Fluvoxamine is a selective serotonin reuptake inhibitor (SSRI) primarily used to treat anxiety-related disorders and mood disturbances. This medication works by increasing serotonin levels in the brain to improve symptoms. Common indications include obsessive-compulsive disorder, generalized anxiety disorder, panic disorder, and major depressive disorder.
Its pharmacological action mainly involves inhibiting serotonin reuptake at neural synapses, thereby regulating mood and thought patterns. Compared to other SSRIs, Fluvoxamine has a higher affinity for 5-HT1A receptors, which confers a unique efficacy in treating compulsive behaviors.
The generic name of this medication is Fluvoxamine. Common brand names include Faverin and Luvox. Different countries or regions may have different commercial names. When using, verify on the medication packaging that the active ingredient is Fluvoxamine.
Fluvoxamine belongs to the class of selective serotonin reuptake inhibitors (SSRIs), used as an antidepressant and anxiolytic. Its chemical structure is a pyrrolopyridine derivative, featuring a dual mechanism to enhance therapeutic effects.
Mainly indicated for:
In certain cases, it may also be used for symptoms of binge-eating disorder or post-traumatic stress disorder.
Mild side effects include:
These symptoms usually resolve within 1-2 weeks of starting treatment.
If these symptoms occur, discontinue the medication immediately and contact your physician.
As with other SSRIs, patients under 18 require close monitoring.
Pregnancy and Breastfeeding: FDA pregnancy category C, which may pose risks to the fetus. During breastfeeding, the medication passes into breast milk, so benefits and risks should be carefully weighed. Avoid alcohol during treatment to prevent exacerbating drowsiness and other side effects.
Contraindicated interactions include:
Inform your healthcare provider of all prescription medications and supplements you are taking before starting Fluvoxamine.
Initial dose is usually 50-100 mg daily, divided into multiple doses to reduce gastrointestinal discomfort. For OCD, doses may be increased up to 300 mg per day, but should not exceed this limit. Take at the same time each day, with or without food, maintaining consistency.
Dose adjustments should be made gradually under medical supervision. It may take 4-6 weeks to see significant effects in OCD treatment. Continue monitoring symptoms throughout.
If a dose is missed on the day, take it as soon as remembered. If it is close to the next scheduled dose, skip the missed dose. Do not double the dose to make up for missed medication, to avoid toxicity.
Overdose may cause serious side effects such as:
If overdose is suspected, seek immediate medical attention. Treatment may include gastric lavage or activated charcoal to adsorb unabsorbed drug.
Now, I will create five frequently asked questions (FAQs) about Fluvoxamine (氟伏沙明), presented in Traditional Chinese, following all specified formatting and content requirements. The questions will focus on practical details such as timing of administration, side effect management, drug interactions, lifestyle considerations, and proper discontinuation. Each question will be uniquely structured to avoid overlap, and answers will be detailed and accurate, covering symptoms, precautions, and advice for safe use.
Questions include:
Below are the detailed answers for each FAQ, ensuring clarity and completeness.
服用氟伏沙明時，是否需要避免特定飲食或飲食時間？
建議患者在固定時間服用氟伏沙明以維持藥效穩定，但藥物可空腹或隨餐服用。若出現胃腸不適（如噁心），可搭配餐點服用以緩解。需避免過量攝取酒精，因可能加劇鎮靜作用或降低療效。
長期使用氟伏沙明是否會對肝臟或腎臟功能造成影響？
長期使用需定期監測肝腎功能，但並非所有患者都會出現問題。若本身有肝臟或腎臟疾病，應事先告知醫師，醫師會根據檢驗結果調整劑量或監測頻率。絕大多數患者在規範用藥下不會產生嚴重器官損傷。
在服用氟伏沙明期間，若需要接受手術治療應如何處理？
手術前必須告知麻醉科醫師正在使用此藥，因可能影響麻醉藥物代謝或血壓控制。醫師可能建議手術前暫停藥物，或在手術後重新評估用藥計畫，需嚴格遵循醫療指示。
氟伏沙明與其他抗焦慮藥物（如benzodiazepines）合併使用時有何風險？
與苯二氮卓類（如地西泮）合併使用可能加劇鎮靜作用，增加嗜睡或呼吸抑制風險。醫師會根據病情評估必要性，並控制合併用藥的劑量與時機，患者不可自行調整用藥組合。
若想調整劑量或停藥，應如何安全進行？
不可突然停藥或自行調整劑量，應與醫師討論逐步減量計畫。快速停藥可能導致戒斷反應，如焦慮加劇、頭暈或失眠。減量過程通常需要數週至數月，需定期追蹤症狀變化。
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