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Fluvoxamine
|
About fluvoxamine
| Type of medicine | Antidepressant: Selective Serotonin Reuptake Inhibitor (SSRI) |
| Used for | Depression Obsessive compulsive disorder (OCD) - an urge to continually repeat the same actions |
| Also called | Faverin |
| Available as | Tablets |
Fluvoxamine works by preventing serotonin from being taken back into the nerve cells in the brain. This helps prolong the mood lightening effect of any released serotonin. In this way, fluvoxamine helps relieve depression. It is not known how it relieves obsessive compulsive disorder.
Before taking fluvoxamine
Before taking fluvoxamine make sure your doctor or pharmacist knows:
- If you are pregnant, trying for a baby or breast-feeding.
- If you are taking antidepressants known as monoamine oxidase inhibitors (MAOIs).
- If you have ever had feelings of self-harm.
- If you have liver of kidney problems.
- If you suffer from diabetes mellitus.
- If you suffer from epilepsy.
- If you suffer from bleeding disorders.
- If you are being treated with electroconvulsive therapy (ECT) .
- If you suffer from mania (over-active and excitable behaviour).
How to take fluvoxamine
- Generally, the dose is taken once daily, in the evening.
- If you are being treated for depression you should stay on treatment for at least 6 months.
- Fluvoxamine is used in children to treat obsessive compulsive disorder, not depression.
Getting the most from your treatment
- It may take between two to four weeks for the benefits of this medicine to appear, so it is very important that you keep taking it, even if it doesn't seem to make much difference at first.
- If you feel your depression has got worse, or if you have any distressing thoughts or feelings in these first few weeks, then you should talk to your doctor.
- You should not suddenly stop taking this medicine, as this can cause withdrawal symptoms such as dizziness, sleep disturbances (including intense dreams), feeling sick, headache, a feeling of weakness, pins and needles and anxiety. Withdrawal symptoms are temporary and are not due to addiction or dependence on the medicine. They can usually be avoided by stopping the medicine gradually, usually over a period of weeks or months, depending on your individual situation. Follow the instructions given by your doctor when it is time to stop treatment with this medicine.
- If you experience feelings of drowsiness, confusion, muscle twitching or fits, see your doctor so that your blood sodium level can be checked if necessary to rule out hyponatraemia (low levels of sodium in your blood).
Can fluvoxamine cause problems
Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.
| Common side-effects - these affect less than 1 in 10 people who take this medicine | What can I do if I experience this |
| Feeling or being sick | Eat little and often. Stick to simple foods such as dry toast. If you are sick, drink plenty of liquid. |
| Headache | Ask your pharmacist to recommend a suitable pain-killer. |
| Dry mouth | Try chewing sugar-free gum, or sucking pieces of ice or sugar-free sweets. |
| Dizziness, sleepiness | Make sure your reactions are normal before driving, operating machinery or doing any other jobs which could be dangerous if you were not fully alert. Avoid alcohol; it will increase any feelings of drowsiness. |
| Tremor, palpitations, difficulty sleeping | Avoid large amounts of caffeine (in tea, coffee, coca cola, etc) while taking this medicine as fluvoxamine can increase your blood level of caffeine therefore making these side effects worse. |
| Diarrhoea | Drink plenty of water to replace lost fluids. |
How to store fluvoxamine
- Keep all medicines out of the reach of children.
- Store in a cool, dry place, away from direct heat and light.
Important information about all medicines
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| © EMIS 2007 | DocID: 1419 |
DocRef: dils2536 |
Last Updated: 2 Feb 2007 |
Date of Next Review: 1 Feb 2009 |
Version: 22 |
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