Fluvoxamine maleate

• Side effects may include:
  Abnormal ejaculation, agitation, anxiety, diarrhea, dizziness, dry mouth, headache, indigestion, insomnia, nausea, nervousness, sleepiness, sweating, tremor, vomiting, weakness, weight loss

Why should Fluvoxamine maleate not be prescribed?

If you are sensitive to or have ever had an allergic reaction to fluvoxamine or similar drugs, such as Prozac and Zoloft, do not take this medication. Make sure your doctor is aware of any drug reactions you have experienced.

Never combine fluvoxamine with thioridazine or pimozide, or take it within 14 days of taking an MAO inhibitor such as phenelzine and tranylcypromine. (See "Most important fact about this drug.")

Special warnings about Fluvoxamine maleate

In clinical studies, SSRI antidepressants increased the risk of suicidal thinking and behavior in children and adolescents with depression and other psychiatric disorders. Anyone considering the use of fluvoxamine or any other antidepressant in a child or adolescent must balance this risk with the clinical need. Fluvoxamine must be used with caution in children with depression. Fluvoxamine is only approved for treating obsessive-compulsive disorder in children 8 years and older.

Additionally, the progression of major depression is associated with a worsening of symptoms and/or the emergence of suicidal thinking or behavior in both adults and children, whether or not they are taking antidepressants. Individuals being treated with fluvoxamine and their caregivers should watch for any change in symptoms or any new symptoms that appear suddenly—especially agitation, anxiety, hostility, panic, restlessness, extreme hyperactivity, and suicidal thinking or behavior—and report them to the doctor immediately. Be especially observant at the beginning of treatment or whenever there is a change in dose.

You should discuss all your medical problems with your doctor before starting therapy with fluvoxamine, as certain physical conditions or diseases may affect your reaction to it.