Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention. Check with your doctor as soon as possible if any of the following side effects occur:.
Stop taking the medication and seek immediate medical attention if any of the following occur:. Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication. Behaviour changes: People taking this medication have reported behaviour and mood changes. These changes include restlessness, agitation, mood swings, aggression, hostility, decreased impulse control, and suicidal behaviour.
If you notice any of these effects in yourself or a family member who is taking this medication, contact the doctor as soon as possible. Bleeding: Fluvoxamine, like other SSRI medications, may cause an increased risk of bleeding, particularly if you are taking acetylsalicylic acid ASA or other medications that affect how the blood clots. If you notice any signs of bleeding, such as frequent nosebleeds, unexplained bruising, or black and tarry stools, notify your doctor as soon as possible.
Your doctor will order routine blood tests to make sure potential problems are caught early. Bones: Fluvoxamine, like other SSRI medications, may increase the risk of bone fracture, especially if you are a senior or have osteoporosis or other major risk factors for breaking a bone. Take extra care to avoid falls, especially if you get dizzy or have low blood pressure.
Your doctor may monitor your bones while you are taking this medication. Change in blood sugar levels: Changes in blood sugar levels have been reported in the early stages of treatment for people taking fluvoxamine, whether or not they have been diagnosed with diabetes. People with diabetes may find it necessary to monitor their blood sugar more frequently while using this medication. If you have diabetes or are at risk for developing diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Avoid activities that require complete mental alertness, judgment, and physical coordination such as driving a car or performing hazardous tasks until you determine how fluvoxamine affects you. Glaucoma: This medication may cause the symptoms of glaucoma increased pressure in the eye to become worse. If you have glaucoma, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Report any changes in vision to your doctor as soon as possible while you are taking this medication. Liver function: Rarely, this medication has been linked to decreased liver function. If you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin, contact your doctor immediately. Seizures: There have been occasional reports of seizures occurring with fluvoxamine.
If you have a history of epilepsy or medical conditions that increase the risk of seizures, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Serotonin syndrome or neuroleptic malignant syndrome: Severe reactions are possible when fluvoxamine is combined with other medications that act on serotonin, such as tricyclic antidepressants and certain medications used to treat migraines.
You may also contact the poison control center at Headache, nausea, diarrhea, dry mouth, dizziness, increased sweating, feeling nervous, restless, fatigued, or having trouble sleeping insomnia.
These will often improve over the first week or two as you continue to take the medication. Sexual side effects, such as problems with orgasm or ejaculatory delay, often do not diminish over time. Low sodium blood levels symptoms of low sodium levels may include headache, weakness, difficulty concentrating and remembering , teeth grinding, angle closure glaucoma symptoms of angle closure glaucoma may include eye pain, changes in vision, swelling or redness in or around eye , serotonin syndrome symptoms may include shivering, diarrhea, confusion, severe muscle tightness, fever, seizures, and death , seizure.
SSRI antidepressants including fluvoxamine may increase the risk of bleeding events. Combined use of aspirin, nonsteroidal anti-inflammatory drugs e. This may include symptoms such as gums that bleed more easily, nose bleed, or gastrointestinal bleeding.
Some cases have been life threatening. To date, there are no known problems associated with long term use of fluvoxamine. It is a safe and effective medication when used as directed. Fluvoxamine should not be taken with or within 6 weeks of taking monoamine oxidase inhibitors MAOIs.
Fluvoxamine may increase the levels and effects of:. Fluvoxamine may increase the effects of other medications that can cause bleeding e. Sleep, energy, or appetite may show some improvement within the first weeks. Improvement in these physical symptoms can be an important early signal that the medication is working.
Depressed mood and lack of interest in activities may need up to weeks to fully improve. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. This risk may persist until significant remission occurs. In short-term studies, antidepressants increased the risk of suicidality in children, adolescents, and young adults when compared to placebo.
Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age Adults age 65 and older taking antidepressants have a decreased risk of suicidality.
Patients, their families, and caregivers should be alert to the emergence of anxiety, restlessness, irritability, aggressiveness and insomnia. All patients being treated with antidepressants for any indication should watch for and notify their health care provider for worsening symptoms, suicidality and unusual changes in behavior, especially during the first few months of treatment.
Last Updated: January This information is being provided as a community outreach effort of the College of Psychiatric and Neurologic Pharmacists. This information is for educational and informational purposes only and is not medical advice. This information contains a summary of important points and is not an exhaustive review of information about the medication. Always seek the advice of a physician or other qualified medical professional with any questions you may have regarding medications or medical conditions.
Never delay seeking professional medical advice or disregard medical professional advice as a result of any information provided herein. The College of Psychiatric and Neurologic Pharmacists disclaims any and all liability alleged as a result of the information provided herein. Search Close Menu. Sign In About Mental Illness. About Mental Illness Treatments. About Mental Illness Research. As a result, a higher amount of a drug stays in the body for a longer time.
This raises the risk of side effects, especially low sodium levels. For children: The safety and effectiveness of the use of fluvoxamine extended-release capsules has not been established in people younger than 18 years. All possible dosages and drug forms may not be included here.
Your dosage, drug form, and how often you take the drug will depend on:. It has not been confirmed that fluvoxamine is safe and effective for use in people younger than 18 years. Older adults are more likely to be more sensitive to fluvoxamine and may process the drug more slowly. As a result, a higher amount of a drug stays in your body for a longer time.
This raises your risk of side effects. Your doctor may adjust your dosage to keep levels of this drug from building up too much in your body.
However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. Always speak with your doctor or pharmacist about dosages that are right for you. Fluvoxamine oral capsule is used for long-term treatment. Symptoms also include headache, sweating, nausea, dizziness, tingling sensations, shaking, or confusion. For this drug to work well, a certain amount needs to be in your body at all times.
If you take too much: You could have dangerous levels of the drug in your body. Symptoms of an overdose of this drug can include:. But if your symptoms are severe, call or go to the nearest emergency room right away. What to do if you miss a dose: Take your dose as soon as you remember. But if you remember just a few hours before your next scheduled dose, take only one dose. Never try to catch up by taking two doses at once. This could result in dangerous side effects.
How to tell if the drug is working: You should have reduced symptoms of obsessive compulsive disorder. A prescription for this medication is refillable. You should not need a new prescription for this medication to be refilled. Your doctor will write the number of refills authorized on your prescription. Fluvoxamine can make your skin more sensitive to the sun. This increases your risk of sunburn.
Avoid the sun if you can. Not every pharmacy stocks this drug. When filling your prescription, be sure to call ahead to make sure your pharmacy carries it. There are other drugs available to treat your condition. Some may be better suited for you than others. Talk to your doctor about other drug options that may work for you. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date.
However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or other healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.
The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.
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