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In the U.S.-
Fluvoxamine (floo-VOX-a-meen ) is used to treat obsessive-compulsive disorder.
This medicine may also be used for other conditions as determined by your doctor.
Fluvoxamine belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). These medicines are thought to work by increasing the activity of a chemical called serotonin in the brain.
This medicine is available only with your doctor's prescription, in the following dosage form:
Before Using This Medicine
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For fluvoxamine, the following should be considered:
Allergies- Tell your doctor if you have ever had any unusual or allergic reaction to fluvoxamine. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.
Pregnancy- Fluvoxamine has not been studied in pregnant women. However, studies in animals have shown that fluvoxamine may cause lower survival rates in offspring when given to the mother in doses less than the maximum recommended human dose. Before taking this medicine, make sure your doctor knows if you are pregnant or if you may become pregnant.
Breast-feeding- Fluvoxamine passes into breast milk. However, the effects of this medicine in nursing babies are not known.
Children- This medicine has been tested in children and, in effective doses, has not been shown to cause different side effects or problems than it does in adults. Because fluvoxamine may cause weight loss or a decrease in appetite, children who will be taking fluvoxamine for a long time should have their weight and growth measured by the doctor regularly.
Fluvoxamine must be used with caution in children with depression. Studies have shown occurrences of children thinking about suicide or attempting suicide in clinical trials for this medicine. More study is needed to be sure fluvoxamine is safe and effective in children.
Older adults- Fluvoxamine has been tested in a limited number of older adults and has not been shown to cause different side effects or problems in older people than it does in younger adults. However, fluvoxamine may be removed from the body more slowly in older adults and an older adult may receive a lower dose than a younger adult.
Other medicines- Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking fluvoxamine, it is especially important that your doctor and pharmacist know if you are taking any of the following:
Other medical problems- The presence of other medical problems may affect the use of fluvoxamine. Make sure you tell your doctor if you have any other medical problems, especially:
Proper Use of This Medicine
Take this medicine only as directed by your doctor to benefit your condition as much as possible. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.
Fluvoxamine may be taken with or without food or on a full or empty stomach. However, if your doctor tells you to take the medicine a certain way, take it exactly as directed.
If you are taking fluvoxamine for obsessive-compulsive disorder, you may have to take it for up to 10 or 12 weeks before you begin to feel better . Your doctor should check your progress at regular visits during this time.
The dose of fluvoxamine will be different for different patients. Follow your doctor's orders or the directions on the label . The following information includes only the average doses of fluvoxamine. If your dose is different, do not change it unless your doctor tells you to do so.
The number of tablets that you take depends on the strength of the medicine.
If you miss a dose of fluvoxamine and your dosing schedule is:
To store this medicine:
Precautions While Using This Medicine
It is important that your doctor check your progress at regular visits , to allow for changes in your dose and to help reduce any side effects.
Do not take astemizole, cisapride, or terfenadine while you are taking fluvoxamine . If you do, you may develop a very serious heart problem.
Do not take fluvoxamine if you have taken a monoamine oxidase (MAO) inhibitor in the past 14 days. Do not start taking an MAO inhibitor within 14 days of stopping fluvoxamine . If you do, you may develop agitation, coma, extreme muscle stiffness, sudden high body temperature, or other severe unwanted effects.
Avoid drinking alcohol while taking fluvoxamine.
Check with your doctor as soon as possible if you develop a skin rash, hives, or itching while you are taking fluvoxamine.
Fluvoxamine may cause some people to become drowsy or less able to think clearly, or to have blurred vision or poor muscle control. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are not alert, able to see clearly, or able to control your movements well .
Do not stop taking this medicine without first checking with your doctor. Your doctor may want you to reduce gradually the amount you are taking before stopping completely. This is to decrease the chance of having discontinuation symptoms.
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:
After you stop using this medicine, your body may need time to adjust. The length of time this takes depends on the amount of medicine you were using and how long you used it. During this period of time check with your doctor if you notice any of the following side effects:
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although this use is not included in product labeling, fluvoxamine is used in certain patients with the following medical condition:
If you are taking fluvoxamine for mental depression, you may have to take it for 3 weeks or longer before you begin to feel better . Your doctor should check your progress at regular visits during this time.
Other than the above information, there is no additional information relating to proper use, precautions, or side effects for this use.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT