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  1. Common fluoxetine side effects may include: 1. sleep problems (insomnia), strange dreams 2. headache, dizziness, vision changes 3. tremors or shaking, feeling anxious or nervous 4. pain, weakness, yawning, tired feeling 5. upset stomach, loss of appetite, nausea, vomiting, diarrhea 6. dry mouth, sweating, hot flashes
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