Fluvoxamine is primarily used for the management of obsessive-compulsive disorder (OCD) and is part of the selective serotonin reuptake inhibitors (SSRIs) group of medicines.
It also has secondary applications in managing conditions such as social anxiety disorder, panic disorder, and sometimes major depressive disorder.
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Fluvoxamine belongs to the Selective Serotonin Reuptake Inhibitor (SSRI) group of medicines.
It functions by increasing the amount of serotonin, a chemical messenger that helps send signals to the brain. Serotonin plays a vital role in regulating mood, social behaviour, and digestion. It blocks the reabsorption (or reuptake) of serotonin in the brain. This action makes more serotonin available to transmit messages between nerve cells. By enhancing serotonin levels, Fluvoxamine aids in stabilising mood and reducing symptoms of obsessive-compulsive disorder (OCD).
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Fluvoxamine is available in tablet form for oral administration.
Fluvoxamine can be used in adults and children. Girls aged 8 to 11 years may need lower doses than boys and adolescents.
Fluvoxamine is contraindicated in patients who are currently taking monoamine oxidase inhibitors (MAOIs), thioridazine, pimozide, alosetron, and tizanidine due to possible dangerous medicine interactions. Patients having a known allergy to any component of fluvoxamine should also avoid this medication.
Fluvoxamine may interact with antipsychotics (e.g., clozapine), benzodiazepines (e.g., alprazolam), and migraine medications (e.g., sumatriptan, methadone).
Overdose of Fluvoxamine could lead to serious side effects like fever, excessive sweating, tremors, rapid heart rate or low blood pressure. If an overdose is suspected, seek immediate medical attention.
If a dose of fluvoxamine is missed, it should be taken as soon as it is remembered. However, if the time for the next dose is near, skip the missed dose and continue with the regular dosing schedule. Doubling up on doses should be avoided.
Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
Drinking plenty of water may help manage some side effects like dry mouth and constipation.
Rest and sleep may help manage side effects like drowsiness and weakness.
Fluvoxamine may cause dizziness or drowsiness. If you feel dizzy or sleepy after taking this medication, it is advised to avoid driving or operating heavy machinery.
The use of fluvoxamine during pregnancy should be discussed with a doctor, as it may cause withdrawal symptoms in the newborn if used during pregnancy. It is not recommended during breastfeeding.
Patients with a history of bipolar disorder, seizures, liver or kidney problems should exercise caution when taking Fluvoxamine. Elderly patients may also need to be more careful, as they may be more sensitive to its effects.
Monitor caffeine intake to avoid exacerbating anxiety or insomnia.
Avoid grapefruit or its juice, as it can interfere with fluvoxamine metabolism.
Monitor weight regularly, as fluvoxamine may affect appetite or weight.
Frequently asked questions
Yes, Fluvoxamine can influence sleep patterns, causing insomnia or drowsiness in some patients, though reactions vary among individuals. Consult your doctor if you have any concerns regarding your sleep.
Fluvoxamine is not known to affect fertility. If you are planning a family or have concerns about this, it is best to consult your doctor for professional advice.
The duration and dosage should be strictly followed as recommended by your doctor.
Fluvoxamine may take several weeks to show improvement in symptoms, so patience and consistent use as prescribed are essential.
Fluvoxamine can be taken at any time of the day, with or without food. However, your doctor can provide specific instructions based on your medical condition and individual needs.
The duration of treatment with Fluvoxamine varies based on the medical condition being managed and the individual's response to therapy. However, it is important to continue the medication for the entire prescribed duration even if symptoms improve to prevent any relapse.
Fluvoxamine is a prescription medicine and is not available over the counter.
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