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Luvox (fluvoxamine) for Depression.
The following information is intended to supplement, not
substitute, the expertise and judgment of your physician,
pharmacist or other healthcare professional. It should not be
construed to indicate that using Luvox is safe or appropriate for
you.
People seeking depression relief should carefully evaluate Luvox
information and side effects before deciding to take Luvox.
Consult your healthcare professional before using fluvoxamine.
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What is Luvox used for? Fluvoxamine is in a class of drugs
called selective serotonin reuptake inhibitors
(SSRI). Luvox is used to relieve symptoms of depression and
obsessive compulsive disorders.
General Luvox Precautions:
_ Luvox may cause dizziness. If you experience dizziness, avoid
driving, operating machinery, or performing other hazardous
activities.
_ Rise slowly when rising from a sitting or lying position to
prevent dizziness or possible falls.
_ Do not take Luvox if you have taken a monoamine oxidase
inhibitor (MAOI) within the last 14 days. A dangerous drug
interaction can occur if Luvox is combined with MAO inhibitors.
_ You must wait 5 weeks after stopping Luvox before taking
thioridazine.
_ It is not known whether Luvox will harm an unborn baby or a
nursing baby.
_ Luvox may impair judgment, thinking, or motor skills. Patients
using fluvoxamine should exercise caution until they have adapted
to therapy.
_ If you skip the missed dose and take only the next one as
directed. Do not take a double dose of Luvox. Overdose is
possible.
FDA Warnings for Luvox: The FDA issued a public health
alert for Luvox in March 2004 warning that Luvox can lead to
deeper depression and suicide. The FDA recommends that health care
providers warn patients, their families and their caregivers to be
alert for agitation, irritability, suicide and worsening
depression while using Luvox. The FDA also recommends that health
care providers closely monitor adult and children treated with
fluvoxamine for worsening of depression or suicidal tendencies,
especially at the beginning of therapy or when the dose either
increases or decreases.
The FDA issued a Public Health Advisory in October 2003 about
increased reports of suicidal thinking, suicide attempts,
hostility and self-harm in children using Luvox. The FDA urges
that Luvox be used with caution in children. Parents of children
using Luvox should consult the prescribing physician immediately
to discuss the suicide risks involved in taking Luvox.
It should be noted that the safety and effectiveness of Luvox in
pediatric patients has not been established. In clinical trials,
only Prozac (fluoxetine) has been found effective for children.
Luvox can cause serious
side effects. Only you can decide if this
drug medication is the best means of treating depression symptoms.
It is important for people currently taking antidepressants to
discuss side effect concerns with their physician.
Luvox Side Effects:
_ Agitation.
_ Irritability.
_ Deepened depression.
_ Increased risk of suicide.
_ Decreased sex drive.
_ Impotence.
_ Difficulty reaching orgasm.
_ Fast or irregular heartbeat or pulse.
_ High blood pressure.
_ Low blood pressure.
_ Chills or fever.
_ Nervousness.
_ Anxiety.
_ Dizziness.
_ Weakness.
_ Headache.
_ Blurred vision.
_ Diarrhea.
_ Sleeplessness or insomnia.
_ Nausea.
_ Tremors.
_ Changes in appetite or weight.
_ Dry mouth.
Contact your doctor immediately if you experience: An
allergic reaction (difficulty breathing; closing of the throat;
swelling of the lips, face, or tongue; or hives). Stop taking
Luvox and contact your doctor immediately or seek emergency
medical treatment if you also experience a fast or irregular
heartbeat, high blood pressure (blurred vision, headache), low
blood pressure (dizziness, weakness), chills or fever. Contact
your doctor immediately if you experience yellowing of the skin or
eyes.
Before taking fluvoxamine, tell your doctor if you have or have
had:
_ Seizures.
_ Liver disease.
_ Kidney disease.
_ A history of mania or bipolar disorder.
_ Suicidal thoughts.
_ Had an allergic reaction to escitalopram (Lexapro).
What should I avoid while taking this medication?
_ Use alcohol cautiously while taking Luvox. Alcohol may increase
drowsiness and dizziness.
Symptoms of overdose may include: Symptoms of a Luvox
overdose include seizures, tremor, nausea, vomiting, agitation,
drowsiness, hyperactivity or enlarged pupils.
What other drugs will affect fluvoxamine? Luvox can
increase the effects of many other drugs, leading to serious side
effects. If taking Luvox, talk to your doctor and pharmacist
before taking any prescription or over-the-counter medicines. Do
not take fluvoxamine with the following medicines without your
doctor’s approval:
_ Thioridazine.
_ Cisapride.
_ Pimozide.
_ Benzodiazepine such as diazepam, alprazolam, chlordiazepoxide,
clorazepate, temazepam or triazolam.
_ Monoamine oxidase inhibitors (MAOI).
_ Other antidepressants.
_ Phenothiazine such as chlorpromazine, fluphenazine, mesoridazine,
perphenazine prochlorperazine.
_ Lithium or clozapine.
_ Almotriptan.
_ Frovatriptan.
_ Sumatriptan.
_ Naratriptan.
_ Rizatriptan.
_ Zolmitriptan.
_ Propranolol or metoprolol.
_ Seizure medications containing carbamazepine (Tegretol) or
phenytoin (Dilantin).
_ Warfarin.
_ Methadone.
_ Tacrine.
_ Drugs other than the above listed may also interact with Luvox.
Talk to your doctor and pharmacist before taking any prescription,
over-the-counter medicines or natural supplements.
*This antidepressant drug
information does not endorse Luvox, diagnose patients or
recommend therapy. The information contained herein is not
intended to cover all possible warnings, uses, precautions, drug
interactions, allergic reactions, or adverse side effects of Luvox.
If you have questions about the drugs you are taking, check with
your health care provider or pharmacist. The information provided
should not be construed to indicate that Luvox is safe, effective
or appropriate.
Do not stop taking fluvoxamine without first talking to your
doctor. Your doctor may need to gradually reduce the dose before
stopping completely. Suddenly stopping Luvox may cause unpleasant
and potentially serious side effects.
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