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This page was prepared by Lynn Kash, RN, Internet Nursing Guide
Pennsylvania Nurses,Emergency Department
http://www.emergencyroomnursing.com/

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Fluvoxamine, When should I be careful taking it, DrugDigest.org:"Before taking fluvoxamine, tell your doctor and pharmacist if you are allergic to fluvoxamine or any other drugs. Tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially MAO inhibitors as phenelzine (Nardil) or tranylcypromine (Parnate) even if you stopped taking them in the last 2 weeks, anticoagulants ("blood thinners") such as warfarin (Coumadin), astemizole (Hismanal), buspirone (Buspar), carbamazepine (Tegretol), cisapride (Propulsid), clozapine (Clozaril), cyclosporine, dextromethorphan, diltiazem (Cardizem), haloperidol (Haldol), heart medications, lithium, medications for anxiety and depression, methadone, sumatriptan (Imitrex), terfenadine (Seldane), theophylline (TheoDur), L-tryptophan, and vitamins. Tell your doctor if you have or have ever had heart, kidney, or liver disease; or a history of depression or mania; seizures; or a history of drug or alcohol abuse. Tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking fluvoxamine, call your doctor. If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking fluvoxamine. You should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you. Remember that alcohol can add to the drowsiness caused by this drug. Tell your doctor if you use tobacco products. Cigarette smoking may decrease the effectiveness of this drug. Plan to avoid unnecessary or prolonged exposure to sunlight and to wear protective clothing, sunglasses, and sunscreen. Fluvoxamine may make your skin sensitive to sunlight."
Expresscripts.com
Burstyn, Lance
521 Alton Rd #208, Miami Beach, FL 33140, US
http://www.drugdigest.org/

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Fluvoxamine Maleate, Possible side effects, Drugstore.com:"SIDE EFFECTS, that may go away during treatment, include nervousness, trouble sleeping, headache, drowsiness, fatigue, nausea, vomiting, diarrhea, loss of appetite, dry mouth, sweating, dizziness, lightheadedness, or changes in sexual function. If they continue or are bothersome, check with your doctor. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist."
DrugStore.com
407 Heron Drive, Swedesboro, NJ 08085-9810
1-800-378-4786
http://www.drugstore.com/

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Fluvoxamine Maleate, Why is this drug prescribed, HealthSquare.com:"Fluvoxamine is prescribed for obsessive-compulsive disorder. An obsession is marked by continual, unwanted thoughts that prevent proper functioning in everyday living. Compulsive behavior is typified by ritualistic actions such as repetitious washing, repeating certain phrases, completing steps in a process over and over, counting and recounting, checking and rechecking to make sure that something has not been forgotten, excessive neatness, and hoarding of useless items."
HealthSquare.com
68 East Main St
Somerville, NJ 08876
E-mail: comments@healthsquare.com
http://www.healthsquare.com/

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Fluvoxamine, Drug Interactions, MedicineNet.com:"All SSRIs (selective serotonin reuptake inhibitors), including fluvoxamine, should not be taken with any of the MAO (mono-amine oxidase) inhibitor-class of antidepressants, for example, isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), and procarbazine (Matulane). Such combinations may lead to confusion, high blood pressure, tremor and increased activity. This same type of interaction also may occur with selegiline (Eldepryl), fenfluramine (Pondimin), and dexfenfluramine (Redux). Fluvoxamine can inhibit the rate of metabolism of astemizole (Hismanal). This can theoretically can lead to dangerous heart arrythmias. Terfenadine (Seldane) is metabolized in the same way as astemizole. Thus, fluvoxamine should not be used with these two antihistamines. Fluvoxamine also can inhibit the metabolism of clozapine (Clozaril), necessitating dosage reductions of clozapine. Fluvoxamine also inhibits theophylline (Theodur, Slobid, Uniphyl) metabolism, sometimes leading to toxicity (e.g. nausea, vomiting). Other drugs which may be similarly affected include warfarin (Coumadin), alprazolam (Xanax), and triazolam (Halcion)."
MedicineNet, Inc.
903 Calle Amanecer, Suite 300 San Clemente, CA 92673
Telephone: 949.940.6500 Fax: 949.940.1094, smartservice@medicinenet.com
http://www.medicinenet.com/

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Fluvoxamine, How should this medicine be used, MEDLINEplus:"Fluvoxamine comes as a tablet to take by mouth. It usually is taken either once daily at bedtime or twice daily, once in the morning and once at bedtime. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take fluvoxamine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Continue to take fluvoxamine even if you feel well. Do not stop taking fluvoxamine without talking to your doctor, especially if you have taken large doses for a long time. Your doctor probably will decrease your dose gradually. This drug must be taken regularly for a few weeks before its full effect is felt."
Office of Communications and Public Liaison
National Library of Medicine
8600 Rockville Pike Bethesda, Maryland 20894
Phone: (301) 496-6308 Fax: (301) 496-4450 email: publicinfo@nlm.nih.gov
http://www.nlm.nih.gov/medlineplus/

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Luvox, Most important fact about this drug, PDR Health:"Before starting therapy with Luvox, be sure your doctor knows what medications you are taking--both prescription and over-the-counter--since combining Luvox with certain drugs may cause serious or even life-threatening effects. You should never take Luvox with thioridazine (Mellaril) or pimozide (Orap). You should also avoid taking Luvox within 14 days of taking any antidepressant drug classified as an MAO inhibitor, including Nardil and Parnate."
Thomson Healthcare,
5 Paragon Drive, Montvale, NJ, 07645, US
hostmaster@MEDEC.COM
http://www.gettingwell.com/drug

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Fluvoxamine, Dosage, RxList.com:"The recommended starting dose for LUVOX Tablets in adult patients is 50 mg, administered as a single daily dose at bed time. In the controlled clinical trials establishing the effectiveness of LUVOX Tablets in OCD, patients were titrated with in a dose range of 100 to 300 mg/day. Consequently, the dose should be increased in 50 mg increments every 4 to 7 days, as tolerated, until maximum therapeutic benefit is achieved, not to exceed 300 mg per day. It is advisable that a total daily dose of more than 100 mg should be given in two divided doses. If the doses are not equal, the larger dose should be given at bedtime."
RxList - The Internet Drug Index: Searchable drug database. RxList LLC
500 3rd Street Suite 530
San Francisco, CA 94107
707-747-0985 fax: 708 575 8638
info@rxlist.com
http://www.rxlist.com/

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Fluvoxamine, What do I do if I miss a dose, USAdrug.com:"Take a missed dose as soon as possible. If it is almost time for the next dose, skip the missed one. Return to your regular schedule. Do not change dose or stop taking medicine without talking with healthcare provider. Do not take a double dose or extra doses."
Customer Service
USA Drug Corporate Office
3017 N. Midland, Pine Bluff, AR 71603
870-535-2411 E-mail: customerservice@usadrug.com
http://www.usadrug.com/

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Fluvoxamine Maleate, Stopping the Drug, WholeHealthMd.com:"Take it as prescribed for the full treatment period, even if you begin to feel better before the scheduled end of therapy. Discontinuing the drug abruptly may produce unpleasant withdrawal symptoms. Dosage should be reduced gradually according to your doctor's instructions.

Prolonged Use: Consult your doctor about the need for follow-up evaluation and tests if you must take this drug for an extended period."
WholeHealthMD LLC
11150 Sunset Hills Road, Suite 210, Reston, VA 20190.
http://www.wholehealthmd.com/

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