Relafin 100
OTC- Generic:
- Fluvoxamine Maleate
- Company:
- General Pharmaceuticals Ltd.
- Dosage form:
- Tablet
- Pack size:
- Strip (10 Tablet)
৳ 25/unit
Pack: ৳ 250
At a glance
Fluvoxamine Maleate — brands, prices, indication, dosage and side effects available in Bangladesh.
Description
Fluvoxamine Maleate is a type of antidepressant belonging to the selective serotonin reuptake inhibitor (SSRI) group of medicines. It is prescribed to treat depression, where it helps to make you feel better. This medicine is also used to treat people with obsessive-compulsive disorder. Fluvoxamine Maleate can be taken with or without food. The dose and how often you need it will be decided by your doctor so that you get the right amount to control your symptoms. Your doctor may start you on a lower dose and increase it gradually. Do not change the dose or stop taking it without talking to your doctor, even if you feel well. Doing so may make your condition worse or you may suffer from unpleasant withdrawal symptoms (anxiety, restlessness, palpitations, dizziness, sleep disturbances etc). To get the most benefit, take this medicine regularly at the same time each day. It may take a few weeks before you start feeling better. Let your doctor know if you do not see any improvement even after 4 weeks. Fluvoxamine Maleate has been reported to have fewer side effects than older antidepressants. Some common side effects of this medicine include nausea, vomiting, fatigue, dry mouth, increased sweating, tremors, insomnia (difficulty in sleeping), decreased sexual drive, delayed ejaculation, and erectile dysfunction. Some people may experience sleepiness after taking this medicine. Let your doctor know straight away if you develop any sudden worsening of mood or any thoughts about harming yourself. Before taking this medicine, you should tell your doctor if you have epilepsy (seizure disorder or fits), diabetes, liver or kidney disease, heart problems, or glaucoma. These may affect your treatment. Pregnant or breastfeeding women should also consult their doctor before taking it. Some other medicines may affect the way it works, especially other antidepressants and medicines called MAO inhibitors. Please tell your doctor about all the medicines you are taking to make sure you are safe. Fluvoxamine Maleate is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It works by increasing the levels of serotonin, a chemical messenger in the brain. This improves mood and physical symptoms of depression and also relieves symptoms of obsessive-compulsive disorders.
Indications
• Depression • Obsessive-compulsive disorder
Mechanism of action
Fluvoxamine, derived from aralkylketone, inhibits the re-uptake of serotonin in brain neurons.
Dosage
Adult Dose: Oral Obsessive compulsive disorder Adult: 50 mg once daily; may increase by 50 mg every 4-7 days. Daily doses >100 mg should be given in 2 divided doses. Max: 300 mg daily. Elderly: Initial 25mg once daily. Depression Adult: Initially, 50-100 mg daily, may increase gradually up to 300 mg daily, if necessary. Doses >150 mg should be given in 2 or 3 divided doses. Hepatic impairment: Decrease dose Child Dose: Oral Obsessive compulsive disorder Child: >8 yr: 25 mg once daily, may increase by 25 mg every 4-7 days. Doses >50 mg should be given in 2 divided doses. Reassess if no improvement after 10 wk of treatment. Max: 200 mg daily.
Administration
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Fluvoxamine Maleate may be taken with or without food, but it is better to take it at a fixed time.
Missed dose
If you miss a dose of Fluvoxamine Maleate, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Side effects
Common: • Delayed ejaculation • Drowsiness • Erectile dysfunction • Low sexual desire • Nausea • Vomiting • Dryness in mouth • Fatigue • Increased sweating • Indigestion • Insomnia (difficulty in sleeping) • Loss of appetite • Nervousness • Tremor
Precautions & warnings
[SAFE] Fluvoxamine Maleate does not usually affect your ability to drive. It should be taken at night with or without food. Take caution while taking Fluvoxamine Maleate if you are using Benzodiazepines and MAO inhibitors previously. Do not drive or do anything requiring concentration until you know how Fluvoxamine Maleate affects you. Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts. Do not stop taking the medication suddenly without talking to your doctor.
Contraindications
Hypersensitivity. Not to be used with thioridazine, terfenadine, astemizole, cisapride, pimozide, aloestron, tizanidine. Lactation.
Drug interactions
Co-admin with fluvoxamine may increase carbamazepine toxicity and serum levels of theophylline. Lithium enhances the serotonergic effects of fluvoxamine. Anticoagulants may require dosage adjustments. Diltiazem with fluvoxamine may lead to bradycardia. Avoid alcohol. Potentially Fatal: Fluvoxamine should not be used in combination with MAOIs, or within 14 days of discontinuing treatment with MAOIs.
Food interactions
[UNSAFE] It is unsafe to consume alcohol with Fluvoxamine Maleate.
Use in pregnancy
[CONSULT YOUR DOCTOR] Fluvoxamine Maleate may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Use in lactation
[CONSULT YOUR DOCTOR] Fluvoxamine Maleate is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Renal / hepatic impairment
[SAFE IF PRESCRIBED] Fluvoxamine Maleate is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Fluvoxamine Maleate may not be needed in these patients. Please consult your doctor. [CAUTION] Fluvoxamine Maleate should be used with caution in patients with liver disease. Dose adjustment of Fluvoxamine Maleate may be needed. Please consult your doctor.
Common questions
I have Obsessive compulsive Disorder. Prescribe the medication. Hi Kindly share your symptoms of your Problem Sir, I wont to take best medicine of Ayurveda for obsessive compulsive disorders(Depression) Use brahmi granules and jatamansi vati , What is the best ayurvedic medicine for lethargy,dullness,obsessive compulsive disorder, bipolar mood disorder,general anxiety disorder,gas,bloating,low digestive strength,low body energy,low concentration,too much attachment and paranoid behavior? https://www.1mgayush.com/otc/jiva-ashwagandha-tablet-otc3299671-1 Tablet after lunch & dinner, Take at least 1-2 months. Sir i am suffering from Anxiety, IBS and Obsessive compulsive disorder I want to how i get Ayurveda medicine You should contact Ayurvedic doctor in person before starting the treatment Sir/mam i have Obsessive-compulsive disorder problem, what is the best treatment and which medicines are best for that. Medicines are prescribed after clinical examination. This portal is to guide you regarding your problems and clarify doubts. Please see a psychiatrist for treatment. OCD treatment,substitute medicine I m suffering from OCd since last 8 years. Now I m on fluvoxamine and clonofril 25mg clonazepam 2mg, now I want to decrease these tranquilizer gradually.what can I do for the same? Obsessive-Compulsive Disorder (OCD) is a common, chronic and long-lasting disorder in which a person has uncontrollable, reoccurring thoughts (obsessions) and behaviors (compulsions) that he or she feels the urge to repeat over and over. It's a neurochemical disturbance in brain and worsens due to stressful environment. OCD is typically treated with medication, psychotherapy or a combination of the two. Treatment duration depends upon the intensity and frequency of episodes and may be needed throughout life. Regular follow up with your psychiatrist ensures that add on medicines like clonazepam can be tapered off. Fluvoxin and clomipramine are not tranquillisers. She takes daily two hours bath.She feels that she is not cleaned after going to toilet.always she feels that some thing has toched to her an It is OCD, a neurochemical disorder due to which individual has obsessive thoughts and compulsive washing. It can be treated with medicines. OCD . Have been taking fluvoxin 100 mg for the last couple of years I basically need a prescription to refill the same as my current doctor is out of station My apology but Indian law does not allow me to consult online and give prescription without seeing you.