home > drugs a-z list > luvox cr (fluvoxamine maleate extended-release capsules) drug center > luvox cr (fluvoxamine maleate extended-release capsules) drug - consumer missed dose

This drug should not be used with the following medications because very serious interactions may occur: alosetron, cisapride, diazepam, pimozide, ramelteon, sibutramine, thioridazine, tizanidine.

Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine) within 2 weeks before, during, and after treatment with this medication. In some cases a serious, possibly fatal drug interaction may occur.

If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting fluvoxamine.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially: antipsychotics (e.g., olanzapine, clozapine), "water pills"/diuretics (e.g., furosemide), drugs that can cause bleeding/bruising (e.g., "blood thinners" such as heparin or warfarin, anti-platelet drugs including aspirin, NSAIDs such as ibuprofen), drugs removed from your body by certain liver enzymes (e.g., methadone, mexiletine, melatonin, tacrine, theophylline, certain benzodiazepines such as alprazolam/triazolam, certain anti-seizure drugs such as carbamazepine/phenytoin, certain beta blockers such as metoprolol/propranolol).

Check all prescription and nonprescription medicine labels carefully since many medications contain pain relievers/fever reducers (NSAIDs such as aspirin, ibuprofen, naproxen) that may increase your risk for bleeding if taken together with this drug. Low-dose aspirin should be continued if prescribed by your doctor for specific medical reasons such as heart attack or stroke prevention (usually at dosages of 81-325 milligrams per day). Consult your doctor or pharmacist for more details.

Also tell your doctor if you take any other drugs that increase serotonin, such as amphetamines (e.g., dextroamphetamine), bromocriptine, buspirone, dextromethorphan, lithium, meperidine, propoxyphene, phentermine, tramadol, tryptophan, St. John's wort, drugs used to treat migraines (e.g., dihydroergotamine, "triptans" such as sumatriptan), street drugs such as MDMA/"ecstasy," certain antidepressants including other SSRIs (e.g., citalopram, paroxetine) and SNRIs (e.g., duloxetine, venlafaxine).

Also report the use of drugs that might increase seizure risk when combined with fluvoxamine such as isoniazid (INH), tramadol, bupropion, or tricyclic antidepressants (e.g., amitriptyline, clomipramine), among others. Consult your doctor or pharmacist for details.

This medication can increase the side effects of caffeine. Avoid drinking large amounts of beverages containing caffeine (coffee, tea, colas) or eating large amounts of chocolate.

Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), medicine for sleep or anxiety (e.g., lorazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine).

Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain dextromethorphan, caffeine, or ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

Cigarette smoking decreases blood levels of this medication. Tell your doctor if you smoke or if you have recently stopped smoking.

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: fast/slow/irregular heartbeat, trouble breathing, seizures.

NOTES: Do not share this medication with others.

Psychiatric/medical checkups (and possibly laboratory tests) must be done periodically to monitor your progress and check for side effects. Consult your doctor for more details.

MISSED DOSE: If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

STORAGE: Store at room temperature at 77 degrees F (25 degrees C) away from light and moisture. Brief storage between 59-86 degrees F (15-30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

Information last revised May 2010 Copyright(c) 2010 First DataBank, Inc.