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Some people who buy Sarafem (Fluoxetine) and take it experience difficulties with drowsiness and dizziness. This is more likely to happen once you buy Sarafem (Fluoxetine) and first start taking it, but it may also occur in some individuals at any time while they are on this medication. Other possible side effects from this drug can include certain cold symptoms, weight changes, nausea, dry mouth, nervous feelings and insomnia. Be cautious when doing any activity that will require your full attention until you know how this drug is going to affect you. Avoiding alcoholic beverages can also reduce these side effects if you have a difficulty with them. Diabetics may need to check their blood sugar levels more frequently while they are on Sarafem (Fluoxetine). This medication has affected the blood sugar in some diabetics and this is especially difficult when you first start or stop taking this drug. Adjustments to your insulin, exercise or diet may be necessary during that time.