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fluvoxaMINE Maleate

Fluvoxamine Maleate is a selective serotonin reuptake inhibitor (SSRI) used to treat obsessive-compulsive disorder (OCD) and social anxiety disorder in adults and pediatric patients. It works by increasing the levels of serotonin, a neurotransmitter, in the brain, which helps to improve mood and reduce symptoms associated with these disorders. Fluvoxamine is effective in reducing the frequency and intensity of obsessive thoughts and compulsive behaviors, as well as improving social interactions.



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Frequently Asked Questions

How long does it take for Fluvoxamine to start working?
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It may take several weeks (usually 4-6 weeks) to feel the full effects of Fluvoxamine. It's important to continue taking it as prescribed even if you don’t notice immediate improvement.

Can Fluvoxamine be taken with other medications?
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Fluvoxamine can interact with various medications. Always inform your healthcare provider about all other medications you are taking to avoid potential interactions.

What should I do if I miss a dose?
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If you miss a dose, take it as soon as you remember. If it's close to your next dose, skip the missed dose. Do not take two doses at once to make up for the missed dose.

Are there any dietary restrictions while taking Fluvoxamine?
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There are no specific dietary restrictions, but maintaining a balanced diet may help manage any gastrointestinal side effects.

What should I do if I experience severe side effects?
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Contact your healthcare provider immediately if you experience severe side effects such as suicidal thoughts, severe allergic reactions, or signs of serotonin syndrome.

Comprehensive Drug Guide

How Does fluvoxaMINE Maleate Work?

Fluvoxamine Maleate works by selectively inhibiting the reuptake of serotonin in the brain. This inhibition increases serotonin levels in the synaptic cleft, enhancing serotoninergic neurotransmission. This action helps to alleviate symptoms of OCD and social anxiety by improving mood and reducing anxiety.



Common Dosages

  • For OCD: Start with 50 mg orally once daily, which may be increased by 50 mg per week up to a maximum of 300 mg per day, depending on response and tolerability.
  • For Social Anxiety Disorder: Start with 25 mg orally once daily, which may be increased by 25 mg per week up to a maximum of 300 mg per day.

Typical Dosing

FDA Approved Indications

  • Obsessive-Compulsive Disorder (OCD)
  • Social Anxiety Disorder


Who Shouldn't Take fluvoxaMINE Maleate?

  • Hypersensitivity: Patients with known hypersensitivity to fluvoxamine or any of its components.
  • MAO Inhibitors: Use in conjunction with monoamine oxidase inhibitors (MAOIs) or within 14 days of discontinuing MAOIs.

Advice From The Pharmacist

  • How to Take: Take Fluvoxamine Maleate exactly as prescribed. It can be taken with or without food. Swallow tablets whole; do not crush or chew.
  • Interactions: Inform your healthcare provider about all medications you are taking, including over-the-counter drugs and supplements, as interactions can occur.
  • Alcohol: Limit alcohol consumption while taking this medication, as it can increase side effects.
  • Missed Dose: If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose. Do not double up to make up for a missed dose.

Side Effects of fluvoxaMINE Maleate

Common Side Effects

Nausea, headache, dizziness, drowsiness, insomnia, dry mouth, and gastrointestinal upset.

Uncommon/Severe Side Effects

Suicidal thoughts, serotonin syndrome (symptoms include agitation, hallucination, coma, and hyperthermia), severe allergic reactions, and abnormal bleeding.

Risks and Warnings of fluvoxaMINE Maleate

  • Suicidal Thoughts: SSRIs, including fluvoxamine, may increase the risk of suicidal thoughts or behavior in children, adolescents, and young adults.
  • Serotonin Syndrome: Risk of serotonin syndrome when combined with other serotonergic drugs or in overdose.
  • Drug Interactions: Potential interactions with other medications, particularly those affecting serotonin levels or liver metabolism.

Interactions with fluvoxaMINE Maleate

Common Drug Interactions

  • Drug Interactions: Caution when used with other SSRIs, MAO inhibitors, or drugs that affect serotonin levels (e.g., triptans). Potential interactions with anticoagulants and drugs that affect liver enzymes.
  • Food Interactions: No specific food interactions, but maintain consistent dietary habits to avoid gastrointestinal issues.

Alternatives to fluvoxaMINE Maleate

  • Other SSRIs: Such as sertraline, fluoxetine, or escitalopram.
  • SNRIs: Venlafaxine or duloxetine for anxiety or depression.
  • Other Antidepressants: Such as bupropion or mirtazapine.