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Luvox CR (fluvoxamine maleate) is a prescription medication used to treat obsessive-compulsive disorder (OCD) and social anxiety disorder (SAD) in adults.

It contains fluvoxamine, an antidepressant that belongs to a class of medications called selective serotonin reuptake inhibitors (SSRIs).

SSRIs work by increasing the availability of serotonin, a natural chemical messenger in the brain that helps regulate mood, anxiety, and emotional responses.

Luvox CR is an extended-release medication, meaning it releases fluvoxamine gradually over time. This allows the medication to be taken once daily, usually at bedtime.

By affecting serotonin activity, Luvox CR may help reduce unwanted obsessive thoughts, repetitive behaviors, and excessive anxiety in social situations.

Treatment of Obsessive-Compulsive Disorder (OCD)

Luvox CR is prescribed to help manage obsessive-compulsive disorder, commonly known as OCD.

OCD is a mental health condition characterized by recurring, unwanted thoughts and repetitive behaviors that can interfere with everyday activities.

People with OCD may experience obsessions, compulsions, or both.

Obsessions are persistent, unwanted thoughts, images, or urges that cause anxiety or distress.

For example, someone may experience repeated fears about contamination, harming others, making mistakes, or needing things to be arranged in a particular way.

Compulsions are repetitive behaviors or mental activities that a person feels driven to perform to reduce anxiety or prevent something bad from happening.

These may include excessive handwashing, repeatedly checking locks or appliances, counting, arranging objects, or mentally repeating certain words.

Although compulsions may provide temporary relief, the anxiety often returns, causing the cycle to continue.

How Luvox CR Helps With OCD

Luvox CR helps manage OCD by increasing the availability of serotonin in the brain.

Serotonin is involved in several brain pathways that influence thoughts, emotions, and behavior.

By affecting serotonin signaling, fluvoxamine may help reduce the frequency and intensity of obsessive thoughts and the urge to perform compulsive behaviors.

Over time, patients may find it easier to manage intrusive thoughts, resist repetitive rituals, and participate in everyday activities.

However, Luvox CR does not eliminate all unwanted thoughts immediately.

Improvement usually develops gradually over several weeks.

Treatment may also include cognitive behavioral therapy (CBT), particularly a specialized approach called exposure and response prevention (ERP).

ERP helps people gradually face situations that trigger obsessive thoughts while learning to resist compulsive responses.

Medication and therapy may be used together, depending on the severity of symptoms and individual treatment needs.

Treatment of Social Anxiety Disorder (SAD)

Luvox CR is also used to treat social anxiety disorder, sometimes called social phobia.

Social anxiety disorder involves a persistent and excessive fear of social situations in which a person may be observed, evaluated, embarrassed, or judged by others.

It is different from ordinary shyness or occasional nervousness.

People with social anxiety disorder may experience intense anxiety that interferes with work, education, relationships, and everyday activities.

Common situations that may trigger anxiety include speaking in public, meeting unfamiliar people, participating in group discussions, eating in front of others, or attending social gatherings.

Symptoms may include excessive worry before social events, fear of negative judgment, blushing, sweating, trembling, nausea, or a rapid heartbeat.

Some people avoid social situations entirely because of the distress they experience.

How Luvox CR Helps With Social Anxiety Disorder

Luvox CR helps reduce symptoms of social anxiety disorder by affecting serotonin signaling in the brain.

Serotonin plays a role in emotional regulation and the brain’s response to stressful or threatening situations.

By increasing serotonin availability, fluvoxamine may gradually reduce excessive fear and anxiety associated with social interactions.

Patients may notice that they feel less distressed before social situations, experience fewer physical symptoms of anxiety, or find it easier to participate in social activities.

However, Luvox CR does not work like an immediate calming medication.

Its benefits develop gradually with regular treatment.

Psychotherapy, particularly cognitive behavioral therapy, may also help patients manage social anxiety by addressing patterns of anxious thinking and avoidance.

Luvox CR is intended to treat clinically significant social anxiety disorder, rather than ordinary shyness or occasional nervousness.

How Does Luvox CR Work?

Luvox CR belongs to a class of medications called selective serotonin reuptake inhibitors (SSRIs).

It works by increasing the availability of serotonin, a neurotransmitter that helps nerve cells communicate with one another.

Serotonin is involved in several important brain functions, including emotional regulation, anxiety responses, sleep, and behavior.

Normally, after serotonin is released between nerve cells, some of it is taken back into the cell that released it.

This process is called serotonin reuptake.

Fluvoxamine blocks this reuptake process, allowing serotonin to remain available for longer between nerve cells.

Over time, changes in serotonin signalling may help reduce obsessive-compulsive symptoms and anxiety.

Reduces Obsessive Thoughts and Compulsive Behaviors

In people with OCD, certain brain networks involved in thoughts, habits, and emotional responses may function differently.

By affecting serotonin activity, Luvox CR may help reduce the intensity of intrusive thoughts and the urge to perform repetitive rituals.

Treatment may make obsessive thoughts easier to manage and reduce the amount of time spent on compulsive behaviors.

Helps Regulate Anxiety Responses

Serotonin is involved in the brain’s response to anxiety and perceived threats.

By influencing serotonin signalling, fluvoxamine may help reduce excessive fear and distress associated with social situations.

This can make it easier for some patients to participate in conversations, meetings, or other everyday social activities.

Provides Gradual Symptom Improvement

Luvox CR does not work immediately.

Although fluvoxamine begins affecting serotonin reuptake after the medication is taken, noticeable improvements in symptoms may take several weeks.

Your healthcare provider may adjust your dosage gradually to find an effective treatment level.

Continue taking Luvox CR exactly as prescribed, even if you do not notice improvement during the first few days.

What Is the Difference Between Luvox CR and Regular Fluvoxamine?

Luvox CR contains the same active ingredient as immediate-release fluvoxamine tablets, but the medication is released differently.

The letters CR refer to its controlled-release or extended-release formulation.

Luvox CR comes as an extended-release capsule that gradually releases medication over time.

It is generally taken once daily at bedtime.

Immediate-release fluvoxamine tablets may be prescribed once or twice daily, depending on the dosage.

Luvox CR capsules should be swallowed whole and should not be crushed or chewed.

The two formulations may have different dosage requirements and should not be substituted without medical guidance.

How Long Does Luvox CR Take to Work?

The time required for Luvox CR to improve symptoms varies between individuals.

Some patients may notice early changes in anxiety or obsessive-compulsive symptoms within the first few weeks.

However, more meaningful improvement may take four to six weeks or longer.

For OCD, it may take eight to twelve weeks of treatment at an appropriate dosage to assess the medication’s full benefit.

Your healthcare provider will monitor your response and determine whether dosage adjustments are needed.

Do not increase your dose or stop treatment without consulting your healthcare provider.

Important Information About Luvox CR

Luvox CR may cause side effects such as nausea, drowsiness, insomnia, dizziness, sweating, and changes in appetite.

It may also interact with several prescription medications because fluvoxamine affects liver enzymes involved in drug metabolism.

Serious potential risks include serotonin syndrome, abnormal bleeding, low blood sodium levels, and worsening mood or suicidal thoughts, particularly in younger patients starting antidepressant treatment.

Do not stop taking Luvox CR suddenly, as this may cause discontinuation symptoms.

Important prescribing distinction: Luvox CR was studied for both OCD and social anxiety disorder, and older prescribing information included both indications. However, current U.S. prescribing information for fluvoxamine extended-release capsules lists OCD as the approved indication. Social anxiety disorder treatment may therefore be an off-label use depending on the specific product and country. 

Luvox CR is a prescription medication used to treat obsessive-compulsive disorder (OCD). It may also be prescribed for social anxiety disorder in certain circumstances.

It belongs to a class of medications called selective serotonin reuptake inhibitors (SSRIs), which work by increasing the availability of serotonin, a natural chemical messenger involved in regulating mood and anxiety.

Luvox CR comes in extended-release capsules that release medication gradually throughout the day.

Luvox CR is usually taken once daily at bedtime, with or without food.

Take the medication exactly as prescribed by your healthcare provider. Do not increase your dose or change your treatment schedule without medical advice.

How to Take Luvox CR Correctly

Follow these instructions when taking Luvox CR:

  1. Take It Once Daily: Luvox CR is generally taken once a day, preferably at bedtime.
  2. Swallow the Capsule Whole: Take the capsule with water. Do not crush or chew it because this may affect how the medication is released.
  3. Take With or Without Food: You may take Luvox CR before or after eating, depending on your preference.
  4. Follow Your Prescribed Dosage: Take only the amount recommended by your healthcare provider.
  5. Maintain a Consistent Schedule: Try to take Luvox CR at approximately the same time each evening.
  6. Continue Treatment Regularly: Keep taking your medication even if your symptoms improve, unless your healthcare provider instructs you to stop.

Luvox CR is different from immediate-release fluvoxamine tablets. These formulations have different dosing instructions and should not be switched without medical supervision.

Recommended Dosage of Luvox CR

The appropriate dosage depends on your medical condition, response to treatment, age, liver function, and other medications you take.

For adults with OCD, the usual recommended starting dose of Luvox CR is 100 mg once daily at bedtime.

Your healthcare provider may gradually increase the dosage in 50 mg increments, usually at weekly intervals, depending on how well you respond and whether you experience side effects.

The maximum recommended dosage for adults is generally 300 mg per day.

If you have liver problems, your healthcare provider may recommend a slower dosage increase or another treatment approach.

Do not increase your dosage on your own. Higher doses may increase the risk of side effects and medication interactions. 

Why Should I Take Luvox CR at Bedtime?

Luvox CR is generally taken at bedtime because it can cause sleepiness or drowsiness in some patients.

Taking the medication in the evening may help reduce the impact of drowsiness on daytime activities.

However, some people experience difficulty sleeping while taking fluvoxamine.

If Luvox CR interferes with your sleep or causes excessive daytime tiredness, speak with your healthcare provider.

Do not change the timing of your dose without medical guidance.

Can I Take Luvox CR With Food?

Yes. Luvox CR can be taken with or without food.

Food is not required for the medication to work properly.

If you experience nausea or an upset stomach, taking the capsule with a small meal or snack may help you tolerate it better.

Swallow the capsule whole with water and avoid crushing or chewing it.

How Long Does Luvox CR Take to Work?

Luvox CR does not provide immediate relief from obsessive thoughts, compulsive behaviors, or anxiety.

Although fluvoxamine begins affecting serotonin reuptake after you take it, noticeable improvements usually develop gradually.

Some patients may notice early changes within the first few weeks of treatment.

However, more meaningful improvements in OCD symptoms may take four to six weeks or longer.

A fuller response may require eight to twelve weeks of treatment at an appropriate dosage.

Your healthcare provider will monitor your progress and determine whether your current dosage is effective.

Continue taking Luvox CR as prescribed, even if you do not notice immediate improvement.

What Should I Do If I Miss a Dose of Luvox CR?

If you forget to take Luvox CR, take the missed dose as soon as you remember unless it is almost time for your next scheduled dose.

If your next dose is approaching, skip the missed dose and continue with your regular schedule.

Do not take two doses at the same time to make up for a missed dose.

Taking extra fluvoxamine may increase the risk of serious side effects.

If you frequently forget doses, consider setting a medication reminder or incorporating Luvox CR into your bedtime routine.

Contact your healthcare provider or pharmacist if you are unsure how to manage a missed dose. 

Can I Stop Taking Luvox CR When I Feel Better?

Do not stop taking Luvox CR suddenly, even if your symptoms improve.

Luvox CR helps manage symptoms while you are taking it, but stopping treatment too early may cause symptoms to return.

Abrupt discontinuation may also cause withdrawal-like symptoms, known as antidepressant discontinuation syndrome.

Possible symptoms include dizziness, nausea, headache, irritability, anxiety, sleep disturbances, and unusual tingling or electric-shock sensations.

If treatment needs to be stopped, your healthcare provider will usually recommend gradually lowering the dose.

This process is called tapering.

The appropriate tapering schedule depends on your current dosage, duration of treatment, and individual response.

Do not reduce or discontinue Luvox CR without consulting your healthcare provider.

Important Precautions When Taking Luvox CR

Luvox CR may cause nausea, dizziness, drowsiness, insomnia, sweating, and other side effects.

Avoid alcohol during treatment because it may worsen drowsiness and impair concentration or coordination.

Do not drive or operate machinery until you understand how the medication affects you.

Fluvoxamine can interact with many medications. Tell your healthcare provider about all prescription drugs, over-the-counter products, and supplements you take.

Some medications must not be combined with Luvox CR, including certain monoamine oxidase inhibitors (MAOIs), tizanidine, and several other specific prescription drugs.

Luvox CR may also cause serotonin syndrome, a potentially dangerous reaction involving excessive serotonin activity.

Symptoms may include agitation, fever, sweating, rapid heartbeat, tremors, muscle stiffness, or confusion.

Seek emergency medical attention if you develop symptoms of serotonin syndrome.

Antidepressants may increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults, particularly when treatment begins or the dosage changes.

Contact your healthcare provider promptly if you experience worsening mood, unusual agitation, or significant behavioral changes. Seek immediate assistance if you experience thoughts of self-harm or suicide.

Common Side Effects of Luvox CR (Fluvoxamine):

  • Nausea and upset stomach
  • Drowsiness and fatigue
  • Dizziness
  • Difficulty sleeping (insomnia)
  • Increased sweating
  • Tremors or Shaking
  • Anxiety or nervousness
  • Sexual side effects

Serious Side Effects of Luvox CR (Fluvoxamine):

  • Suicidal thoughts and behavioral changes
  • Serotonin syndrome
  • Abnormal bleeding
  • Low sodium levels (hyponatremia)
  • Seizures
  • Mania or hypomania
  • Angle-closure glaucoma

Luvox CR (Fluvoxamine) is available in the following forms and strength:

Luvox CR: Tablet

  • 100 mg

Luvox CR is a prescription extended-release medication used to treat obsessive-compulsive disorder (OCD). It may also be prescribed for social anxiety disorder in certain circumstances.

It belongs to a class of medications called selective serotonin reuptake inhibitors (SSRIs), which work by increasing the availability of serotonin in the brain.

Although Luvox CR can help manage obsessive thoughts, compulsive behaviors, and anxiety, it may cause serious side effects in certain patients.

Before starting treatment, tell your healthcare provider about your medical history, current medications, and any previous reactions to antidepressants.

Suicidal Thoughts and Worsening Mood

Luvox CR carries a boxed warning about an increased risk of suicidal thoughts and behaviors in children, adolescents, and young adults.

This risk is particularly important during the first few months of treatment and after dosage changes.

Some patients may experience worsening mood, increased anxiety, irritability, agitation, or unusual changes in behavior.

Other warning signs include panic attacks, difficulty sleeping, impulsive behavior, and severe restlessness.

Family members and caregivers should also watch for changes in mood or behavior that may be difficult for the patient to recognize.

Your healthcare provider should monitor your response to treatment, especially when you first begin taking Luvox CR.

Contact your healthcare provider promptly if you experience worsening depression, significant mood changes, or unusual behavior.

If you experience suicidal thoughts and feel that you may act on them, seek immediate emergency assistance. 

Serotonin Syndrome

Luvox CR may cause a potentially life-threatening condition called serotonin syndrome.

Serotonin syndrome occurs when there is excessive serotonin activity in the body.

It may develop when Luvox CR is taken alone, but the risk is greater when it is combined with other medications that increase serotonin levels.

These include certain antidepressants, migraine medications, opioid pain relievers such as tramadol, lithium, and St. John’s wort.

Symptoms may include agitation, confusion, fever, excessive sweating, rapid heartbeat, shaking, muscle stiffness, and diarrhea.

Severe cases may cause seizures, dangerously high body temperature, or loss of consciousness.

Seek emergency medical attention if you develop symptoms suggesting serotonin syndrome.

Tell your healthcare provider about all prescription medications, over-the-counter products, and supplements you take before starting Luvox CR.

Medication Interactions and Contraindications

Luvox CR can interact with several medications, sometimes causing serious or life-threatening complications.

Fluvoxamine affects liver enzymes responsible for breaking down many prescription drugs. This can increase the amount of certain medications in the bloodstream.

Some medications must not be taken together with Luvox CR.

These include:

  • Monoamine oxidase inhibitors (MAOIs): Such as phenelzine and tranylcypromine, because combining them with fluvoxamine can cause serotonin syndrome.
  • Tizanidine: A muscle relaxant that may cause dangerously low blood pressure and excessive sedation when combined with fluvoxamine.
  • Thioridazine and Pimozide: Antipsychotic medications that may cause serious heart rhythm abnormalities when taken with Luvox CR.
  • Alosetron: A medication used for certain cases of irritable bowel syndrome. Fluvoxamine can significantly increase its concentration in the body.
  • Ramelteon: A sleep medication that may accumulate to unsafe levels when combined with fluvoxamine.

A waiting period of at least 14 days is generally required when switching between Luvox CR and an MAOI used to treat psychiatric disorders.

Luvox CR should also not be started in patients receiving linezolid or intravenous methylene blue because of the risk of serotonin syndrome.

Other medications may require dosage adjustments or closer monitoring rather than complete avoidance.

Do not start any new medication or supplement without checking with your healthcare provider or pharmacist for interactions. 

Increased Risk of Bleeding

Luvox CR may increase the risk of unusual bleeding or bruising.

Serotonin helps blood platelets function properly during clot formation.

Because fluvoxamine affects serotonin activity, it may interfere with normal platelet function.

The risk is greater when Luvox CR is combined with medications that also increase bleeding.

These include aspirin, ibuprofen, naproxen, warfarin, and other blood thinners.

Possible warning signs include unexplained bruising, frequent nosebleeds, bleeding gums, or unusually heavy menstrual bleeding.

More serious symptoms may include vomiting blood or passing black, tarry stools.

Tell your healthcare provider if you have a history of bleeding disorders or take medication that affects blood clotting.

Seek urgent medical attention if you experience severe or uncontrolled bleeding, vomiting blood, or black stools.

Bipolar Disorder and Mania

Luvox CR should be used cautiously in patients with bipolar disorder.

Bipolar disorder is a condition involving episodes of depression and periods of unusually elevated or irritable mood.

Antidepressants may sometimes trigger mania or hypomania in susceptible individuals.

Mania may cause unusually high energy, excessive excitement, racing thoughts, impulsive behavior, and a reduced need for sleep.

Some people may also experience unusually rapid speech, increased irritability, or risky behavior.

Before prescribing Luvox CR, your healthcare provider should assess whether you have a personal or family history of bipolar disorder.

Contact your healthcare provider promptly if you experience sudden changes in mood, unusual excitement, or significantly reduced need for sleep.

Seizures and Epilepsy

Tell your healthcare provider if you have a history of seizures or epilepsy before taking Luvox CR.

A seizure occurs when abnormal electrical activity in the brain causes sudden changes in movement, awareness, or consciousness.

Although seizures are uncommon during fluvoxamine treatment, they have been reported.

People with unstable epilepsy should generally avoid fluvoxamine.

Patients with well-controlled epilepsy may require additional monitoring if Luvox CR is prescribed.

Certain interacting medications may also increase the risk of seizures.

Seek emergency medical attention if you experience a seizure while taking Luvox CR.

If seizures occur or become more frequent, your healthcare provider should reassess treatment immediately.

Low Sodium Levels (Hyponatremia)

Luvox CR may occasionally cause low sodium levels in the blood, a condition called hyponatremia.

Sodium is an important electrolyte that helps regulate fluid balance, nerve activity, and muscle function.

SSRIs can sometimes cause the body to retain too much water, diluting the sodium concentration in the bloodstream.

Older adults, people taking diuretics, and patients with reduced fluid volume may be at greater risk.

Symptoms may include headache, nausea, weakness, difficulty concentrating, confusion, and problems with balance.

Severe hyponatremia may cause seizures, fainting, or loss of consciousness.

Tell your healthcare provider if you take water pills or have previously experienced low sodium levels.

Seek urgent medical attention if you develop severe confusion, seizures, or significant changes in consciousness.

Glaucoma and Eye Problems

Luvox CR may trigger an episode of angle-closure glaucoma in susceptible individuals.

Angle-closure glaucoma occurs when fluid drainage inside the eye becomes blocked, causing a sudden increase in eye pressure.

This can damage the optic nerve and may lead to permanent vision loss if not treated promptly.

Possible symptoms include severe eye pain, blurred vision, redness, headache, nausea, or seeing halos around lights.

Tell your healthcare provider if you have a history of glaucoma or other significant eye conditions.

People with anatomically narrow eye angles may require an eye examination before starting treatment.

Seek emergency medical attention if you experience sudden severe eye pain or vision changes.

Liver Disease

Tell your healthcare provider if you have liver disease or reduced liver function.

The liver plays an important role in breaking down fluvoxamine so that it can be eliminated from the body.

In people with impaired liver function, the medication may be processed more slowly.

This can increase the concentration of fluvoxamine in the bloodstream and raise the risk of side effects.

Your healthcare provider may recommend a lower starting dose or increase the dosage more gradually.

Additional monitoring may be necessary, depending on the severity of your liver condition.

Do not adjust your dosage without medical advice.

Drowsiness and Impaired Alertness

Luvox CR may cause drowsiness, dizziness, fatigue, or difficulty concentrating.

These symptoms may be more noticeable when treatment begins or after the dosage is increased.

Some patients may also experience insomnia or restlessness.

Because Luvox CR can affect alertness and coordination, it may interfere with activities that require concentration and quick reactions.

Avoid driving, operating machinery, or performing potentially dangerous activities until you know how Luvox CR affects you.

If drowsiness or sleep disturbances become severe, contact your healthcare provider.

Alcohol and Other Sedatives

Avoid drinking alcohol while taking Luvox CR.

Alcohol may increase dizziness, drowsiness, and reduced coordination.

Combining alcohol with fluvoxamine may also interfere with concentration and judgment.

Other medications that cause sedation, including certain sleeping pills, antihistamines, and anti-anxiety medications, may increase these effects.

Fluvoxamine can also increase blood concentrations of some sedating medications, making interactions more significant.

Tell your healthcare provider if you take sleeping medications or other drugs that cause drowsiness.

Do not combine Luvox CR with sedatives unless your healthcare provider has confirmed that the combination is appropriate.

Pregnancy and Breastfeeding

Tell your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding.

The use of fluvoxamine during pregnancy requires an assessment of potential benefits and risks.

Exposure to SSRIs during pregnancy, particularly later in pregnancy, has been associated with certain complications in newborns, including temporary breathing, feeding, or adjustment difficulties.

However, untreated OCD or other significant psychiatric conditions can also affect maternal health and well-being.

Your healthcare provider will help determine whether continuing treatment is appropriate.

Fluvoxamine can pass into breast milk.

If you are breastfeeding, your healthcare provider may recommend monitoring your baby for unusual sleepiness, feeding difficulties, or other concerning symptoms.

Do not stop taking Luvox CR suddenly because you become pregnant. Contact your healthcare provider to discuss a safe treatment plan.

Stopping Luvox CR Suddenly

Luvox CR should not be discontinued abruptly unless your healthcare provider instructs you to stop because of a serious medical concern.

Suddenly stopping an SSRI can cause withdrawal-like symptoms known as antidepressant discontinuation syndrome.

Possible symptoms include dizziness, headache, nausea, irritability, anxiety, sleep disturbances, and unusual tingling or electric-shock sensations.

Some patients may also experience the return or worsening of OCD symptoms.

If treatment needs to be discontinued, your healthcare provider will usually recommend gradually reducing your dosage.

This process is called tapering.

The appropriate schedule depends on your prescribed dose, treatment duration, and individual response.

Do not stop taking Luvox CR or change your dosage without medical supervision.

Use in Older Adults

Older adults may be more sensitive to certain side effects of Luvox CR.

Age-related changes in liver function and medication metabolism may affect how fluvoxamine is processed.

Older patients may also be more likely to experience dizziness, drowsiness, and low sodium levels.

These effects can increase the risk of falls, confusion, and other complications.

Your healthcare provider may recommend a slower dosage increase and closer monitoring.

Tell your healthcare provider if you take diuretics, blood thinners, or other medications that could interact with Luvox CR.

When to Seek Medical Attention

Contact your healthcare provider if you experience persistent dizziness, severe nausea, worsening anxiety, unusual agitation, excessive drowsiness, or concerning changes in mood.

Seek urgent medical evaluation if you develop unusual bleeding, signs of low sodium levels, or symptoms suggesting mania.

Seek emergency medical attention for seizures, suspected serotonin syndrome, severe bleeding, sudden vision changes, or suicidal thoughts that you may act on.

How Should I Take Luvox CR?

Luvox CR is an extended-release medication that is usually taken once daily at bedtime. Swallow the capsule whole with water. Do not crush or chew it because this may interfere with the extended-release formulation. The medication may be taken with or without food. For adults with OCD, the usual recommended starting dose is 100 mg daily. Your healthcare provider may gradually adjust the dosage depending on your response and tolerability. Try to take Luvox CR at approximately the same time each evening. Do not increase your dosage or take the medication more frequently than prescribed.  

Can Luvox CR Be Taken With Food?

Yes. Luvox CR can be taken with or without food. You may take the capsule before or after a meal, depending on your preference. If you experience nausea or mild stomach discomfort, taking Luvox CR with a small snack may help. Swallow the extended-release capsule whole with water. Do not crush or chew the capsule. Taking Luvox CR consistently is more important than whether you take it with a meal. 

What Should I Do If I Miss a Dose of Luvox CR?

If you forget to take Luvox CR, take the missed dose as soon as you remember unless it is almost time for your next scheduled dose. If your next dose is approaching, skip the missed dose and continue with your usual dosing schedule. Do not take two doses at the same time to make up for a missed dose. Taking extra fluvoxamine may increase the risk of side effects, including nausea, dizziness, excessive drowsiness, and other potentially serious reactions. If you frequently forget doses, consider setting a daily medication reminder. Contact your healthcare provider or pharmacist if you are unsure how to manage a missed dose. 

Can I Drink Alcohol While Taking Luvox CR?

Alcohol should be avoided while taking Luvox CR. Fluvoxamine may cause dizziness, drowsiness, and reduced alertness. Alcohol can increase these effects, making it more difficult to concentrate, maintain coordination, or react quickly. Combining alcohol with Luvox CR may also increase the risk of accidents and injuries. Some people may experience worsening anxiety, sleep disturbances, or changes in mood after consuming alcohol. Avoid alcohol during treatment unless your healthcare provider has specifically advised you otherwise. Do not drive or operate machinery if you feel dizzy, sleepy, or less alert than usual.

Does Luvox CR Cause Weight Gain?

Luvox CR may affect appetite and body weight, although the effects vary between individuals. Some patients experience reduced appetite or nausea when starting treatment, which may lead to weight loss. Others may notice changes in appetite or weight during longer-term treatment. Not everyone taking Luvox CR will experience significant weight changes. Factors such as diet, physical activity, other medications, and changes in symptoms may also influence body weight. If you experience unexpected or significant weight gain or weight loss, discuss it with your healthcare provider. Do not stop taking Luvox CR or change your dosage because of weight changes without medical advice.

Can Luvox CR Cause Drowsiness or Difficulty Sleeping?

Yes. Luvox CR may cause drowsiness in some patients and insomnia in others. Drowsiness may make you feel tired, less alert, or slower to react during the day. This is one reason Luvox CR is usually taken at bedtime. However, some people experience difficulty falling asleep, frequent waking, or unusual restlessness. These symptoms may be more noticeable during the first few weeks of treatment or after a dosage adjustment. If sleep problems continue or interfere with your daily activities, contact your healthcare provider. Do not change the timing of your medication or take sleeping pills without medical advice. 

Is Luvox CR Addictive?

Luvox CR is not considered addictive in the same way as substances that commonly cause cravings or compulsive drug-seeking behavior. However, your body can become accustomed to fluvoxamine after regular use. If you suddenly stop taking the medication, you may experience antidepressant discontinuation symptoms. These may include dizziness, nausea, irritability, anxiety, headache, sleep disturbances, and unusual tingling or electric-shock sensations. Physical adaptation to a medication is different from addiction. If Luvox CR needs to be discontinued, your healthcare provider will usually recommend gradually reducing your dosage. Do not stop Luvox CR suddenly, even if your symptoms have improved.  

Can Luvox CR Be Used With Other Medications?

Luvox CR can interact with several prescription medications, over-the-counter products, and herbal supplements. Fluvoxamine affects certain liver enzymes involved in breaking down medications. This means it can increase the concentration of some drugs in the bloodstream. Certain medications must not be taken with Luvox CR, including tizanidine, ramelteon, pimozide, thioridazine, alosetron, and monoamine oxidase inhibitors (MAOIs). Combining Luvox CR with other medications that increase serotonin may also raise the risk of serotonin syndrome, a potentially life-threatening reaction. Tell your healthcare provider about all medications, vitamins, and supplements you use. Do not start or stop another medication while taking Luvox CR without checking with your healthcare provider or pharmacist.

Can Luvox CR Be Taken During Pregnancy?

Tell your healthcare provider if you are pregnant, planning to become pregnant, or think you may be pregnant. The decision to use Luvox CR during pregnancy depends on the potential benefits of treatment and possible risks to the developing baby. Exposure to SSRIs during pregnancy, particularly near delivery, may be associated with complications in some newborns, including breathing difficulties, feeding problems, irritability, or temporary adjustment symptoms. However, untreated OCD can also significantly affect health and daily functioning. Your healthcare provider will assess your symptoms and determine the most appropriate treatment plan. Do not stop taking Luvox CR suddenly if you become pregnant. Contact your healthcare provider to discuss whether treatment should be continued or adjusted.

Can I Breastfeed While Taking Luvox CR?

Fluvoxamine can pass into breast milk. If you are breastfeeding, tell your healthcare provider before starting or continuing Luvox CR. Your healthcare provider will consider the benefits of breastfeeding, the importance of treatment, and any potential risks to your baby. If treatment is continued, your healthcare provider may recommend monitoring your baby for unusual sleepiness, feeding difficulties, irritability, or poor weight gain. Breastfeeding is not automatically prohibited in every patient taking fluvoxamine, but an individualized medical assessment is important. Do not change or stop your medication without consulting your healthcare provider.

Is Luvox CR Safe for Children?

Luvox CR extended-release capsules are not generally established as a first-choice fluvoxamine formulation for children. Immediate-release fluvoxamine tablets have been studied and approved for OCD in certain pediatric age groups in the United States. However, the extended-release formulation has different dosing characteristics. The lowest available strength of Luvox CR may not be appropriate for children who are starting fluvoxamine treatment. Antidepressants also carry a warning about an increased risk of suicidal thoughts and behaviors in children, adolescents, and young adults. A healthcare professional experienced in treating pediatric OCD should determine which medication and formulation are appropriate. 

Can I Stop Taking Luvox CR When My Symptoms Improve?

No. Do not stop taking Luvox CR simply because your OCD symptoms improve. Feeling better may indicate that the medication is helping control your symptoms. OCD is often a long-term condition, and continuing treatment may help prevent symptoms from returning. Your healthcare provider will determine how long treatment should continue based on your response, symptom severity, and history. Stopping Luvox CR abruptly may cause discontinuation symptoms or the return of obsessive thoughts and compulsive behaviors. If treatment is no longer needed, your healthcare provider will usually recommend gradually reducing the dose. Continue taking Luvox CR until your healthcare provider advises you to change or discontinue treatment.

When Should I Seek Medical Attention While Taking Luvox CR?

Contact your healthcare provider if you experience persistent nausea, excessive drowsiness, severe insomnia, worsening anxiety, or significant changes in mood or behavior. Certain symptoms may indicate more serious reactions. Seek emergency medical attention if you develop a seizure, severe allergic reaction, sudden vision changes, or symptoms suggesting serotonin syndrome. Serotonin syndrome may cause fever, confusion, agitation, excessive sweating, muscle stiffness, and a rapid heartbeat. Antidepressants may also increase suicidal thoughts or behaviors in some younger patients, particularly when treatment begins or the dosage changes. If you experience suicidal thoughts and feel that you may act on them, seek immediate emergency assistance.

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Additional Information Book
Generic name:

Fluvoxamine

Formulation:

Tablet

Strength(s):

100mg

Quantities Available:

90, 180

Why customers love Online Pharmacies Canada

Our online Canadian Pharmacy is known for high standards of quality, safety, and efficiency when it comes to medications.

Our pharmacy offers lower prices on prescription drugs compared to traditional pharmacies.

How to Order

How much Luvox CR can I order at once from a Canadian pharmacy?

When ordering Luvox CR (fluvoxamine) from a Canadian pharmacy, you can typically purchase up to a 90-day supply at one time, which is common for prescription medications to ensure adequate management of chronic conditions without frequent refills.

Here’s what you need to know:

Dosage and Quantity: Luvox CR is commonly prescribed in a dosage of 100 mg, taken once daily. For a 90-day supply, this means you would order 90 tablets (90 days x 1 tablet per day).

Do you sell fluvoxamine?

No, we do not sell fluvoxamine directly on our website. However, you can still enjoy low prices on Luvox CR, which contains fluvoxamine as an active ingredient. To purchase Luvox CR, you will need a valid prescription from your healthcare provider. We require this prescription to dispense the medication safely and appropriately. You can submit your prescription by mailing it to us, faxing it, or uploading it through your online account.

Do you offer shipping of Luvox CR (fluvoxamine) to the United States?

Yes, we ship Luvox CR (fluvoxamine) to both the United States and Puerto Rico.

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Online Pharmacies Canada has provided information from third parties intended to increase awareness and does not contain all the information about Luvox CR (Fluvoxamine). Talk to your doctor or other qualified medical practitioners for medical attention or advice, or if you have any concerns about Luvox CR (Fluvoxamine).