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Adults: Depression: The usual dose is 20 mg daily. A dose increase may be considered by the physician after several weeks if no clinical improvement is observed up to a maximum of 80 mg daily. Doses above 20 mg a day should be administered in 2 divided doses (e.g. in the morning and in the evening).
Obsessive-compuslive disorder: Initial dose is 20 mg daily increased to 60 mg daily after several weeks if there is no clinical response.
Bulimia nervosa: The recommended dose is 60 mg daily.
In elderly patients and patients with low body weight fluoxetine dose should not exceed 60 mg. In patients with severe liver disease due to impaired metabolism a lower dosage of fluoxetine should be used.
Children: The safety and effectiveness of fluoxetine in children have not been established.
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