Peringatan Keamanan

Fluvoxamine is a member of antidepressants that possess an increased risk compared to placebo of suicidal thinking and behaviour (suicidality) in children, adolescents, and young adults (ages including and and below 24) in short-term studies of major depressive disorder and other psychiatric disorders FDA Label.

Fluvoxamine maleate tablets are not approved for use in pediatric patients except for patients with obsessive compulsive disorder (OCD) FDA Label.

Side effects include anorexia, constipation, dry mouth, headache, nausea, nervousness, skin rash, sleep problems, somnolence, liver toxicity, mania, increase urination, seizures, sweating increase, tremors, or Tourette's syndrome FDA Label.

Fluvoxamine

DB00176

small molecule approved investigational

Deskripsi

Fluvoxamine is an antidepressant which functions pharmacologically as a selective serotonin reuptake inhibitor. Though it is in the same class as other SSRI drugs, it is most often used to treat obsessive-compulsive disorder.
Fluvoxamine has been in use in clinical practice since 1983 and has a clinical trial database comprised of approximately 35,000 patients. It was launched in the US in December 1994 and in Japan in June 1999. As of the end of 1995, more than 10 million patients worldwide have been treated with fluvoxamine.

Struktur Molekul 2D

Berat 318.34
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) 15.6 hours [FDA Label].
Volume Distribusi * 25 L/kg [FDA Label].
Klirens (Clearance) -

Absorpsi

Well absorbed, bioavailability of fluvoxamine maleate is 53% FDA Label.

Metabolisme

Fluvoxamine is metabolized extensively by the liver FDA Label.

Rute Eliminasi

Nine metabolites were identified following a 5 mg radio labelled dose of fluvoxamine maleate, constituting approximately 85% of the urinary excretion products of fluvoxamine FDA Label. The main human metabolite was fluvoxamine acid which, together with its N-acetylated analog, accounted for about 60% of the urinary excretion products FDA Label. Approximately 2% of fluvoxamine was excreted in urine unchanged FDA Label. Following a 14C-labelled oral dose of fluvoxamine maleate (5 mg), an average of 94% of drug-related products was recovered in the urine within 71 hours FDA Label.

Farmakogenomik

6 Varian
CYP2D6 (rs35742686)

The presence of this polymorphism in CYP2D6 is associated with reduced or poor metabolism of fluvoxamine.

CYP2D6 (rs3892097)

The presence of this polymorphism in CYP2D6 is associated with reduced or poor metabolism of fluvoxamine.

CYP2D6 (None)

The presence of this polymorphism in CYP2D6 is associated with reduced or poor metabolism of fluvoxamine.

CYP2D6 (rs5030655)

The presence of this polymorphism in CYP2D6 is associated with reduced or poor metabolism of fluvoxamine.

CYP2D6 (rs1135824)

The presence of this polymorphism in CYP2D6 is associated with reduced or poor metabolism of fluvoxamine.

CYP2D6 (rs28371733)

The presence of this polymorphism in CYP2D6 is associated with reduced or poor metabolism of fluvoxamine.

Interaksi Makanan

4 Data
  • 1. Avoid alcohol.
  • 2. Avoid grapefruit products.
  • 3. Limit caffeine intake.
  • 4. Take with or without food. The absorption is unaffected by food.

Interaksi Obat

2216 Data
Troglitazone Troglitazone may decrease the excretion rate of Fluvoxamine which could result in a higher serum level.
Bosentan Bosentan may decrease the excretion rate of Fluvoxamine which could result in a higher serum level.
Ursodeoxycholic acid Ursodeoxycholic acid may decrease the excretion rate of Fluvoxamine which could result in a higher serum level.
Cholic Acid Cholic Acid may decrease the excretion rate of Fluvoxamine which could result in a higher serum level.
Simeprevir Simeprevir may decrease the excretion rate of Fluvoxamine which could result in a higher serum level.
Lenvatinib Lenvatinib may decrease the excretion rate of Fluvoxamine which could result in a higher serum level.
Valinomycin Valinomycin may decrease the excretion rate of Fluvoxamine which could result in a higher serum level.
Erythromycin The serum concentration of Fluvoxamine can be increased when it is combined with Erythromycin.
Olmesartan Olmesartan may decrease the excretion rate of Fluvoxamine which could result in a higher serum level.
Pralsetinib The serum concentration of Pralsetinib can be increased when it is combined with Fluvoxamine.
Alosetron The metabolism of Alosetron can be decreased when combined with Fluvoxamine.
Alprazolam The serum concentration of Alprazolam can be increased when it is combined with Fluvoxamine.
Asenapine The serum concentration of Asenapine can be increased when it is combined with Fluvoxamine.
Bromazepam The serum concentration of Bromazepam can be increased when it is combined with Fluvoxamine.
Bupropion The risk or severity of adverse effects can be increased when Bupropion is combined with Fluvoxamine.
Cilostazol The serum concentration of Cilostazol can be increased when it is combined with Fluvoxamine.
Citalopram The serum concentration of Citalopram can be increased when it is combined with Fluvoxamine.
Cyproheptadine The therapeutic efficacy of Fluvoxamine can be decreased when used in combination with Cyproheptadine.
Deferasirox The serum concentration of Fluvoxamine can be increased when it is combined with Deferasirox.
Desmopressin The risk or severity of hyponatremia can be increased when Fluvoxamine is combined with Desmopressin.
Phenytoin The serum concentration of Phenytoin can be increased when it is combined with Fluvoxamine.
Fosphenytoin The serum concentration of Fosphenytoin can be increased when it is combined with Fluvoxamine.
Ioflupane I-123 Fluvoxamine may decrease effectiveness of Ioflupane I-123 as a diagnostic agent.
Linezolid The risk or severity of serotonin syndrome can be increased when Linezolid is combined with Fluvoxamine.
Metyrosine The risk or severity of extrapyramidal symptoms can be increased when Metyrosine is combined with Fluvoxamine.
Peginterferon alfa-2b The serum concentration of Fluvoxamine can be increased when it is combined with Peginterferon alfa-2b.
Pimozide The risk or severity of QTc prolongation can be increased when Fluvoxamine is combined with Pimozide.
Ropivacaine The serum concentration of Ropivacaine can be increased when it is combined with Fluvoxamine.
Leflunomide The serum concentration of Fluvoxamine can be decreased when it is combined with Leflunomide.
Teriflunomide The serum concentration of Fluvoxamine can be decreased when it is combined with Teriflunomide.
Thioridazine The serum concentration of Thioridazine can be increased when it is combined with Fluvoxamine.
Zolpidem Fluvoxamine may increase the central nervous system depressant (CNS depressant) activities of Zolpidem.
Buprenorphine Fluvoxamine may increase the central nervous system depressant (CNS depressant) activities of Buprenorphine.
Doxylamine Doxylamine may increase the central nervous system depressant (CNS depressant) activities of Fluvoxamine.
Dronabinol The serum concentration of Dronabinol can be increased when it is combined with Fluvoxamine.
Droperidol Droperidol may increase the central nervous system depressant (CNS depressant) activities of Fluvoxamine.
Hydrocodone Fluvoxamine may increase the central nervous system depressant (CNS depressant) activities of Hydrocodone.
Hydroxyzine Hydroxyzine may increase the central nervous system depressant (CNS depressant) activities of Fluvoxamine.
Magnesium sulfate The therapeutic efficacy of Fluvoxamine can be increased when used in combination with Magnesium sulfate.
Methotrimeprazine Fluvoxamine may increase the central nervous system depressant (CNS depressant) activities of Methotrimeprazine.
Minocycline Minocycline may increase the central nervous system depressant (CNS depressant) activities of Fluvoxamine.
Nabilone Nabilone may increase the central nervous system depressant (CNS depressant) activities of Fluvoxamine.
Orphenadrine Fluvoxamine may increase the central nervous system depressant (CNS depressant) activities of Orphenadrine.
Paraldehyde Fluvoxamine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Perampanel Perampanel may increase the central nervous system depressant (CNS depressant) activities of Fluvoxamine.
Pramipexole Fluvoxamine may increase the sedative activities of Pramipexole.
Rotigotine Fluvoxamine may increase the sedative activities of Rotigotine.
Rufinamide The risk or severity of adverse effects can be increased when Rufinamide is combined with Fluvoxamine.
Sodium oxybate Fluvoxamine may increase the central nervous system depressant (CNS depressant) activities of Sodium oxybate.
Suvorexant Fluvoxamine may increase the central nervous system depressant (CNS depressant) activities of Suvorexant.
Tapentadol Tapentadol may increase the central nervous system depressant (CNS depressant) activities of Fluvoxamine.
Thalidomide Fluvoxamine may increase the central nervous system depressant (CNS depressant) activities of Thalidomide.
Yohimbine The therapeutic efficacy of Fluvoxamine can be increased when used in combination with Yohimbine.
Brexpiprazole The metabolism of Brexpiprazole can be decreased when combined with Fluvoxamine.
Clopidogrel The serum concentration of the active metabolites of Clopidogrel can be reduced when Clopidogrel is used in combination with Fluvoxamine resulting in a loss in efficacy.
Eliglustat The metabolism of Eliglustat can be decreased when combined with Fluvoxamine.
Everolimus The metabolism of Everolimus can be decreased when combined with Fluvoxamine.
Flibanserin The metabolism of Flibanserin can be decreased when combined with Fluvoxamine.
Ibrutinib The metabolism of Ibrutinib can be decreased when combined with Fluvoxamine.
Ivabradine The metabolism of Ivabradine can be decreased when combined with Fluvoxamine.
Ivacaftor The metabolism of Ivacaftor can be decreased when combined with Fluvoxamine.
Lurasidone The metabolism of Lurasidone can be decreased when combined with Fluvoxamine.
Naloxegol The metabolism of Naloxegol can be decreased when combined with Fluvoxamine.
Olaparib The metabolism of Olaparib can be decreased when combined with Fluvoxamine.
Ranolazine The metabolism of Ranolazine can be decreased when combined with Fluvoxamine.
Sonidegib The metabolism of Sonidegib can be decreased when combined with Fluvoxamine.
Avanafil The metabolism of Avanafil can be decreased when combined with Fluvoxamine.
Eplerenone The metabolism of Eplerenone can be decreased when combined with Fluvoxamine.
Colchicine The metabolism of Colchicine can be decreased when combined with Fluvoxamine.
Fentanyl The risk or severity of serotonin syndrome can be increased when Fentanyl is combined with Fluvoxamine.
Iloperidone The metabolism of Iloperidone can be decreased when combined with Fluvoxamine.
Retapamulin The metabolism of Retapamulin can be decreased when combined with Fluvoxamine.
Tofacitinib The metabolism of Tofacitinib can be decreased when combined with Fluvoxamine.
Vardenafil The metabolism of Vardenafil can be decreased when combined with Fluvoxamine.
Zopiclone The metabolism of Zopiclone can be decreased when combined with Fluvoxamine.
Lovastatin The metabolism of Lovastatin can be decreased when combined with Fluvoxamine.
Caffeine The metabolism of Caffeine can be decreased when combined with Fluvoxamine.
Theophylline The metabolism of Theophylline can be decreased when combined with Fluvoxamine.
Dyphylline The metabolism of Dyphylline can be decreased when combined with Fluvoxamine.
Pentoxifylline The metabolism of Pentoxifylline can be decreased when combined with Fluvoxamine.
Mercaptopurine The metabolism of Mercaptopurine can be decreased when combined with Fluvoxamine.
Aminophylline The metabolism of Aminophylline can be decreased when combined with Fluvoxamine.
Oxtriphylline The metabolism of Oxtriphylline can be decreased when combined with Fluvoxamine.
Theobromine The metabolism of Theobromine can be decreased when combined with Fluvoxamine.
Fenethylline The metabolism of Fenethylline can be decreased when combined with Fluvoxamine.
8-azaguanine The metabolism of 8-azaguanine can be decreased when combined with Fluvoxamine.
7,9-Dimethylguanine The metabolism of 7,9-Dimethylguanine can be decreased when combined with Fluvoxamine.
Xanthine The metabolism of Xanthine can be decreased when combined with Fluvoxamine.
7-Deazaguanine The metabolism of 7-Deazaguanine can be decreased when combined with Fluvoxamine.
Guanine The metabolism of Guanine can be decreased when combined with Fluvoxamine.
9-Methylguanine The metabolism of 9-Methylguanine can be decreased when combined with Fluvoxamine.
Peldesine The metabolism of Peldesine can be decreased when combined with Fluvoxamine.
Hypoxanthine The metabolism of Hypoxanthine can be decreased when combined with Fluvoxamine.
9-Deazaguanine The metabolism of 9-Deazaguanine can be decreased when combined with Fluvoxamine.
Propentofylline The metabolism of Propentofylline can be decreased when combined with Fluvoxamine.
Valomaciclovir The metabolism of Valomaciclovir can be decreased when combined with Fluvoxamine.
3-isobutyl-1-methyl-7H-xanthine The metabolism of 3-isobutyl-1-methyl-7H-xanthine can be decreased when combined with Fluvoxamine.
Uric acid The metabolism of Uric acid can be decreased when combined with Fluvoxamine.
Doxofylline The metabolism of Doxofylline can be decreased when combined with Fluvoxamine.
6-O-benzylguanine The metabolism of 6-O-benzylguanine can be decreased when combined with Fluvoxamine.

Target Protein

Sodium-dependent serotonin transporter SLC6A4
Voltage-gated inwardly rectifying potassium channel KCNH2 KCNH2

Referensi & Sumber

Synthesis reference: Welle, H.B.A. and Claassen, V.; U.S. Patent 4,085,225; April 18, 1978; assigned to U.S. Phillips Corp.
Artikel (PubMed)
  • PMID: 16316311
    Dell'Osso B, Allen A, Hollander E: Fluvoxamine: a selective serotonin re-uptake inhibitor for the treatment of obsessive-compulsive disorder. Expert Opin Pharmacother. 2005 Dec;6(15):2727-40.
  • PMID: 18568110
    Irons J: Fluvoxamine in the treatment of anxiety disorders. Neuropsychiatr Dis Treat. 2005 Dec;1(4):289-99.
  • PMID: 23338224
    Foster RH, Goa KL: Paroxetine : a review of its pharmacology and therapeutic potential in the management of panic disorder. CNS Drugs. 1997 Aug;8(2):163-88. doi: 10.2165/00023210-199708020-00010.

Contoh Produk & Brand

Produk: 118 • International brands: 5
Produk
  • Apo-fluvoxamine
    Tablet • 50 mg • Oral • Canada • Generic • Approved
  • Apo-fluvoxamine
    Tablet • 100 mg • Oral • Canada • Generic • Approved
  • Ava-fluvoxamine
    Tablet • 50 mg • Oral • Canada • Generic • Approved
  • Ava-fluvoxamine
    Tablet • 100 mg • Oral • Canada • Generic • Approved
  • Bci Fluvoxamine Tablets
    Tablet • 50.0 mg • Oral • Canada • Approved
  • Bci Fluvoxamine Tablets
    Tablet • 100.0 mg • Oral • Canada • Approved
  • Dom-fluvoxamine
    Tablet • 50 mg • Oral • Canada • Generic • Approved
  • Dom-fluvoxamine
    Tablet • 100 mg • Oral • Canada • Generic • Approved
Menampilkan 8 dari 118 produk.
International Brands
  • Dumirox — Abbott
  • Faverin — Abbott
  • Fevarin — Abbott
  • Floxyfral — Abbott
  • Maveral — Abbott

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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