Fluvoxamine maleate【C】

Psychopharmacologic Drugs : Affective Disorders
OLOTE1 “Lote EC tablet” 100 mg/tab
OLUVO2 “Luvox FC table” 50 mg/tab

適應症:

OLUVO2:重度憂鬱症及強迫症。

OLOTE1:情緒性症狀(持續性情緒低落,精神功能傷害及精神異常等)。

Usual dose:

Depression: 50-300 mg/day.

Obsessive-compulsive disorder:

Adult: 50 mg/day hs; may increase by 50 mg increments q4-7d, max. 300 mg/day.

Pediatric (> 8 yrs): 25 mg/day hs; may increase by 25 mg increments q4-7d to a max dosage (8-11yrs) 200 mg/day, (12-17 yrs) 300 mg/day.

Panic disorder:

Adult: 50-300 mg/day, mean effective dose is 225 mg/day.

Dose adjustment:

Liver disease, geriatric: a lower initial dose or longer dosing interval.

Contraindication:

Concomitant use with alosetron, pimozide, thioridazine, or tizanidine, MAOIs or within 14 days following treatment with a MAOIs.

Adverse effect:

Common: nausea (40%), somnolence (22%), insomnia (21%), xerostomia (14%), asthenia (14%), feeling nervous (12%), dizziness (11%), diarrhea (11%), indigestion (10%), abnormal ejaculation (8%), sweating (7%), loss of appetite (6%), tremor (5%), anxiety (5%), orgasm incapacity (2%).

Serious: Stevens-Johnson syndrome, toxic epidermal necrolysis, hyponatremia, syndrome of inappropriate antidiuretic hormone secretion, abnormal bleeding, extrapyramidal disease (0.1%-1%), seizure (0.2%), serotonin syndrome, depression, worsening, psychotic disorder (at least 1%), suicidal thoughts, suicide, neuroleptic malignant syndrome (rare), withdrawal sign or symptom.

健保使用規範:同fluoxetine

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