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Illustration of Fluvoxamine 50 mg Tablet

Fluvoxamine 50 mg Tablet

Prescription requiredSchedule HGenericMental Health

Salt composition
Fluvoxamine 50 mg
Form
Tablet
Storage
Store below 30°C, away from light and moisture, out of children's reach

Schedule H drug — Warning: To be sold by retail on the prescription of a Registered Medical Practitioner only.

About Fluvoxamine 50 mg Tablet

Fluvoxamine 50 mg Tablet contains Fluvoxamine 50 mg. Fluvoxamine is an antidepressant of the SSRI type. It is used to treat obsessive-compulsive disorder (OCD) and depression. It usually takes a few weeks to start helping. Fluvoxamine affects how the body handles many other medicines, so tell your doctor about everything you take. It should not be stopped suddenly.

Uses of Fluvoxamine 50 mg Tablet

  • Obsessive-compulsive disorder (OCD)
  • Depression

Benefits

In OCD

It can reduce unwanted, repeated thoughts and the urge to carry out repeated actions, making daily life easier.

In depression

It can improve mood, sleep and energy. Keep taking it as advised even after you feel better.

Side effects

Some side effects such as nausea are common in the first weeks and often settle. Talk to your doctor if they bother you. Do not stop the medicine suddenly.

Common

  • Nausea
  • Sleepiness or trouble sleeping
  • Headache
  • Dizziness
  • Dry mouth
  • Loss of appetite

Get medical help if you notice

  • Thoughts of harming yourself or ending your life, or worsening mood, especially in the first weeks or after a dose change (more likely in people under 25) — contact your doctor straight away or seek emergency help
  • Agitation, confusion, high temperature, sweating, shaking, muscle twitching or fast heartbeat — may be serotonin syndrome; seek emergency care
  • Unusual bleeding or bruising, black stools or vomiting blood — contact your doctor
  • Headache, confusion, weakness or unsteadiness (especially in older people) — may be low sodium; contact your doctor
  • Fast or irregular heartbeat or fainting — seek medical help
  • Very high mood, racing thoughts or reduced need for sleep — contact your doctor

How to use

Take it exactly as your doctor prescribed, usually in the evening, with or without food. Swallow the tablet whole with water.

How it works

Fluvoxamine increases the amount of serotonin, a natural chemical messenger in the brain, by blocking its re-uptake. This helps reduce obsessive thoughts and improve mood.

Safety advice

Alcohol Unsafe

Avoid alcohol. It can worsen depression and add to drowsiness.

Pregnancy Consult your doctor

Use only if your doctor advises it. Do not stop suddenly; talk to your doctor if you are pregnant or planning a pregnancy.

Breastfeeding Consult your doctor

Small amounts pass into breast milk. Ask your doctor before using it.

Driving Caution

It can cause drowsiness or dizziness. Do not drive until you know how it affects you.

Kidney Caution

Your doctor may start with a lower dose if you have kidney disease.

Liver Caution

Your doctor may start with a lower dose if you have liver disease.

If you miss a dose

If you miss a dose, take it when you remember the same day. If it is nearly time for the next dose, skip the missed one. Do not take two doses together.

Quick tips

  • It can take a few weeks to start working — keep taking it.
  • Do not stop suddenly; your doctor will lower the dose slowly.
  • Cut down on tea and coffee, as fluvoxamine can increase the effects of caffeine.
  • Tell your doctor about every other medicine you take, as fluvoxamine interacts with many.
  • Seek help at once if you have thoughts of self-harm.

Substitutes

Same salts in the same strength from other makers. Only switch brands on your doctor's or pharmacist's advice; our pharmacist checks every order against the prescription.

Fact box

Chemical class
Aralkylketone derivative
Therapeutic class
Neuro-psychiatry / antidepressant
Action class
Selective serotonin reuptake inhibitor (SSRI)
Habit forming
No
Prescription
Required

Interactions with other medicines

Tell your doctor and pharmacist about every medicine, vitamin and herbal product you take.

MedicineWhat can happen
MAO inhibitors (including linezolid)Risk of serious serotonin syndrome — must not be taken together
Tizanidine, pimozide and thioridazineTheir levels can rise to dangerous amounts — must not be taken together
Theophylline, clozapine and some other medicinesTheir levels can rise a lot; doses may need lowering
Warfarin, NSAIDs and aspirinHigher risk of bleeding
CaffeineCaffeine levels rise, causing shakiness and poor sleep

This page is general information to help you understand your medicine. It is not a substitute for advice from your doctor or pharmacist. Do not start, stop or change a medicine on your own.

Written by the Asthra Health Care team from the approved prescribing information (Fluvoxamine prescribing information (CDSCO-approved labelling); US FDA boxed warning: antidepressants and suicidality; NICE BNF: fluvoxamine maleate). Pharmacist review pending.

Questions

Frequently asked

How long before it helps OCD?

It may take several weeks, sometimes up to 10–12 weeks, for full benefit in OCD.

Is it addictive?

No, it is not habit-forming. But stopping suddenly can cause withdrawal-like symptoms.

Why does my doctor ask about all my medicines?

Fluvoxamine slows the breakdown of many other medicines, which can raise their levels to unsafe amounts.

Can young people take it?

Under-25s may have a higher risk of suicidal thoughts at the start, so they need close monitoring.

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