Fluvoxamine Maleate Er

• Luvox CR

• CeleXA
• Citalopram Hydrobromide
• Escitalopram Oxalate
• FLUoxetine HCl
• fluvoxaMINE Maleate
• fluvoxaMINE Maleate ER
• Lexapro
• Luvox CR
• PARoxetine HCl
• PARoxetine HCl ER
• Paxil
• Paxil CR
• Pexeva
• PROzac
• PROzac Weekly
• Sertraline HCl
• Zoloft

• Long Acting Capsule
• Tablet

• By mouth

Take your medicine as directed. Your dose may need to be changed several times to find what works best for you. Take this medicine at bedtime, unless your doctor tells you otherwise.

Swallow the extended-release capsule whole. Do not crush, break, or chew it.

This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.

Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

This medicine is not right for everyone. Do not use it if you had an allergic reaction to fluvoxamine.

Tell your doctor if you are pregnant or breastfeeding, or if you have liver disease, bleeding problems, glaucoma, heart disease, had a heart attack, or a history of seizures, depression, or mental health problems. Tell your doctor if you smoke.

For some children, teenagers, and young adults, this medicine may increase mental or emotional problems. This may lead to thoughts of suicide and violence. Talk with your doctor right away if you have any thoughts or behavior changes that concern you. Tell your doctor if you or anyone in your family has a history of bipolar disorder or suicide attempts.

This medicine may cause the following problems:Serotonin syndrome (may be life-threatening when used with certain other medicines)Higher risk of bleeding problemsSexual problems

Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

This medicine may make you dizzy or drowsy. Do not drive or do anything that could be dangerous until you know how this medicine affects you.

This medicine may cause decreased appetite and weight loss. Your child's height and weight will be measured to make sure your child is growing properly.

This medicine could cause infertility. Talk with your doctor before using this medicine if you plan to have children.

Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

Unusual behavior, thoughts of hurting yourself or others, panic, trouble sleeping

Unusual bleeding or bruising

Do not use fluvoxamine with alosetron, pimozide, ramelteon, thioridazine, or tizanidine. Do not use fluvoxamine and an MAO inhibitor within 14 days of each other.

Some medicines can affect how fluvoxamine works. Tell your doctor if you are using the following:Buspirone, carbamazepine, clozapine, fentanyl, lithium, meperidine, methadone, metoprolol, mexiletine, omeprazole, phenytoin, propranolol, quinidine, St John€™s wort, tacrine, theophylline, tramadolAmphetaminesBlood thinner (including warfarin)Diuretic (water pill)Medicine to treat depression (including TCAs)NSAID pain or arthritis medicine (including aspirin, celecoxib, diclofenac, ibuprofen, naproxen)Sedative or sleeping medicine (including alprazolam, diazepam)Triptan medicine to treat migraine headachesTryptophan supplements

Do not drink alcohol while you are using this medicine.

Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

This medicine may make you dizzy or drowsy. Do not drive or do anything that could be dangerous until you know how this medicine affects you.

This medicine may cause decreased appetite and weight loss. Your child's height and weight will be measured to make sure your child is growing properly.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

• Fast, pounding, or uneven heartbeat
• Unusual bleeding or bruising
• Loss in sexual ability, desire, drive, or performance, delayed or inability to have an orgasm, inability to have or keep an erection
• Eye pain, vision changes, seeing halos around lights
• Headache, trouble concentrating, memory problems, unsteadiness
• Unusual behavior, thoughts of hurting yourself or others, panic, trouble sleeping
• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Anxiety, restlessness, fever, sweating, muscle spasms, nausea, vomiting, diarrhea, seeing or hearing things that are not there
• Blistering, peeling, red skin rash
• Confusion, weakness, and muscle twitching
• Worsening of depression
• Feeling more excited or energetic than usual
• Seizures
• Constipation, stomach upset
• Sexual problems
• Loss of appetite, weight loss
• Dizziness, unusual drowsiness or sleepiness