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Luvox (fluvoxamine maleate)

Indications

Luvox is used to treat the following conditions:

• Obsessive-Compulsive Disorder (OCD): Helps reduce unwanted thoughts and repetitive behaviors.
• Social Anxiety Disorder (SAD): Reduces fear, anxiety, and avoidance of social situations.

Dosage and Administration

• Take Luvox exactly as prescribed by your doctor.
• Swallow tablets whole with water, with or without food.
• Take your doses at the same time each day to maintain an even level of the medication in your body.
• If a dose is missed, take it as soon as you remember unless it’s almost time for the next dose.
• Do not crush, chew, or split the tablets.
• Do not take more than the prescribed dose.
• Do not abruptly stop taking Luvox without consulting your doctor, as it may cause withdrawal symptoms.
• Avoid alcohol while taking this medication, as it can increase side effects.

Mechanism of Action

Fluvoxamine Maleate is a selective serotonin reuptake inhibitor (SSRI). It works by increasing the levels of serotonin, a natural substance in the brain that helps maintain mental balance. This helps alleviate symptoms of OCD and social anxiety disorder by improving mood and reducing anxiety.

Contraindications

• Allergy to Fluvoxamine: Do not use it if you have a known hypersensitivity to fluvoxamine or any of the inactive ingredients in the tablets.
• Concurrent Use with MAO Inhibitors: Avoid taking Luvox if you are using or have recently used monoamine oxidase inhibitors (MAOIs).
• Severe Liver Disease: Not recommended for patients with severe liver impairment.
• Use with Tizanidine: Do not take Luvox with tizanidine due to the risk of severe side effects.

Side Effects

Common Side Effects

• Nausea
• Drowsiness
• Dry mouth
• Insomnia
• Headache
• Dizziness

Serious Side Effects

• Severe allergic reactions (rash, itching, swelling)
• Serotonin syndrome (agitation, hallucinations, rapid heartbeat, fever)
• Severe dizziness or fainting
• Unusual bleeding or bruising
• Seizures
• Worsening depression or suicidal thoughts

Precautions

• Inform Your Doctor About All Medications: Ensure your doctor knows about all the medications and supplements you are taking to avoid interactions.
• Monitor for Mood Changes: Be aware of any changes in mood, behavior, thoughts, or feelings, and report these to your doctor immediately.
• Pregnancy and Breastfeeding: Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
• Avoid Operating Heavy Machinery: Until you know how Luvox affects you, avoid driving or operating heavy machinery.
• Alcohol Use: Limit or avoid alcohol consumption, as it can increase the risk of side effects.

Storage Instructions

• Store at room temperature, between 20°C to 25°C (68°F to 77°F).
• Protect from light and moisture.
• Keep in the original packaging until ready to use.
• Keep out of reach of children and pets.

References

https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/022235lbl.pdf