Fluvoxamine Maleate
About Fluvoxamine Maleate
Fluvoxamine Maleate is an oral prescription medication primarily used to manage obsessive-compulsive disorder (OCD). It helps reduce persistent, unwanted thoughts and repetitive behaviors that interfere with daily life. This medicine belongs to a class of drugs known as selective serotonin reuptake inhibitors.
You should take this medicine once or twice daily, keeping your schedule highly consistent to maintain a steady level of the drug in your body. It can be taken with or without food, though taking it with meals can help prevent stomach upset. Incorporating professional counseling or therapy into your routine can further support your progress.
Some people may experience mild side effects, such as nausea, sleepiness, or dry mouth, which often improve over time. However, you should talk to your doctor immediately if you experience serious side effects, such as sudden changes in mood, severe anxiety, or thoughts of self-harm.
Important Safety Warning: Like other antidepressants, Fluvoxamine Maleate may increase the risk of suicidal thoughts or behaviors in some children, adolescents, and young adults, particularly during the first few weeks of treatment or after a dose change. Patients, family members, and caregivers should closely monitor for worsening depression, unusual mood or behavior changes, or thoughts of self-harm and seek medical attention immediately if these occur. Do not stop taking the medicine without consulting your doctor.
Talk to your doctor before starting this medicine if you have certain health conditions like seizures, bipolar disorder, or liver damage. Do not take this if you are currently using monoamine oxidase inhibitors (MAOIs) or other specific medications, as this can lead to severe, life-threatening complications.
This medicine can interact negatively with alcohol, which worsens drowsiness, and smoking, which may change how your body processes the drug. If you are pregnant, breastfeeding, or an elderly individual, consult your doctor or pharmacist to determine if this medicine is safe for you.
Uses of Fluvoxamine Maleate
Medicinal Benefits
Fluvoxamine Maleate provides the following benefits when used as prescribed:
- Reduce Intrusive Thoughts: This medicine helps patients regain control over their daily routines by reducing the constant distress caused by intrusive thoughts. By easing these mental hurdles, it allows for smoother, more focus-driven daily functioning.
- Enhances Quality of life: Another key benefit is the gradual improvement in emotional balance and sleep quality. Over time, many individuals find they can participate more fully in social activities and therapy, leading to a better overall quality of life.
Directions for Use
- Fluvoxamine Maleate can be taken with or without food, or as advised by your doctor.
- The doctor will suggest the daily dose based on the individual’s health profile. Follow your doctor’s instructions regarding dosage and timing for optimal results.
- Swallow Fluvoxamine Maleate as a whole with a glass of water.
- Do not crush, chew, or break it.
Storage
Side Effects of Fluvoxamine Maleate
Common Side Effects (Usually mild):
- Nausea or upset stomach
- Drowsiness or feeling unusually tired
- Trouble sleeping (insomnia)
- Dry mouth or excessive sweating
- Loss of appetite
Serious Side Effects (Consult your doctor right away):
- Signs of a severe allergic reaction, such as a skin rash, itching, hives, or swelling of the face, lips, and throat
- Sudden, extreme changes in mood, unusual anxiety, or thoughts of hurting yourself
- Stiffness, severe muscle twitching, high fever, or confusion
- Unusual bruising, nosebleeds, or blood in your stool
- Seizures or convulsions
Medicines Containing this Salt
View AllDrug Warnings
- Do Not Stop Suddenly: Do not stop taking this medication abruptly; stopping suddenly can trigger withdrawal symptoms like dizziness, tingling feelings, and headaches. Talk to your doctor about gradually decreasing your dose.
- Avoid Driving: Avoid driving, operating heavy machinery, or performing dangerous tasks until you know how this medicine affects your alertness.
- Monitor Mood Changes: Pay close attention to any new or worsening depression, unusual behavior, agitation, or suicidal thoughts, especially during the first few weeks of treatment or after a dose change. Family members and caregivers should also watch for these changes and contact a doctor immediately if they occur.
- Avoid Serotonin Interaction: Be cautious of combining this medicine with other drugs that increase serotonin, as this can lead to a rare but severe medical emergency called serotonin syndrome.
- Inform Before Surgery: Tell your dentist or surgeon that you are taking Fluvoxamine Maleate before having any scheduled procedures, as this medicine can affect how your blood clots.
Drug Interactions
Some medicines may affect how Fluvoxamine Maleate works or increase the risk of side effects:
- MAOI Interaction: Do not take this if you are using monoamine oxidase inhibitors (MAOIs), as combining them can cause dangerously high blood pressure and severe confusion.
- Bleeding Risk: May increase your risk of bruising or bleeding when taken alongside blood thinners (like warfarin) or pain relievers like ibuprofen or aspirin.
- Other Medication Interaction: Can raise the levels and increase the side effects of other medicines, including certain anti-anxiety drugs, antipsychotics, and migraine medications (triptans).
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeAvoid alcohol consumption with Fluvoxamine Maleate. Fluvoxamine Maleate interacts with alcohol and increases the risk of side effects like dizziness.
Pregnancy
unsafeFluvoxamine Maleate is not recommended during pregnancy unless absolutely necessary. Fluvoxamine Maleate should be used during pregnancy with caution only when your doctor prescribed it because the use of this Fluvoxamine Maleate in the last three months may cause harm to the unborn baby.
Breast Feeding
unsafeFluvoxamine Maleate is not recommended in breastfeeding women because it may pass into breast milk and produce an undesirable effect.
Driving
cautionFluvoxamine Maleate causes dizziness. So, drive or operate heavy machinery only if you are alert
Liver
cautionFluvoxamine Maleate to be taken with caution, especially if you have a history of liver diseases/conditions. The dose may have to be adjusted by your doctor.
Kidney
cautionFluvoxamine Maleate to be taken with caution, especially if you have a history of kidney diseases/conditions as dose adjustment might be required.
Children
unsafeFluvoxamine Maleate is not recommended for use in children because it may cause loss of appetite and weight loss.
Habit Forming
Diet & Lifestyle Advise
- Avoid Alcohol: Avoid drinking alcohol while taking this medicine, as it can worsen drowsiness and impair your coordination.
- Limit Caffeine: Limit your daily intake of caffeine from coffee, tea, and soda. This medication can slow down how your body processes caffeine, which may cause you to feel unusually jittery, anxious, or unable to sleep.
- Maintain a Sleep Routine: Maintain a structured daily routine with consistent sleep and wake times to help counteract any sleep-related side effects.
- Track Your Symptoms: Keep a simple symptom diary to record how you feel each day, noting any changes in mood or side effects to share with your doctor during visits.
Patients Concern
Disease/Condition Glossary
Depression: Depression is a mental health disorder in which patients experience persistent loss of interest or mood and feelings of sadness. It affects the quality of life and causes changes in sleep, appetite, social behaviour, learning abilities, concentration, and self-esteem.
Obsessive-compulsive disorder (OCD): As the name suggests, patients experience obsessions (intrusive, excessive thoughts) that cause compulsions (impulsive behaviour). It is characterised by nervousness, repetitive movements or words, and increased alertness.
FAQs
Fluvoxamine Maleate is used to treat depression and‚ obsessive-compulsive disorder (OCD).
Fluvoxamine Maleate increases the serotonin levels. Serotonin is a chemical messenger in the brain responsible for improving the mood and physical symptoms of depression. Thus, it effectively relieves symptoms of depression, and obsessive-compulsive disorder (OCD).
Do not stop Fluvoxamine Maleate without your doctor's advice. Sudden discontinuation may lead to withdrawal symptoms such as nausea, insomnia, restlessness, and anxiety. Take Fluvoxamine Maleate for as long as it has been prescribed. If you experience any difficulty, consult your doctor.
Dry mouth could be a side-effect of Fluvoxamine Maleate. Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly, and chewing sugar-free gum/candy might help in stimulating saliva and thereby prevents drying of the mouth.
Fluvoxamine Maleate may cause weight loss due to loss of appetite. However, the chances of weight loss are not known. Maintain a healthy diet and exercise regularly to have a proper weight. Talk to your doctor if you have any concerns.
Fluvoxamine Maleate may cause delayed ejaculation and anorgasmia (failure to achieve orgasm). Consult your doctor if you have any concerns regarding this.
Yes, Fluvoxamine Maleate is commonly used to treat anxiety disorders, such as generalized anxiety disorder (GAD) and social anxiety disorder (SAD). It contains the active ingredient fluvoxamine, which is a selective serotonin reuptake inhibitor (SSRI). Fluvoxamine helps to increase the levels of serotonin in the brain, which can help to reduce anxiety symptoms. However, it's important to note that Fluvoxamine Maleate should only be used under the guidance of a healthcare professional, as it may have side effects and interact with other medications.
Fluvoxamine Maleate, which contains the active ingredient fluvoxamine, is not typically considered a drug of abuse or a substance that can produce a high sensation.
Fluvoxamine Maleate is not for everyone. Don't take it if you're under 18 or have a history of seizures, mania, bipolar disorder, bleeding disorders, liver or kidney problems, glaucoma, or are pregnant or breastfeeding. Let your doctor know all your medical conditions and medications to ensure safety. Your doctor will check and advise if Fluvoxamine Maleate is appropriate for you.
Fluvoxamine Maleate can make you feel sleepy or drowsy. This is because it increases serotonin levels in the brain, which can affect alertness and sleep. Talk to your doctor if you experience excessive sleepiness or drowsiness while taking Fluvoxamine Maleate. They may adjust your dosage or recommend alternative treatments to help manage your symptoms.
Fluvoxamine Maleate can have serious health risks, although rare. However, most of these risks (suicidal thoughts, serotonin syndrome, increased bleeding risk, seizures, manic episodes, glaucoma, and hyponatremia) can be managed by adopting healthy lifestyle habits, taking medication as directed by your physician, and regularly informing your doctor about the progress of your condition. Being proactive and communicative can minimize potential side effects and ensure safe and effective treatment. Remember, working closely with your healthcare professional to manage your health and address any concerns or questions you may have is essential.
Fluvoxamine Maleate can start showing improvements in sleep, energy, and appetite within the first 1-2 weeks. However, it may take up to 6-8 weeks for the medication to fully address depressed mood and lack of interest in activities. Everyone's response can vary, so be patient and consistent with treatment.
No, Fluvoxamine Maleate is not likely to cause weight gain. In fact, it may lead to weight loss due to its appetite-reducing effects. However, consult your doctor if you experience weight gain or any other concerns. They can help monitor your progress and adjust your treatment plan if needed.
Common side effects of Fluvoxamine Maleate may include nausea, vomiting, nervousness, headache, dry mouth, indigestion, and loss of appetite. Most of these side effects of Fluvoxamine Maleate do not require medical attention and gradually resolve over time. However, if the side effects persist, contact your doctor.
Consult your doctor immediately if you become pregnant while taking Fluvoxamine Maleate, as it may cause problems in newborns following delivery if taken in the last months of pregnancy.
Fluvoxamine Maleate is not recommended in breastfeeding women because it may pass into breast milk and produce an undesirable effect.
The duration of treatment varies depending on your condition and response to the medication. Your doctor will advise you on the appropriate treatment duration.
If you miss a dose, take it as soon as you remember. However, if it's close to your next scheduled dose, skip the missed dose and continue with your regular dosing schedule.
Fluvoxamine Maleate may interact with certain herbal supplements, including St. John's Wort, Ginkgo biloba, Ginseng, Kava, and Valerian root. To avoid potential interactions, consult your doctor before combining these supplements with Fluvoxamine Maleate. They'll ensure safe treatment and provide personalized guidance.
Yes, you can take Fluvoxamine Maleate with or without food. However, taking it with food can help prevent mild stomach upset or nausea, which are common when starting this medication. Talk to your doctor or pharmacist if you experience persistent stomach issues.
Fluvoxamine Maleate can cause sleepiness in some people, while others may experience difficulty sleeping (insomnia). If it makes you feel drowsy, your doctor may suggest taking your daily dose at bedtime. If it causes insomnia, taking it in the morning may help. Talk to your doctor or pharmacist for personalized advice.
It is highly recommended to avoid alcohol while taking Fluvoxamine Maleate. Alcohol can increase the drowsiness and dizziness caused by the medication, making it unsafe to drive or perform tasks requiring alertness. Talk to your doctor if you have questions about alcohol use.
You should exercise caution when taking pain relievers like ibuprofen, naproxen, or aspirin with Fluvoxamine Maleate, as combining them can increase your risk of stomach bleeding or bruising. Acetaminophen is often a safer alternative, but you should talk to your doctor or pharmacist before taking any new medicine.

