marker guidelines.

Review available sources for Fluoxetine

Independent database mapping — evaluated separately from safety and efficacy scores.

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Safety first · Harm reduction

This information is educational and not medical advice. Start low, avoid risky combinations, and consult a licensed clinician before making health decisions—especially if you use medications, have diagnosed conditions, or are pregnant/breastfeeding.

Learn how we evaluate confidence, safety, and intensity on the methodology page.

Editorial Review

Checked against primary sources, cited evidence, and contraindication language before publication. Evidence claims, safety language, and affiliate modules are reviewed independently. Not personal medical advice.

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