Generic Name: fluvoxamine (floo-VOX-a-meen)
Brand Name: Generic only. No brands available.
Antidepressants may increase the risk of suicidal thoughts or actions in children, teenagers, and young adults. However, depression and certain other mental problems may also increase the risk of suicide. Talk with the patient's doctor to be sure that the benefits of using fluvoxamine outweigh the risks.
Families and caregivers must closely watch patients who take fluvoxamine. It is important to keep in close contact with the patient's doctor. Tell the doctor right away if the patient has symptoms like worsened depression, suicidal thoughts, or changes in behavior. Discuss any questions with the patient's doctor.
Fluvoxamine is not approved for use in all children. If fluvoxamine is prescribed for your child, talk with the doctor to be sure that fluvoxamine is right for your child.
Fluvoxamine is used for:
Treating obsessive-compulsive disorder (OCD). It may also be used for other conditions as determined by your doctor.
Fluvoxamine is a selective serotonin reuptake inhibitor (SSRI). It works by restoring the balance of serotonin, a natural substance in the brain, which helps to decrease obsessive or compulsive behavior.
Do NOT use fluvoxamine if:
- you are allergic to any ingredient in fluvoxamine
- you have uncontrolled seizure problems
- you are taking or have taken linezolid, a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), or St. John's wort within the last 14 days
- you are taking alosetron, cisapride, a fenfluramine derivative (eg, dexfenfluramine), nefazodone, pimozide, ramelteon, sibutramine, thioridazine, or tizanidine
- you are taking another medicine that contains fluvoxamine
Contact your doctor or health care provider right away if any of these apply to you.
Before using fluvoxamine:
Some medical conditions may interact with fluvoxamine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you or a family member has a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
- if you have a history of seizures, stroke, high blood pressure, heart problems, liver or kidney problems, stomach or bowel bleeding, diabetes, blood or bone marrow problems, or metabolism problems
- if you are dehydrated, have low blood sodium levels, or drink alcohol or smoke
- if you will be having electroconvulsive therapy (ECT)
- if you are taking medicine for depression or any other mental or mood problem
- if you are taking a medicine that contains methylene blue
Some MEDICINES MAY INTERACT with fluvoxamine. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Anorexiants (eg, phentermine), buspirone, fenfluramine derivatives (eg, dexfenfluramine), fentanyl, linezolid, lithium, MAOIs (eg, phenelzine), medicines for mental problems (eg, quetiapine), metoclopramide, nefazodone, quinidine, rasagiline, selegiline, serotonin 5-HT1 receptor agonists (eg, sumatriptan), sibutramine, St. John's wort, trazodone, or tryptophan because severe side effects, such as a reaction that may include fever, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
- Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of bleeding, including stomach bleeding, may be increased
- Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood sodium levels may be increased
- Tramadol because the risk of seizures may be increased
- Cisapride, phenothiazines (eg, chlorpromazine, thioridazine), or pimozide because severe heart problems, including irregular heartbeat, may occur
- Cyproheptadine because it may decrease fluvoxamine's effectiveness
- Alosetron, aripiprazole, benzodiazepines (eg, alprazolam, diazepam), beta-blockers (eg, metoprolol, propranolol), carbamazepine, clozapine, diltiazem, methadone, mexiletine, omeprazole, phenytoin, ramelteon, risperidone, serotonin-norepinephrine reuptake inhibitors (SNRIs) (eg, venlafaxine), tacrine, theophylline, tizanidine, or tricyclic antidepressants (eg, amitriptyline) because the risk of their side effects may be increased by fluvoxamine
This may not be a complete list of all interactions that may occur. Ask your health care provider if fluvoxamine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use fluvoxamine:
Use fluvoxamine as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Fluvoxamine comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get fluvoxamine refilled.
- Take fluvoxamine by mouth with or without food.
- Taking fluvoxamine at the same time each day will help you remember to take it.
- Continue to take fluvoxamine even if you feel well. Do not miss any doses.
- Do not suddenly stop taking fluvoxamine without checking with your doctor. Side effects may occur. They may include mental or mood changes, numbness or tingling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual tiredness. You will be closely monitored when you start fluvoxamine and whenever a change in dose is made.
- If you miss a dose of fluvoxamine, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use fluvoxamine.
Important safety information:
- Fluvoxamine may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use fluvoxamine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Do not drink alcohol while you are using fluvoxamine.
- Check with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using fluvoxamine; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
- Several weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, change your dose, or use fluvoxamine for longer than prescribed without checking with your doctor.
- Children, teenagers, and young adults who take fluvoxamine may be at increased risk of suicidal thoughts or actions. Watch patients who take fluvoxamine closely. Contact the doctor at once if new, worsened, or sudden symptoms, such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior, occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.
- If your doctor tells you to stop taking fluvoxamine, you will need to wait for several weeks before beginning to take certain other medicines (eg, MAOIs, nefazodone). Ask your doctor when you should start to take your new medicines after you have stopped taking fluvoxamine.
- Serotonin syndrome is a possibly fatal syndrome that can be caused by fluvoxamine. Your risk may be greater if you take fluvoxamine with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor at once if you have any of these symptoms.
- Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that can rarely be caused by fluvoxamine. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once if you have any of these symptoms.
- Fluvoxamine may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
- Caution is advised when using fluvoxamine in the ELDERLY; they may be more sensitive to its effects, especially low blood sodium levels.
- Caution is advised when using fluvoxamine in CHILDREN; they may be more sensitive to its effects, especially increased risk of suicidal thoughts or actions.
- Fluvoxamine should be used with extreme caution in CHILDREN younger than 8 years old; safety and effectiveness in these children have not been confirmed.
- Fluvoxamine may cause weight changes. CHILDREN and teenagers may need regular weight and growth checks while they take fluvoxamine.
- PREGNANCY and BREAST-FEEDING: Fluvoxamine may cause harm to the fetus if it is taken during the last 3 months of pregnancy. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking fluvoxamine while you are pregnant. Fluvoxamine is found in breast milk. Do not breast-feed while taking fluvoxamine.
Possible side effects of fluvoxamine:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Constipation; decreased sexual desire or ability; diarrhea; dizziness; drowsiness; dry mouth; gas; headache; increased sweating; loss of appetite; nausea; nervousness; stomach upset; stuffy nose; taste changes; trouble sleeping; vomiting; weakness; yawning.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bizarre behavior; black or bloody stools; chest pain; confusion; decreased concentration; decreased coordination; exaggerated reflexes; fainting; fast or irregular heartbeat; fever; hallucinations; memory problems; new or worsening agitation, anxiety, depression, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still; painful or unusually heavy menstrual periods; persistent, painful erection; red, swollen, blistered, or peeling skin; seizures; severe or persistent headache or trouble sleeping; stiff muscles; stomach pain; suicidal thoughts or attempts; tremor; unusual bruising or bleeding; unusual or severe mental or mood changes; unusual swelling; unusual weakness; vision changes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include chest pain; coma; fast, slow, or irregular heartbeat; seizures; severe or persistent dizziness, drowsiness, diarrhea, nausea, or vomiting; tremor; trouble breathing.Proper storage of fluvoxamine:
Store fluvoxamine at room temperature between 59 and 86 degrees F (15 and 30 degrees C) in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep fluvoxamine out of the reach of children and away from pets.
- If you have any questions about fluvoxamine, please talk with your doctor, pharmacist, or other health care provider.
- Fluvoxamine is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take fluvoxamine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about fluvoxamine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to fluvoxamine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using fluvoxamine.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.