Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets)

1. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) © The Swiss Pharmacy

2. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Fluvoxin (Generic Fluvoxamine Maleate Tablets) is used for the treatment of obsessions and compulsions in patients with Obsessive Compulsive Disorder (OCD). The obsessions or compulsions cause marked distress, are time-consuming, or significantly interfere with social or occupational functioning. It belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). These medicines are thought to work by increasing the activity of a chemical called serotonin in the brain. © The Swiss Pharmacy

3. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Fluvoxin Tablets are manufactured by Sun Pharmaceutical Industries Limited, India in the strengths of 50 mg and 100 mg. © The Swiss Pharmacy

4. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Chemical Structure © The Swiss Pharmacy

5. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) The active ingredient contained in Fluvoxin tablets is Fluvoxamine Maleate. Each Fluvoxin tablet contains 50 mg or 100 mg of Fluvoxamine Maleate. © The Swiss Pharmacy

6. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Uses of Fluvoxin 50 mg and 100 mg Tablets: Fluvoxin (Generic Fluvoxamine Maleate tablets) is used to treat obsessive- compulsive disorder (OCD). It helps decrease persistent/unwanted thoughts (obsessions) and urges to perform repeated tasks (compulsions such as hand-washing, counting, checking) that interfere with daily living. Fluvoxamine is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Fluvoxin may be indicated for the symptomatic relief of depressive illness in adults. The effectiveness of Fluvoxamine Maleate tablets in long-term use (i.e., for more than 5 to 6 weeks) has not been systematically evaluated in controlled trials. URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy

7. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Recommended Adult Dosage Adults: The recommended starting dose of Fluvoxin tablets (Generic Fluvoxamine Maleate Tablets) is 50 mg at bedtime, with increases of 50 mg every 4 to 7 days as tolerated to maximum effect, not to exceed 300 mg/day. Daily doses over 100 mg should be divided. Fluvoxin tablets URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy

8. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Recommended Children and Adolescents Dosage Children and adolescents (8 to 17 years): The recommended starting dose of Fluvoxin tablets Fluvoxamine Maleate Tablets) is 25 mg at bedtime, with increases of 25 mg every 4 to 7 days as tolerated to maximum effect, not to exceed 200 mg/day (8 to 11 years) or 300 mg/day (12 to 17 years). Daily doses over 50mg should be divided. Fluvoxin tablets (Generic URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy

9. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Recommended Dosage Hepatically Impaired: Hepatically Impaired: Decreased clearance may require modified dose and titration. Extended Treatment: Extended Treatment: Adjust dose to maintain lowest effective dose; reassess patients periodically. Discontinuation: Discontinuation: Gradual dose reduction is recommended URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy

10. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Contraindications ➔Fluvoxin is contraindicated in patients with a known hypersensitivity to Fluvoxamine Maleate or any component of the tablet. ➔Coadministration of Thioridazine, Tizanidine, Pimozide, Alosetron, or Ramelteon is contraindicated. ➔Use of MAOIs concomitantly with or within 14 days of discontinuing treatment with Fluvoxin tablets is contraindicated. Also, use of Fluvoxin tablets within 14 days after discontinuing treatment with an MAOI is contraindicated. ➔ In addition, do not start Fluvoxamine Maleate Tablets in a patient who is being treated with Linezolid or intravenous Methylene Blue URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy

11. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Storage Instructions Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) have to be stored at controlled room temperature i.e. from 20°C to 25°C (68°F to 77°F) with excursions permitted between 15° to 30°C (59° to 86°F). Keep this as well as all other medicines away from children and pets. URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy

12. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Warnings Increased risk of suicidal thinking and behavior in children, adolescents, and young adults taking antidepressants for major depressive disorder and other psychiatric disorders. Fluvoxamine Maleate Tablets (Fluvoxin) are not approved for use in pediatric patients except those with obsessive compulsive disorder. Suicidality: Monitor for clinical worsening and suicide risk Bipolar disorder: Screen for bipolar disorder. Serotonin Syndrome: Serotonin syndrome has been reported with SSRIs and SNRIs, including Fluvoxamine Maleate Tablets, both when taken alone, but especially when co-administered with other serotonergic agents (including triptans, tricyclic antidepressants, Fentanyl, Lithium, Tramadol, Tryptophan, Buspirone, Amphetamines, and St. John's Wort). If such symptoms occur, discontinue Fluvoxamine Maleate Tablets and initiate supportive treatment. © The Swiss Pharmacy

13. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Warnings If concomitant use of Fluvoxamine Maleate Tablets with other serotonergic drugs is clinically warranted, patients should be made aware of a potential increased risk for serotonin syndrome, particularly during treatment initiation and dose increases. Angle Closure Glaucoma: Angle closure glaucoma has occurred in patients with untreated anatomically narrow angles treated with antidepressants. Other Potentially Important Drug Interactions: Benzodiazepines: Use with caution. Coadministration with Diazepam is generally not advisable. Clozapine: Clozapine levels may be increased and produce orthostatic hypotension or seizures Methadone: Coadministration may produce opioid intoxication. Discontinuation of Fluvoxamine may produce opioid withdrawal. Mexiletine: Monitor serum Mexiletine levels © The Swiss Pharmacy

14. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Warnings Ramelteon: Should not be used in combination with Fluvoxamine Theophylline: Clearance decreased; reduce theophylline dose by one-third Warfarin: Plasma concentrations increased and prothrombin times prolonged; monitor prothrombin time and adjust warfarin dose accordingly. Other Drugs Affecting Hemostasis: Increased risk of bleeding with concomitant use of NSAIDs, aspirin, or other drugs affecting coagulation. Discontinuation: Symptoms associated with discontinuation have been reported. Abrupt discontinuation not recommended. Activation of mania/hypomania has occurred. Seizures: Avoid administering Fluvoxamine in patients with unstable epilepsy; monitor patients with controlled epilepsy; discontinue treatment if seizures occur or frequency increases. URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy

15. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Warnings Hyponatremia: May occur with SSRIs and SNRIs, including Fluvoxamine Maleate Tablets. The elderly may be at increased risk. Consider discontinuing in patients with symptomatic hyponatremia. Concomitant illness: Use caution in patients with diseases or conditions that affect hemodynamic responses or metabolism. Patients with impaired liver function may require a lower starting dose and slower titration. URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy

16. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Possible Side Effects Most common Fluvoxamine Maleate(Fluvoxin tablets) side effects in controlled trials with adult OCD and depression patients with an incidence rate of greater than or equal to 5% and at least twice that for placebo were nausea, somnolence, insomnia, asthenia, nervousness, dyspepsia, abnormal ejaculation, sweating, anorexia, tremor, and vomiting. The other side effects which were identified: anorgasmia, decreased libido, dry mouth, rhinitis, taste perversion, and urinary frequency in patients with OCD; and agitation, depression, dysmenorrhea, flatulence, hyperkinesia, and rash in pediatric patients with OCD. URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy

17. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Overdosage Symptoms Commonly observed adverse events with an incidence rate of 5% or more associated with Fluvoxamine Maleate (Fluvoxin tablets) overdose include gastrointestinal complaints (nausea, vomiting and diarrhea), coma, hypokalemia, hypotension, respiratory difficulties, somnolence, and tachycardia. Other notable signs and symptoms seen with fluvoxamine maleate overdose (single or multiple drugs) include bradycardia, ECG abnormalities (such as heart arrest, QT interval prolongation, first degree atrioventricular block, bundle branch block, and junctional rhythm), convulsions, dizziness, liver function disturbances, tremor, and increased reflexes URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy

18. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Treatment of Fluvoxin Overdose Treatment should consist of those general measures employed in the management of overdosage with any antidepressant. Ensure an adequate airway, oxygenation, and ventilation. Monitor cardiac rhythm and vital signs. General supportive and symptomatic measures are also recommended. Induction of emesis is not recommended. Gastric lavage with a large-bore orogastric tube with appropriate airway protection, if needed, may be indicated if performed soon after ingestion, or in symptomatic patients. Activated charcoal should be administered. Due to the large volume of distribution of this drug, forced diuresis, dialysis, hemoperfusion and exchange transfusion are unlikely to be of benefit. URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy

19. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Fluvoxin Tablets during Pregnancy Fluvoxamine Maleate (Fluvoxin tablets) has been classified by the US FDA as Pregnancy Category C. When pregnant rats were given oral doses of Fluvoxamine (60, 120, or 240 mg/kg) throughout the period of organogenesis, developmental toxicity in the form of increased embryofetal death and increased incidences of fetal eye abnormalities (folded retinas) was observed at doses of 120 mg/kg or greater. Decreased fetal body weight was seen at the high dose. The no effect dose for developmental toxicity in this study was 60 mg/kg (approximately 2 times the MRHD on a mg/m2 basis). When treating a pregnant woman with Fluvoxamine Maleate Tablets, the physician should carefully consider both the potential risks of taking an SSRI, along with the established benefits of treating depression with an antidepressant. URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy

20. Fluvoxin Tablets (Generic Fluvoxamine Maleate Tablets) Fluvoxin Tablets Fluvoxin Tablets (50 mg and 100 mg) are manufactured by Sun Pharmaceutical Industries Limited, India . URL: URL: https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html https://www.theswisspharmacy.com/product_info.php?info=p9571_Fluvoxamine-Tablets.html © The Swiss Pharmacy