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Before Using
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:
Allergies
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Pediatric
Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of fluvoxamine tablets in children 8 to 17 years of age. Because fluvoxamine may cause weight loss or a decrease in appetite, children who will be taking fluvoxamine for a long time should have their weight and growth measured by the doctor regularly.
Appropriate studies have not been performed on the relationship of age to the effects of fluvoxamine extended-release capsules in the pediatric population. Safety and efficacy have not been established.
Geriatric
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of fluvoxamine in the elderly. However, elderly patients are more likely to have hyponatremia (low sodium in the blood) and liver problems, which may require an adjustment in the dose for patients receiving fluvoxamine.
Pregnancy
| Pregnancy Category | Explanation | |
|---|---|---|
| All Trimesters | C | Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women. |
Breastfeeding
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Drug Interactions
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
- Alosetron
- Astemizole
- Cisapride
- Furazolidone
- Isocarboxazid
- Levomethadyl
- Methylene Blue
- Metoclopramide
- Phenelzine
- Ramelteon
- Rasagiline
- Terfenadine
- Thioridazine
- Tizanidine
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Abciximab
- Aceclofenac
- Acemetacin
- Acenocoumarol
- Alclofenac
- Almotriptan
- Ancrod
- Anisindione
- Antithrombin III Human
- Apazone
- Ardeparin
- Aspirin
- Bendamustine
- Benoxaprofen
- Bivalirudin
- Bromfenac
- Bufexamac
- Carprofen
- Certoparin
- Cilostazol
- Citalopram
- Clometacin
- Clonixin
- Clopidogrel
- Clorgyline
- Dalteparin
- Danaparoid
- Defibrotide
- Dermatan Sulfate
- Desirudin
- Desvenlafaxine
- Dexfenfluramine
- Dexketoprofen
- Dextromethorphan
- Diclofenac
- Dicumarol
- Diflunisal
- Dihydroergotamine
- Dipyridamole
- Dipyrone
- Domperidone
- Droperidol
- Droxicam
- Duloxetine
- Eletriptan
- Eltrombopag
- Enoxaparin
- Eptifibatide
- Ergoloid Mesylates
- Ergonovine
- Ergotamine
- Escitalopram
- Etodolac
- Etofenamate
- Felbinac
- Fenbufen
- Fenfluramine
- Fenoprofen
- Fentiazac
- Floctafenine
- Flufenamic Acid
- Fluoxetine
- Flurbiprofen
- Fluvoxamine
- Fondaparinux
- Frovatriptan
- Heparin
- Ibuprofen
- Indomethacin
- Indoprofen
- Iproniazid
- Isoxicam
- Ketoprofen
- Ketorolac
- Linezolid
- Lorcaserin
- Lornoxicam
- Magnesium Salicylate
- Meclofenamate
- Mefenamic Acid
- Meloxicam
- Methylergonovine
- Milnacipran
- Mirtazapine
- Moclobemide
- Nabumetone
- Nadroparin
- Naproxen
- Naratriptan
- Nepafenac
- Nialamide
- Niflumic Acid
- Nimesulide
- Oxaprozin
- Oxycodone
- Oxyphenbutazone
- Pargyline
- Parnaparin
- Paroxetine
- Pentosan Polysulfate Sodium
- Phenindione
- Phenprocoumon
- Phenylbutazone
- Pirazolac
- Piroxicam
- Pirprofen
- Prasugrel
- Procarbazine
- Propyphenazone
- Proquazone
- Reviparin
- Rizatriptan
- Salicylic Acid
- Salsalate
- Selegiline
- Sertraline
- Sibutramine
- St John's Wort
- Sulindac
- Sumatriptan
- Suprofen
- Tapentadol
- Tenidap
- Tenoxicam
- Theophylline
- Tiaprofenic Acid
- Ticlopidine
- Tinzaparin
- Tirofiban
- Tolmetin
- Toloxatone
- Tramadol
- Tranylcypromine
- Trazodone
- Vilazodone
- Warfarin
- Zolmitriptan
- Zomepirac
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Amitriptyline
- Asenapine
- Clomipramine
- Clozapine
- Cyclosporine
- Diazepam
- Fosphenytoin
- Galantamine
- Ginkgo
- Haloperidol
- Imipramine
- Lithium
- Methadone
- Mexiletine
- Midazolam
- Olanzapine
- Phenytoin
- Propranolol
- Roflumilast
- Ropivacaine
- Tacrine
- Triazolam
- Tryptophan
- Zolpidem
Other Interactions
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Other Medical Problems
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
- Bipolar disorder (mental disease with cycles of elation and depression), history of or
- Bleeding problems or
- Hypomania (mild form of mania), or history of or
- Hyponatremia (low sodium in the blood) or
- Mania (feeling elated), or history of or
- Neuroleptic malignant syndrome (NMS), history of or
- Seizures (convulsions), history of—Use with caution. May make these conditions worse.
- Diseases affecting metabolism or diseases involving blood circulation—Caution should be used in patients with these medical problems.
- Heart attack, recent or
- Heart disease, unstable—The effects of fluvoxamine in patients with these conditions are not known.
- Liver disease—Higher blood levels for fluvoxamine may occur, increasing the chance of side effects.
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