A 49-year-old male asked:
Why is luvox (fluvoxamine) usually considered the last choice for depression when an ssri is prescribed...
3 doctor answers • 3 doctors weighed in
A Verified Doctoranswered
Several reasons: Introduced to the us for ocd only at first, with a small sales force. Cost was then a big factor. Drug-drug interactions make it a drug that cannot be prescribed without some considerable thought. It is probably the last ssri most american psychiatrists would think to use.
4.7k viewsReviewed >2 years ago
Family Medicine 24 years experience
New choices: Luvox (fluvoxamine) is one of the older ssri type antidepressants and therefore tends to have more problems with side effects than the newer ones. It also has a serious side of increased suicidal thoughts and risks of attempted suicide which has been included in an fda black box warning. As a result, it is not a first choice ssri. There are safer, effective drugs that can be used first.
4.7k viewsAnswered >2 years ago
Psychiatry 25 years experience
Luvox: Agree with Dr. Jacobson. It only has an FDA indication for Obsessive Compulsive Disorder. It has to be used off-label for treatment of depression. I always used it for OCD only because it was expensive and not first line for depression.
243 viewsAnswered >2 years ago
Last updated Jan 9, 2019
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