Discuss this with your health care provider. Do not double your next dose or take more than what is prescribed. Avoid drinking alcohol or using illegal drugs while you are taking antidepressant medications. They may decrease the benefits e. If an overdose occurs, call your doctor or You may need urgent medical care. 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. Injectable B12 shots are prescribed to treat the Vitamin B12 Deficiency. But even without the threat of deficiency, it is extremely important that our body gets enough Vitamin B12 to support its everyday tasks.
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If you want to drink alcohol you should get advice from your doctor about whether this is a good idea for you. Meanwhile, the following might need a lower fluvoxamine dose or extra monitoring:. Fluvoxamine should be stopped in people entering a manic phase. Fluvoxamine may alter the control of your blood sugar. As a result, you may need an adjustment in your dose of insulin or antidiabetic tablets.
Discuss this with your doctor. Tell your doctor if you experience more seizures than normal after starting fluvoxamine.
If your child is prescribed fluvoxamine for OCD it is very important that they are encouraged to report any distressing feelings, thoughts about suicide or self-harm, irritability, aggressive behaviour, mood changes or other unusual change in behaviour that they may experience while taking the medicine. If you notice a change in your child's behaviour, or are worried about them at any point, it is important to talk to your doctor immediately.
Ideally fluvoxamine should not be used during pregnancy. However, the reality is that women who need to take antidepressants can also get pregnant or want to plan a baby. It may be necessary for some women to take fluvoxamine during their pregnancy in order for them to remain well during the pregnancy and be able to care for their baby.
It is important to talk to your doctor about the risks and benefits of taking fluvoxamine during the pregnancy compared with stopping treatment or using other treatments. This is particularly important in the first and third trimesters, where fluvoxamine could potentially have harmful effects on the baby.
It is important to talk to your doctor about taking fluvoxamine during pregnancy. For example, SSRI antidepressants may carry a slightly increased risk of causing heart defects if taken in the first trimester, and symptoms that resemble side effects or withdrawal symptoms of fluvoxamine have been seen in new-born babies whose mothers took this medicine in the third trimester. Fluvoxamine passes into breast milk in small amounts and may affect your baby.
You should get advice from your doctor if you want to breastfeed while taking fluvoxamine. Various factors need to be taken into consideration, for example whether you were taking fluvoxamine during the pregnancy and if the baby is healthy or was born prematurely.
In some cases it's OK to breastfeed while continuing to take fluvoxamine, as long as the baby is monitored for any potential problems.
Always get advice from your doctor. Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that may be associated with fluvoxamine. Just because a side effect is stated here doesn't mean that all people taking this antidepressant will experience that or any side effect. Read the leaflet that comes with the medicine or talk to your doctor, nurse or pharmacist if you want more information about the possible side effects of fluvoxamine.
If you think you have experienced a side effect, did you know you can report this using the yellow card website?
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