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fluvoxaMINE Maleate ER
Fluvoxamine Maleate ER is an extended-release selective serotonin reuptake inhibitor (SSRI) primarily used to treat obsessive-compulsive disorder (OCD) and social anxiety disorder. By increasing the levels of serotonin in the brain, fluvoxamine helps to regulate mood, reduce obsessive thoughts, and manage compulsive behaviors. It is often prescribed for long-term treatment of these mental health conditions.
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Frequently Asked Questions
How long does it take for Fluvoxamine Maleate ER to work?
It may take 4 to 6 weeks for you to experience the full effects of Fluvoxamine Maleate ER, though some improvements may be noticed earlier.
Can I drink alcohol while taking Fluvoxamine Maleate ER?
It is generally recommended to avoid alcohol while taking fluvoxamine, as it can increase the risk of side effects like drowsiness and dizziness.
What should I do if I miss a dose?
If you miss a dose, take it as soon as you remember. If it’s close to your next dose, skip the missed dose and continue with your regular schedule. Do not double up doses.
Can Fluvoxamine Maleate ER cause weight gain?
Some patients may experience weight changes (either gain or loss) while taking fluvoxamine. It varies from person to person.
Is Fluvoxamine Maleate ER safe for long-term use?
Yes, Fluvoxamine Maleate ER is generally safe for long-term use when taken as prescribed. Regular monitoring by your healthcare provider is essential to assess its ongoing effectiveness and any potential side effects.
Can I stop taking Fluvoxamine Maleate ER if I feel better?
No, do not stop taking fluvoxamine suddenly, even if you feel better. Always consult your doctor before discontinuing the medication to avoid withdrawal symptoms.
Comprehensive Drug Guide
How Does fluvoxaMINE Maleate ER Work?
Fluvoxamine works by inhibiting the reuptake of serotonin in the brain, a neurotransmitter that affects mood, emotion, and behavior. By preventing the reabsorption of serotonin into nerve cells, fluvoxamine increases its availability in the brain, which helps to improve mood and reduce symptoms of OCD and anxiety.
Common Dosages
- For OCD: Initial dose of 100 mg once daily, usually at bedtime. The dose may be increased gradually to a maximum of 300 mg daily.
- For Social Anxiety Disorder: Initial dose of 100 mg once daily, with gradual increases based on patient response and tolerability.
Typical Dosing
FDA Approved Indications
- Obsessive-Compulsive Disorder (OCD): To reduce obsessive thoughts and compulsive behaviors.
- Social Anxiety Disorder: To help manage symptoms of extreme fear or anxiety in social situations.
Who Shouldn't Take fluvoxaMINE Maleate ER?
- Hypersensitivity to fluvoxamine or any components of the formulation.
- Concurrent use of monoamine oxidase inhibitors (MAOIs) or within 14 days of stopping an MAOI.
- Severe liver disease, as this can affect the metabolism of the medication.
Advice From The Pharmacist
- Take Fluvoxamine Maleate ER as prescribed, usually once daily at bedtime. It may take 4 to 6 weeks before you notice the full benefits of the medication.
- Do not stop taking fluvoxamine suddenly, as this may lead to withdrawal symptoms such as irritability, dizziness, and sleep disturbances. Your doctor will guide you on how to taper off the medication if needed.
- Avoid alcohol while taking fluvoxamine, as it can increase the risk of side effects like drowsiness and dizziness.
- Take with or without food. If you experience stomach upset, taking the medication with food may help.
- Report any worsening symptoms of depression, anxiety, or suicidal thoughts to your doctor, especially when starting the medication or adjusting the dose.
Side Effects of fluvoxaMINE Maleate ER
Common Side Effects
- Nausea
- Drowsiness or insomnia
- Dry mouth
- Increased sweating
- Headache
- Dizziness
Uncommon/Severe Side Effects
- Serotonin syndrome (symptoms include confusion, agitation, rapid heart rate, and high blood pressure)
- Severe allergic reactions (rash, swelling, difficulty breathing)
- Suicidal thoughts or behavior, particularly in young adults and children
- Liver problems, including yellowing of the skin or eyes (jaundice)
Risks and Warnings of fluvoxaMINE Maleate ER
- Suicidal Thoughts: SSRIs, including fluvoxamine, may increase the risk of suicidal thoughts and behaviors, particularly in adolescents and young adults. Monitor closely for any changes in mood or behavior.
- Serotonin Syndrome: Taking fluvoxamine with other medications that affect serotonin levels, such as MAOIs, tricyclic antidepressants, or triptans, can increase the risk of serotonin syndrome, a potentially life-threatening condition.
- Withdrawal Symptoms: Stopping fluvoxamine suddenly can lead to withdrawal symptoms such as irritability, dizziness, nausea, and anxiety. It is important to taper the medication under the guidance of a healthcare provider.
Interactions with fluvoxaMINE Maleate ER
Common Drug Interactions
- Monoamine Oxidase Inhibitors (MAOIs): Fluvoxamine should not be taken with MAOIs due to the risk of serotonin syndrome.
- Other SSRIs or SNRIs: Combining fluvoxamine with other serotonergic agents can increase the risk of serotonin syndrome.
- Blood thinners: Fluvoxamine may increase the risk of bleeding when taken with anticoagulants like warfarin or aspirin.
- Caffeine: Fluvoxamine can increase the effects of caffeine, leading to increased nervousness or jitteriness.
Alternatives to fluvoxaMINE Maleate ER
- Sertraline (Zoloft): Another SSRI commonly used to treat OCD and anxiety disorders.
- Paroxetine (Paxil): An SSRI used for treating social anxiety disorder, OCD, and other anxiety-related conditions.
- Clomipramine (Anafranil): A tricyclic antidepressant also used to treat OCD.
- Cognitive-behavioral therapy (CBT): A non-pharmacological treatment that is effective for OCD and social anxiety disorder.
