Buy Generic Fluvoxamine Online

Generic Fluvoxamine Information

Introduction

Fluvoxamine is a selective serotonin‑reuptake inhibitor (SSRI) that belongs to the antidepressant class of medicines. In Hong Kong it is prescribed primarily for obsessive‑compulsive disorder (OCD) and, in some cases, for major depressive disorder and anxiety‑related conditions. The active compound, Fluvoxamine, exerts its effect by increasing serotonin levels in the central nervous system, thereby improving mood, reducing intrusive thoughts, and alleviating anxiety. Its utility in psychiatry has been recognised by the Hong Kong Department of Health and appears in local clinical guidelines for OCD management.

What is Fluvoxamine?

Fluvoxamine is the generic version of the brand‑name drug Luvox (also marketed as Fevarin in certain regions). The original formulation was developed by Pfizer in the 197s and later became widely available as a generic after patent expiry. Our online pharmacy provides this generic alternative as a cost‑effective treatment option while delivering the identical active compound, Fluvoxamine, in an oral tablet form. The medication belongs to the antidepressants group, specifically the SSRI subclass, and is supplied in strengths of 50 mg and 100 mg tablets.

How Fluvoxamine Works

Fluvoxamine inhibits the serotonin transporter (SERT) on presynaptic neurons, preventing the reuptake of serotonin from the synaptic cleft back into the nerve terminal. This blockade raises extracellular serotonin concentrations, enhancing serotonergic neurotransmission. Elevated serotonin improves mood regulation and diminishes repetitive, intrusive thoughts characteristic of OCD.

Typical pharmacokinetic features include:

• Absorption: Peak plasma concentrations occur 3–5 hours after oral dosing.
• Distribution: High protein binding (~80 %).
• Metabolism: Primarily hepatic via CYP1A2 and CYP2D6 enzymes.
• Elimination: Half‑life averages 15–20 hours, allowing once‑daily dosing for most patients.

The delayed onset of therapeutic benefit (usually 2–4 weeks) aligns with the time required for downstream neuronal adaptations, such as receptor desensitization, to develop.

Conditions Treated with Fluvoxamine

• Obsessive‑Compulsive Disorder (OCD): First‑line pharmacotherapy in Hong Kong guidelines; reduces compulsive rituals and obsessive thoughts.
• Major Depressive Disorder (MDD): Used when clinicians prefer an SSRI with a favorable anxiety‑reducing profile.
• Social Anxiety Disorder: Off‑label use supported by clinical trials showing reduced performance anxiety.
• Panic Disorder: May be selected for patients with comorbid OCD or depressive features.

Epidemiologically, OCD affects approximately 1 % of the Hong Kong adult population, translating to over 70 000 individuals who could benefit from effective serotonergic therapy. Fluvoxamine’s strong evidence base for OCD makes it a cornerstone of psychiatric care in the region.

Who is Fluvoxamine For?

Fluvoxamine is appropriate for adult patients (≥18 years) who have been diagnosed with:

• Moderate to severe OCD based on DSM‑5 criteria.
• Major depressive episodes where anxiety symptoms are prominent.
• Social or panic anxiety that has not responded adequately to non‑pharmacologic interventions.

It is particularly advantageous for individuals who:

• Experience heightened serotonergic side‑effects with other SSRIs (e.g., sexual dysfunction) because Fluvoxamine may have a slightly different side‑effect spectrum.
• Require a medication with a relatively low risk of weight gain.

Contra‑indications include:

• Known hypersensitivity to Fluvoxamine or any tablet excipients.
• Concomitant use of monoamine oxidase inhibitors (MAOIs) within 14 days.
• Severe hepatic impairment (Child‑Pugh C) due to reduced metabolism.

Pregnant or breastfeeding women should only use Fluvoxamine after a risk‑benefit assessment by a specialist, as limited data exist for these populations.

Risks, Side Effects, and Interactions

Common

• Nausea and gastrointestinal upset
• Dry mouth
• Excessive sweating (hyperhidrosis)
• Insomnia or somnolence (dose‑dependent)
• Dizziness, especially at treatment initiation

Rare

• Hyponatraemia (particularly in elderly patients)
• Sexual dysfunction (decreased libido, anorgasmia)
• Increased intraocular pressure (risk for glaucoma patients)

Serious

• Serotonin syndrome if combined with other serotonergic agents (e.g., St. John’s wort, tramadol)
• Suicidal ideation or behavior, especially within the first few weeks of treatment or during dose changes
• Severe liver injury (rare, but reported in post‑marketing surveillance)

Clinically Relevant Drug–Drug Interactions

• CYP1A2 inhibitors (e.g., fluvoxamine + ciprofloxacin) may raise plasma Fluvoxamine levels, increasing side‑effect risk.
• CYP2D6 substrates (e.g., metoprolol) can experience reduced clearance when co‑administered, necessitating dose adjustment.
• Anticoagulants (warfarin) may have enhanced effect; regular INR monitoring is advised.
• MAOIs must be discontinued at least 14 days before starting Fluvoxamine to avoid hypertensive crisis.
• Alcohol potentiates central nervous system depression and should be limited.

Patients should provide a complete medication list, including over‑the‑counter products and herbal supplements, to their healthcare provider before initiating therapy.

Practical Use: Dosing, Missed Dose, Overdose

• Initial dose: 50 mg once daily, usually taken in the evening to minimize insomnia.
• Titration: May increase to 100 mg after 4–7 days if tolerated; maximum recommended dose is 300 mg per day, divided into two doses for some patients.
• Maintenance: Most adults stabilize on 100–200 mg daily; dose adjustments are guided by therapeutic response and side‑effect profile.

Missed dose:

• If the scheduled dose is forgotten and the next dose is >12 hours away, take the missed tablet as soon as remembered.
• If it is near the time of the next dose, skip the missed tablet and resume the regular schedule; do not double‑dose.

Overdose:

• Symptoms may include severe nausea, vomiting, tremor, confusion, and respiratory depression.
• Immediate medical attention is required; activated charcoal may be considered if presentation is early.
• Treatment is primarily supportive, with monitoring of cardiac rhythm and serum electrolytes.

Practical precautions:

• Take the tablet with food or a light snack to reduce gastric irritation.
• Avoid abrupt discontinuation; tapering over 2–4 weeks reduces the risk of withdrawal phenomena (e.g., electric‑shock sensations).
• Concomitant use of sedatives (benzodiazepines) should be closely supervised due to additive CNS depression.

Buying Fluvoxamine from Our Online Pharmacy

Fluvoxamine can be purchased securely from our online pharmacy in Hong Kong. We specialize in providing generic medicines at prices close to manufacturer cost, ensuring affordability without compromising quality. Every batch is sourced from internationally licensed, GMP‑certified suppliers and undergoes rigorous verification before dispatch.

Key advantages of ordering through our service:

• Affordable pricing: Generic Fluvoxamine is offered at a fraction of the brand‑name cost, helping patients on a tight budget.
• Verified quality: Only trusted overseas pharmacies with valid licenses are engaged, guaranteeing product authenticity.
• Guaranteed delivery: Discreet packaging and reliable shipping—express delivery typically within 7 days, regular airmail in approximately 3 weeks.
• Online‑only access: For individuals who encounter limited availability in local brick‑and‑mortars or who prefer privacy, our pharmacy broker service bridges the gap while respecting patient confidentiality.

Our platform operates as a pharmacy broker, coordinating with licensed overseas partners to bring essential medicines to Hong Kong residents safely and discreetly.

FAQ

• Is Fluvoxamine available in both brand‑name and generic forms in Hong Kong?
  Yes. The original brand‑name product is marketed as Luvox, while several generic manufacturers produce identical tablets containing the same active compound, Fluvoxamine.

• Does Fluvoxamine require refrigeration or any special storage conditions?
  No refrigeration is needed. Store the tablets at room temperature (15–30 °C), away from direct sunlight, moisture, and heat sources.

• What do the tablets look like, and are there any identifiable markings?
  Generic 50 mg tablets are typically round, white to off‑white, and may bear a debossed imprint such as “FLX 50”. The 100 mg tablets are usually larger, with a different imprint like “FLX 100”.

• Can I travel internationally with Fluvoxamine, and are there any customs considerations?
  Yes, you may travel with a personal supply for personal use, provided the quantity does not exceed a three‑month supply. Carry the medication in its original packaging and keep a copy of the prescription or a doctor’s note in case customs authorities request verification.

• Are there any known differences in formulation between Asian and Western markets?
  The active ingredient is identical worldwide, but inactive excipients such as fillers or dyes may vary slightly. These differences rarely affect efficacy but could be relevant for patients with specific allergies (e.g., lactose intolerance).

• How does Fluvoxamine compare to other SSRIs regarding sexual side effects?
  While all SSRIs can cause sexual dysfunction, some studies suggest Fluvoxamine may have a slightly lower incidence of decreased libido compared with paroxetine, though individual response varies.

• Is there any evidence that Fluvoxamine affects drug testing for employment or sports?
  Fluvoxamine is not a controlled substance and does not usually appear on standard toxicology panels. However, specialized tests for serotonergic agents exist; notifying the testing laboratory about prescribed medications can prevent misunderstandings.

• What are the most important warnings for patients of East Asian descent?
  Asian populations may exhibit slower CYP1A2 metabolism, leading to higher plasma concentrations at standard doses. Clinicians often start with a lower dose and titrate more cautiously to mitigate side‑effects.

• Has Fluvoxamine been studied for uses beyond psychiatric disorders?
  Recent research has explored its anti‑inflammatory properties, particularly its ability to modulate sigma‑1 receptor activity, which may have implications for viral infections and cytokine storms. These findings are preliminary and not yet approved indications.

• What is the typical duration of treatment for OCD with Fluvoxamine?
  OCD treatment usually continues for at least 12 months after symptom remission to reduce relapse risk. Some patients may require longer maintenance based on clinical response and recurrence history.

Glossary

Selective Serotonin‑Reuptake Inhibitor (SSRI)

A class of antidepressants that block the reabsorption of serotonin into neurons, increasing its availability in the brain.

Serotonin Syndrome

A potentially life‑threatening condition caused by excessive serotonergic activity, presenting with agitation, hyperthermia, muscle rigidity, and autonomic instability.

CYP1A2

An enzyme in the liver responsible for metabolising many drugs, including Fluvoxine; inhibitors of CYP1A2 can raise drug levels.

Hyponatraemia

Low sodium concentration in the blood, which can cause confusion, weakness, and seizures; a rare side‑effect of some SSRIs.

⚠️ Disclaimer

The information provided about Fluvoxamine is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Fluvoxamine for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.