Fluvoxamine
別名: Luvox, Luvox CR, Dumirox, Faverin, Fevarin
- **Patience is Key:** This medication will not work immediately. It typically requires a commitment of 6 to 8 weeks of continuous use to see significant behavioral improvement. - **Behavioral Training:** Fluvoxamine is most effective when combined with a professional behavior modification program. - **Side Effects:** Watch for decreased appetite, lethargy, vomiting, or abnormal behavior (such as increased anxiety or aggression). If your pet stops eating entirely, contact your veterinarian. - **Safe Storage:** Keep this medication strictly out of reach of children and other pets. - **Do Not Stop Abruptly:** If treatment needs to be discontinued, your veterinarian will guide you on how to gradually taper the dose to prevent withdrawal symptoms.
劑量必須由獸醫按你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
用途
- For treatment of compulsive disorders
- For treatment of behavioral diagnoses
- For spraying
- For treatment of behavioral diagnoses
- For treatment of compulsive disorders
- For treatment of behavioral diagnoses
- For treatment of behavioral diagnoses
給藥方式
可能的副作用
- Anorexia/decreased appetite (common)
- Lethargy or sedation
- Gastrointestinal upset (vomiting, diarrhea)
- Anxiety, irritability, or agitation
- Insomnia or hyperactivity
- Panting (dogs)
- Changes in elimination patterns (cats)
- Paradoxical aggressive behavior in previously non-aggressive dogs
注意事項與禁忌
- Patients with known hypersensitivity to fluvoxamine or other SSRIs
- Concurrent use of Monoamine Oxidase Inhibitors (MAOIs) such as selegiline or amitraz
- Concurrent use of cisapride
- > **Caution:** Use with care in patients with severe cardiac, renal, or hepatic disease. Dosages may need to be reduced in patients with severe renal or hepatic impairment, or in geriatric patients. - **Pregnancy:** FDA Category C. Animal studies in rats showed increased pup mortality at birth and decreased birth weights. - **Lactation:** Fluvoxamine enters maternal milk, though it appears unlikely to be of significant clinical concern.
藥物相互作用
- Buspirone: Fluvoxamine may paradoxically decrease the clinical efficacy of buspirone.
- Cisapride: Fluvoxamine may increase plasma levels of cisapride, leading to toxicity. Concurrent use is contraindicated.
- Cyproheptadine: May decrease or reverse the effects of SSRIs (useful in treating serotonin syndrome).
- Diazepam, Alprazolam, Midazolam: Fluvoxamine may increase diazepam (and other benzodiazepine) levels.
- Diltiazem: Fluvoxamine may increase the effects of diltiazem; bradycardia has been reported in humans.
- MAO Inhibitors (e.g., amitraz, selegiline): High risk for serotonin syndrome; contraindicated. A 5-week washout is required after stopping fluvoxamine, and a 2-week washout if stopping the MAOI first.
- Methadone: Fluvoxamine may increase plasma levels of methadone, leading to toxicity.
- Phenytoin: Increased plasma levels of phenytoin possible.
- Propranolol, Metoprolol: Fluvoxamine may increase these beta-blockers' plasma levels; atenolol may be safer.
- Theophylline: Fluvoxamine may increase plasma levels of theophylline.
常見問題
Fluvoxamine用於寵物有甚麼用途？
- **Patience is Key:** This medication will not work immediately. It typically requires a commitment of 6 to 8 weeks of continuous use to see significant behavioral improvement. - **Behavioral Training:** Fluvoxamine is most effective when combined with a professional behavior modification program. - **Side Effects:** Watch for decreased appetite, lethargy, vomiting, or abnormal behavior (such as increased anxiety or aggression). If your pet stops eating entirely, contact your veterinarian. - **Safe Storage:** Keep this medication strictly out of reach of children and other pets. - **Do Not Stop Abruptly:** If treatment needs to be discontinued, your veterinarian will guide you on how to gradually taper the dose to prevent withdrawal symptoms.
Fluvoxamine對我的寵物安全嗎？
劑量必須由獸醫按你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
本文僅供一般健康教育，不能取代專業獸醫意見。如寵物身體不適，請諮詢獸醫。