October 31, 2014
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Drug Factsheets

 Health Home >> Medications 

Riva-Fluvox

(fluvoxamine)

DIN (Drug Identification Number)

02303361 RIVA-FLUVOX 50MG TABLET
02303345 RIVA-FLUVOX 100MG TABLET

What side effects are possible with Riva-Fluvox?

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • abdominal pain
  • change in taste sensation
  • constipation
  • decreased appetite
  • diarrhea
  • dizziness
  • drowsiness
  • dry mouth
  • feeling of constant movement of self or surroundings
  • feeling of fast or irregular heartbeat
  • frequent urination
  • headache
  • heartburn
  • increased sweating
  • nausea
  • trembling or shaking
  • trouble sleeping
  • unusual tiredness
  • unusual weight gain or loss
  • vomiting

Check with your doctor as soon as possible if any of the following side effects occur:

  • absence of or decrease in body movements
  • behaviour, mood, or mental changes
  • blurred vision
  • change in sexual performance or desire
  • clumsiness or unsteadiness
  • convulsions (seizures)
  • inability to move eyes
  • increase in body movements
  • menstrual changes
  • nosebleeds
  • red or irritated eyes
  • redness, tenderness, itching, burning, or peeling of skin
  • skin rash
  • sore throat, fever, and chills
  • symptoms of serotonin syndrome, including:
    • diarrhea
    • fever
    • increased sweating
    • mood or behaviour changes
    • overactive reflexes
    • racing heartbeat
    • restlessness
    • shivering or shaking
  • talking, feeling, and acting with excitement and activity you cannot control
  • trouble breathing
  • trouble urinating
  • twitching
  • unusual bruising
  • unusual secretion of milk (females)
  • unusual, incomplete, or sudden body or facial movements
  • weakness

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.





Are there any other precautions or warnings for Riva-Fluvox?

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Change in blood sugar levels: Changes in blood sugar levels have been reported in the early stages of treatment in people taking fluvoxamine, whether or not they have been diagnosed with diabetes.

Drowsiness/reduced alertness: Some people who take fluvoxamine may become drowsy. Avoid activities that require complete mental alertness, judgment, and physical coordination (such as driving a car or performing hazardous tasks) until you establish that fluvoxamine does not affect you in this way.

Medical conditions: If you have a history of seizures, liver or kidney disease, diabetes, heart problems, or any abnormal bleeding, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Stopping the medication: Stopping this medication suddenly may lead to side effects such as dizziness; abnormal dreams; confusion; burning, prickling, or tingling skin; difficulty concentrating; fatigue; anxiety or agitation; shaking; nausea or vomiting; or sweating. If you are thinking of stopping the medication, check with your doctor first.

Suicidal or agitated behaviour: Adults and children taking this medication may feel agitated (restless, anxious, aggressive, emotional, and feeling not like themselves), or they may want to hurt themselves or others. These symptoms may occur within several weeks after the person starts taking this medication. Anyone taking this medication should be closely monitored by their doctor for emotional and behavioural changes.

Pregnancy: It has been reported that babies born to women who took medications of this kind during the last trimester of their pregnancy may experience adverse effects (such as breathing problems, seizures, trouble feeding, jitteriness, irritability, and constant crying). This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.

Breast-feeding: This medication passes into breast milk. If you are a breast-feeding mother and are taking fluvoxamine, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and efficacy of this medication have not been established for children and adolescents under 18 years of age. The use of this medication by people in this age group may cause behavioural and emotional changes, such as suicidal thoughts and behaviour.

What other drugs could interact with Riva-Fluvox?

There may be an interaction between fluvoxamine and any of the following:

  • alcohol
  • alprazolam
  • bromazepam
  • bromocriptine
  • buspirone
  • carbamazepine
  • clozapine
  • cyclosporine
  • dextromethorphan
  • diazepam
  • dihydroergotamine
  • lithium
  • MAO inhibitors (e.g., phenelzine, tranylcypromine, linezolid)
  • meperidine
  • methadone
  • midazolam
  • other SSRIs (e.g., fluoxetine, sertraline)
  • perphenazine
  • phenytoin
  • pimozide
  • propranolol
  • St. John's wort
  • theophylline
  • thioridazine
  • tizanidine
  • tramadol
  • trazodone
  • triazolam
  • tricyclic antidepressants (e.g., desipramine, nortriptyline)
  • triptans (e.g., sumatriptan, rizatriptan)
  • tryptophan
  • warfarin

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

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Depression Symptom Checker Tool

The Depression Symptom Checker tool can help you learn about depression. Use this tool to create a list of your symptoms and rate how much the symptoms impact your life on a daily basis. The checklist is divided into 6 symptom categories that are associated with depression. You can also learn more about symptoms of depression here.

For each statement choose a number from 0 to 4 that describes the impact on your daily life, where 4 has the highest impact and 0 has no impact:

  • 0 = no impact on daily life/no symptoms
  • 1 = mild impact on daily life
  • 2 = moderate impact on daily life
  • 3 = severe impact on daily life
  • 4 = debilitating impact on daily life

It is important to remember that this is not a “score” but a way to help you communicate how much you feel the symptom impacts your daily life. When you finish you will be able to print out your symptoms and share this information with your doctor. Use the Doctor Discussion Guide to prepare for your doctor’s visit.

Rate how much the following symptoms apply to you.

1. Emotions

Depression can affect anyone at any age, although it most commonly appears between 15 and 45 years of age.

0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4

Visit your doctor with these results, when booking your appointment inform your doctor that you may need extra time to discuss these matters. Getting help for your depression can change your life. Don’t wait- depression is an illness that can, and should be treated.

Thoughts about death or suicide are common in depression, and it’s important to take such thoughts seriously. If you feel like giving up or as if you might hurt yourself, get help immediately: call your doctor, go to the emergency room or call 911.

This tool is adapted with permission from similar content found on www.depressionhurts.ca.


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