Fluvoxamine Maleate

Fluvoxamine Maleate is a selective serotonin reuptake inhibitor prescribed to help treat obsessive compulsive disorder or depression.


Fluvoxamine Maleate

Sorest, Frext, Uvox, Fluvoxin


Abbott, Solvery Pharma, Sun Pharma, Strides shasun, Intas Pharma


50 mg, 100 mg


Fluvoxamine Maleate

I. Introduction to Fluvoxamine Maleate

What is Fluvoxamine Maleate?

Fluvoxamine Maleate is a type of antidepressant that falls under the serotonin reuptake inhibitor (SSRI) category, mainly prescribed for managing obsessive-compulsive disorder (OCD). Its purpose is to regulate the neurotransmitter serotonin in the brain, which is essential for controlling mood and anxiety levels.

Overview of Its Importance in Medical Treatments

Fluvoxamine Maleate plays a role in treating OCD by not only targeting its main symptoms but also addressing various related anxiety disorders. This medication is effective in enhancing both well-being and the overall quality of life for individuals.

Brief History of Fluvoxamine Development

Fluvoxamine, created by Solvay Pharmaceuticals in the 1970s was among the SSRIs to hit the market. It received authorization, in Europe back in 1983 and has gained worldwide acceptance getting FDA approval in 1994 specifically for treating OCD.

II. Composition and Properties of Fluvoxamine Maleate

Chemical Composition and Molecular Structure

Fluvoxamine Maleate is scientifically referred to as (E) 5 methoxy 4' (trifluoromethyl)valerophenone O (2 aminoethyl)oxime 1;1). Its molecular composition is tailored to improve the blocking of reuptake, which boosts its beneficial outcomes.

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Physical and Chemical Properties

This substance is known for its crystal structure, which allows it to dissolve in both water and ethanol, allowing it to be used in products such as tablets and liquid medications.

Pharmacological Properties

Fluvoxamine has a pharmacological profile because it strongly binds to the serotonin transporter (SERT). This action inhibits serotonin reuptake, leading to an increase in its presence in the cleft.

III. Indications and Uses of Fluvoxamine Maleate

Primary Uses in Healthcare

  • Dealing with Obsessive Compulsive Disorder (OCD)
  • Handling Social Anxiety Disorders
  • Alleviating Panic Disorders

Overview of FDA-Approved Indications

Fluvoxamine is a selective serotonin reuptake inhibitor (SSRI) primarily used to treat obsessive-compulsive disorder (OCD) in both adults and children aged at least 8 years old123It effectively reduces nagging and unwanted thoughts (obsessions) and helps manage urges to perform repetitive tasks (such as compulsive counting, hand washing, and checking) that interfere with daily life34.

Discussion on Psychiatric Uses

Fluvoxamine is commonly used not only for OCD but also to treat issues like depression, PTSD, and GAD, demonstrating its wide range of therapeutic applications.

Role in Treating Obsessive-Compulsive Disorder (OCD)

When it comes to dealing with OCD, fluvoxamine is highly praised for its ability to ease the symptoms that come with the disorder, greatly improving patients' daily functioning and overall quality of life.

IV. Off-Label Uses of Fluvoxamine Maleate

Comprehensive List of Off-Label Uses

Fluvoxamine is sometimes used for purposes not listed in this medication guide, such, as treating eating disorders, chronic pain conditions and specific neurodegenerative diseases.

Efficacy and Research Support for Off-Label Uses

Ongoing research consistently supports the effectiveness of fluvoxamine in uses, expanding its possible applications in various medical contexts.

Off-Label Uses in Neurological Disorders

  1. Migraine Prevention:

Remember that using fluvoxamine for conditions beyond its approved indications should always be discussed with a healthcare professional. Individual responses to medications can vary, and personalized guidance is essential123.

Potential in Treating Other Mental Health Conditions

Researchers are investigating Fluvoxamine for its anti-inflammatory effects, aiming to develop fresh treatment approaches for mood disorders impacted by bodily inflammation.

V. Mechanism of Action: How Fluvoxamine Works

Understanding Its Pharmacodynamics

Fluvoxamine mainly works by blocking the reabsorption of serotonin in the brain's nerve connections, boosting activity essential for controlling mood and decreasing anxiety.

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Interaction with Neurotransmitter Systems

Fluvoxamine primarily influences pathways but also shows some connections with other neurotransmitter systems like noradrenaline and dopamine, potentially playing a role, in its beneficial effects.

Effects on Serotonin Reuptake Inhibition

Fluvoxamine mainly works in treating conditions by strongly blocking the reuptake of serotonin, which helps effectively alleviate symptoms of OCD and other disorders related to serotonin.

VII. Administration Considerations Across Demographics

Elderly: Adjustments and Monitoring

Elderly individuals may experience a decrease in the metabolism of Fluvoxamine Maleate, requiring doctors to adjust doses and monitor for any negative reactions. It is advisable for physicians to start treatment, with doses and slowly raise them keeping an eye on both effectiveness and tolerability.

Pregnant Women and Nursing Mothers: Safety and Recommendations

Fluvoxamine Maleate falls into the FDA Pregnancy Category C, suggesting some risk may be involved. When considering this medication during pregnancy or while breastfeeding, weighing the risks against the benefits is important. Monitoring the baby's development and following recommended precautions to reduce exposure during breastfeeding are steps to take.

Children: Age-Specific Dosage and Precautions

When prescribing medication to children diagnosed with compulsive disorder, it is crucial to exercise caution. Initial doses for patients should be lower compared to those prescribed for adults, and adjustments should be made gradually. Healthcare providers need to monitor any shifts in behavior and watch out for uncommon side effects, like heightened restlessness or thoughts of self-harm.

VIII. Drug Interactions and Contraindications

Common and Significant Drug Interactions

Fluvoxamine Maleate can interact with various substances.

  • Taking Fluvoxamine with MAO inhibitors may lead to reactions.
  • When used together with benzodiazepines it can intensify nervous system effects.
  • Additionally the effects of anticoagulants could be boosted, which might raise the risk of bleeding.

Contraindications for Use

Avoid using Fluvoxamine if you are allergic to it or any of its ingredients. Also, do not take it at the time as MAO inhibitors or, within two weeks of stopping an MAO inhibitor, prevent severe or life-threatening reactions.

Interaction with Alcohol and Other CNS Agents

It's best to steer off alcohol when taking Fluvoxamine, as it can make you more drowsy and affect your thinking abilities. It's also important to be cautious when using medications that depress the central nervous system.

IX. Side Effects and Adverse Reactions

Common Side Effects Encountered

Patients often report feeling queasy, having headaches, feeling sleepy, and experiencing dryness in their mouth. These symptoms are usually mild and tend to improve as the treatment continues.

Serious Adverse Reactions and Management

Some severe responses may involve seizures, serotonin syndrome, and thoughts of self-harm among the younger demographics. The approach includes stopping Fluvoxamine usage, seeking help, and keeping a close watch on the situation.

Long-Term Side Effect Considerations

Prolonged use of Fluvoxamine could result in issues like dysfunctional changes in weight and disturbances in sleep patterns. It is recommended that the necessity for continued treatment be assessed to help manage these potential side effects.

X. Important Precautions and Warnings

Black Box Warnings and Clinical Cautions

The caution label on Fluvoxamine highlights the chance of experiencing suicidal thoughts and actions in children, teenagers, and young adults. It is crucial for healthcare professionals to keep an eye on these individuals for any signs of deteriorating depression or sudden suicidal tendencies.

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Precautions in Patients with Specific Health Conditions

Patients with liver issues, seizure disorders, or a tendency to bleed, should be cautious when using fluvoxamine. It is advisable to make dosage modifications and closely monitor these individuals to prevent the worsening of their conditions.

Monitoring Parameters and Safety Tips

To ensure the patient's well-being, it may be important to check the levels of liver enzymes, serum sodium, and cardiac function based on their existing health issues and the medications they are taking.

XI. Handling and Storage Recommendations

Proper Storage Conditions

Remember to keep your Fluvoxamine at room temperature from moisture and heat to ensure it works well and lasts longer.

Shelf Life and Stability

The typical duration that Fluvoxamine remains effective is 2 to 3 years from the manufacturing date. Patients should be aware not to consume the medication after it has expired.

Safe Handling Practices and Disposal

It's crucial to use your hands when handling medication and dispose of expired or unused medication correctly. This helps avoid ingestion and environmental contamination.

XII. Overdose Management and Emergency Response

Symptoms of Overdosage

Signs that you might experience could consist of throwing up seizures, irregular heartbeats, and entering a coma. It is crucial to seek medical help if an overdose occurs.

Immediate Interventions and Antidotes

In cases of emergency, medical professionals may perform stomach pumping, give activated charcoal, and provide care at a healthcare facility. Unfortunately, there is no antidote available for an overdose of Fluvoxamine.

Procedures for Hospital and Follow-Up Care

Ensuring observation of essential indicators and organ operations within a healthcare facility is vital, along with conducting a psychological assessment after the patient's condition has been stabilized.

XIII. Handling Precautions and Regulatory Compliance

Handling Guidelines for Healthcare Providers

Healthcare professionals need to ensure that they administer medications correctly, follow dosing guidelines, and stay updated on drug safety protocols and recommendations.

Regulatory Considerations and Compliance Requirements

Keeping up to date with the updates in drug regulations and compliance standards is crucial for healthcare professionals to uphold top-notch patient care and legal compliance.

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