Suspect poisoning? US: ASPCA Poison Control (888) 426-4435 · UK: 01202 509 000 · Severe symptoms → nearest emergency vet now.

Is a 20 mg fluoxetine (Prozac) pill worse for my 10 kg dog than a Benadryl tablet?

Dogs · Emergency guide

Last reviewed: 2026-09-05 · Reference ranges: ASPCA, Pet Poison Helpline & Merck Veterinary Manual

Short answer

Yes, fluoxetine is far more dangerous. Benadryl can cause drowsiness or agitation in dogs, but a single SSRI like Prozac can trigger serotonin syndrome — a medical emergency with tremors, dangerously high body temperature, and seizures. The two drugs work on completely different brain chemicals, so you can't compare them by size or dose. If your dog swallowed a Prozac pill, call your vet or a poison line right away and tell them exactly which drug it is. Do not try any home treatment for calming, and keep all human antidepressants in a locked cabinet.

What is serotonin syndrome?

Drugs such as SSRIs (fluoxetine/Prozac, sertraline), SNRIs and tricyclics raise serotonin levels. When a pet swallows too much, the excess causes agitation, tremors and a dangerously high body temperature — serotonin syndrome.

Why speed matters

Delaying care significantly worsens outcomes. Some signs appear hours or days later, so "looks fine right now" is not a reason to wait.

Signs to watch for

  • Restlessness, agitation, pacing
  • Tremors or shaking, muscle twitching
  • Very high body temperature, panting
  • Vomiting, diarrhoea
  • Seizures, severe rigidity (emergency)

What to do right now

  1. Call your vet or poison control immediately.
  2. Tell them exactly which drug and dose — many are different medicines under one name.
  3. Do not give anything else and do not try home treatment for "calming".
  4. Serotonin syndrome is treatable but needs urgent hospital care — fluids, cooling and specific medicines.
If your pet shows any of the signs above, go to the nearest emergency vet now and call ahead.

The step-by-step response, from the first minute to the vet visit, is in our Antidepressant (SSRI) Poisoning emergency guide.

Open the full emergency guide: Antidepressant (SSRI) Poisoning →