Fluvoxamine MALEATE

COMMON BRAND(S): Luvox

GENERIC NAME(S): Fluvoxamine

Uses

Fluvoxamine is used to treat obsessive-compulsive disorder (OCD). It helps in reducing continuous / unwanted ideas (passion) and urges to perform repetitive tasks (hand washing, counting, investigation), which interfere with daily life. Fluvoxamine is known as a selective serotonin reuptake inhibitor (SSRI). This medicine works by helping to restore the balance of a certain natural substance (serotonin) in the brain.

How to use Fluvoxamine MALEATE

Read the medication guide and, if available, your pharmacist before starting taking Fluvoxamine, patient information leaflet and every time you receive a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication with your doctor or mouth-to-mouth, usually daily at bedtime, or twice daily (once in the morning and once in a while). If you are taking this medicine twice daily and the dose is not equal, then 2 doses should be taken at a bigger bed time.

Dosage is based on your medical condition, treatment response, age and other medicines you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including Prescription Drugs, NonPrescription Drugs and Herbal Products). In children, dosage can also be done on the basis of their age and gender. To reduce your risk of side effects, your doctor may direct you to start this medication on low dose and gradually increase your dose. Follow your doctor’s instructions carefully.

Do not increase your dose or use this drug more often than prescribed. There will be no improvement in your situation, and the risk of your side effects will increase. Take this medication regularly to get the most benefit of it. To help you remember, take it at the same time every day.

It is important to continue taking this medicine even if you feel OK. Do not stop taking this medicine without consultation with your doctor. When this medicine suddenly stops, some conditions may get worse. In addition, you may experience symptoms such as mood swings, headache, fatigue, changes in sleep, and short emotions similar to electric shock. When you are stopping treatment with this medicine, your doctor may gradually reduce your dose to stop these symptoms. Contact your doctor or pharmacist for more information. Report any new or deteriorating symptoms instantly.

It may take several weeks for you to get the full benefit of this drug.

Tell your doctor if your condition does not improve or if it worsens.

Side Effects

See also the warning section.

Nausea, vomiting, drowsiness, dizziness, lack of appetite, sleepiness, weakness, and sweating may occur. If any of these effects persists or worsens, tell your doctor or pharmacist immediately.

Remember that your doctor has prescribed Fluvoxamine because he or she has decided that the benefit is higher than the risk of side effects. Many people using this drug do not have serious side effects.

Tell your doctor immediately if you have a serious side effect, including: easy injury / bleeding, shaking (tremors), sexual interest / decrease in capacity.

If you have a very serious side effect, seek medical help, including: unconsciousness, dark diarrhea, vomiting, coffee grounds, seizures, eye pain / swelling / redness, wide pupil, change in vision (such as light Night, blurry vision) in the form of rainbow around).

Fluvoxamine can increase serotonin and rarely cause a very serious condition, which is called serotonin syndrome / toxicity. The risk increases if you are taking other medicines that increase the serotonin, so tell your doctor or pharmacist about all the medicines that you take (see the drug interaction section). Get medical help immediately when some of the following symptoms develop: Fast heartbeats, hallucinations, loss of coordination, severe dizziness, severe nausea / vomiting / diarrhea, muscle shaking, unexplained fever, abnormal discomfort

Rarely, men can have painful or longer build for 4 or more hours. If this happens, stop using this medicine and get medical help immediately, or there may be permanent problems.

A very serious allergic reaction to this drug is rare. However, if you see symptoms of a serious allergic reaction, get medical help immediately, including: granular, itching / swelling (especially the face / tongue / throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you do not list other effects above, contact your doctor or pharmacist.

In America – Call your doctor for medical advice about side effects. You can notify the FDA of side effects on 1-800-FDA-1088 or www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You can report the health effects of Canada on 1-866-234-2345.

Precautions

Before taking Fluvoxamine, tell your doctor or pharmacist whether you are allergic to it; Or if you have any other allergens. This product can have passive elements, which can cause allergic or other problems. Talk to your pharmacist for more details.

Before using this drug, tell your doctor or pharmacist your medical history, in particular: personal or family history of bipolar / manic-depressive disorder, personal or family history of suicide attempts, liver problems, seizures, blood In low sodium, intestinal ulcers / bleeding (peptic ulcer disease) or bleeding problem,  personal or family history of glaucoma (angle-closure type).

Fluvoxamine may make you dizzy or drowsy. Alcohol or marijuana can make you more dizzy or deaf. Unless you can safely do it, do not drive, use machinery, or do anything that requires caution. Avoid alcoholic beverages. If you are using marijuana, talk to your doctor.

Fluvoxamine may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away.

The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using fluvoxamine, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).

Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics “water pills”) or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using fluvoxamine safely.

Before surgery, tell your doctor or dentist about all the products that you use (including prescription drugs, nonprescription drugs and herbal products).

Older adults may be more susceptible to the side effects of this drug, especially bleeding, or loss of coordination, QT prolongation. In older adults, there may be a possibility of developing a type of salt imbalance (hyponatremia), especially if they are taking “water pills” (diuretics). The risk of falling from the loss of coordination can increase.

Children may be more susceptible to the side effects of this drug, especially less appetite and weight loss. Monitor weight and height in children taking this medicine.

During pregnancy, this drug should be used only when it is clearly necessary. It can harm an unborn child. Also, mothers who have used this medicine during the last 3 months of pregnancy, children born in them may rarely develop symptoms of withdrawal such as feeding / difficulty breathing, visits, muscles Cramping or crying constantly. If you see any of these symptoms in your newborn, then tell the doctor immediately.

Since untreated mental / mood disorders (such as depression, obsessive compulsive disorder, post-traumatic stress disorder) can be a serious condition, do not stop taking this medicine until your doctor prescribes it. If you are planning a pregnancy, become pregnant, or think that you may be pregnant, discuss the benefits and risks of using your medicine immediately during your pregnancy.

This drug passes into breast milk. Consult your doctor before breastfeeding.

Interactions

Drug interactions can change how your medicines work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescriptions / non-prescription medicines and herbal products) and share it with your doctor and pharmacist. Do not start, stop or change any drug supplements without the approval of your doctor.

Some products that can interact with this drug include: Other medicines which can cause bleeding / bruising (including clopidogrel, such as antiplatelet drugs, ibuprofen such as NSAID, “blood thinners” such as warfarin)

Aspirin can increase the risk of bleeding when used with this drug. However, if your doctor has directed you to take low-dose aspirin for the prevention of heart attack or stroke (usually on a diet of 81-325 mg in a day), then you should continue it when Until your doctor does not give you directions. Ask your doctor or pharmacist for more information.

Many drugs besides fluvoxamine may affect the heart rhythm (QT prolongation), including pimozide, thioridazine, among others.

This medication can slow down the removal of other medications from your body, which may affect how they work. Examples of affected drugs include alosetron, clozapine, methadone, melatonin, ramelteon, tacrine, tizanidine, certain benzodiazepines such as alprazolam / diazepam / triazolam, certain beta-blockers such as metoprolol / propranolol, tricyclic antidepressants such as imipramine, among others.

Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid,  linezolid, methylene blue, moclobemide,  phenelzine,  procarbazine,  rasagiline,  safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before and after treatment with this medication. Ask your doctor when to start or stop taking this medication.

The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotonin. Examples include street drugs such as MDMA/”ecstasy,” St. John’s wort, certain antidepressants (including other SSRIs such as fluoxetine/paroxetine, SNRIs such as duloxetine/venlafaxine), tryptophan, among others. The risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs.

This drug can increase the effect of caffeine. Avoid drinking large amounts of caffeine (coffee, tea, cola) or eating large amounts of chocolate or taking caffeinated non-prescription products.

Tell your doctor or pharmacist if you are taking other products that cause drowsiness including alcohol, marijuana, antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants, and narcotic pain relievers (such as codeine).

Check the label on all your drugs (such as allergy or cough-and-cold products), because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

By drinking cigarettes, this blood level of the drug is reduced. Tell your doctor whether you smoke or if you have recently stopped smoking.

This drug can interfere with some medical / laboratory tests (including brain scans for Parkinson’s disease), possibly the result of a wrong test. Ensure that the lab staff and all your doctors know that you use this medicine.

Over Dose

If someone is treated and has serious symptoms like having trouble going out or breathing, call 911. Otherwise, call the Poison Control Center immediately. US residents can call their local venom control center at 1-800-222-1222. Canadians can call a provincial poison control center. Symptoms of overdose may include: fast / slow / irregular heartbeat, shortness of breath, seizures.

Notes

Do not share this medication with others.

Keep all regular medical and psychiatric appointments.

Missed Dose

If you miss a dose, then as soon as you remember, take it. If it is near the next dose time, then leave the thesis supplement and start your normal dose program again. Do not double the dose to catch up.

Storage

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Until instructed not to do so, do not flush the medicines in the toilet and do not drain in the drain. When this period expires or does not need it, then properly release this product. Consult your pharmacist or local waste disposal company.

Disclaimer: DrLinex has made every effort to ensure that all information is factually accurate, comprehensive and up-to-date. However, this article should not be used as a licensed health care professional’s choice of knowledge and expertise. You should always consult your doctor or other health care professional before taking any medication. The information given here is subject to change and it has not been used to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions or adverse effects. The lack of warning or other information for any drug does not indicate that the combination of medicine or medication is safe, effective or appropriate for all patients or all specific uses.