Consult a physician
You cannot just start a dose of fluoxetine all by yourself. You will first of all need to consult a physician in order to determine whether or not the use of fluoxetine is right for you. The physician will perform a thorough assessment of your psychological and physical state and then prescribe the proper dose of fluoxetine to treat bulimia if required.
Increase water intake
Just like any other class of drugs, fluoxetine has its potential side effects. Headache, fever, nausea, constipation, insomnia and seizures are common side effects of fluoxetine. Apart from these side effects, fluoxetine may trigger diarrhea which in turn further complicates dehydration caused by bulimia. This is why patients on a dose of fluoxetine must increase their daily fluid intake considerably.
Fluoxetine works best as a treatment for bulimia when combined with behavioural therapy or psychotherapy. Consult a therapist and continue talking therapy sessions until bulimia has been completely cured. The therapist will determine and eventually eliminate the causes of the self-destructive behaviours in bulimia patients.
One of the functions of fluoxetine is to raise levels of serotonin, a monoamine neurotransmitter, in the brain. Physical exercises such as yoga, tai chi, stretching and walking have a similar effect which is why bulimia patients should exercise regularly while they are on a dose of fluoxetine.
In case the side effects of fluoxetine start getting out of hand, bulimia patients will have to discontinue the use of fluoxetine, but this must be done gradually over a period of time and under the supervision of a doctor. Discontinuing fluoxetine abruptly can result in confusion, nausea, depression and headaches.