Arkavoxin 100mg Tablet (Fluvoxamine): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Thoughts of self-harm or suicide
- Agitation, hallucinations, fast heartbeat, fever, muscle twitching (serotonin syndrome)
- Unusual bleeding or bruising
- Confusion, weakness, or seizures (hyponatremia)
- Severe allergic reaction: rash, itching, swelling of face, lips, or throat
- Yellowing of skin or eyes, dark urine (liver problems)
- Prolonged erection (priapism)
If experiencing severe symptoms, call emergency services immediately.
What is voxazen 100mg tablet used for?
This medicine is an SSRI antidepressant containing fluvoxamine 100 mg, used mainly for obsessive-compulsive disorder (OCD) and social anxiety disorder. It works by increasing serotonin in the brain. It is taken orally, usually once daily, and may take several weeks to show full effect.
- Generic Name: Fluvoxamine (100mg)
- Manufacturer: Zenith Healthcare Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 voxazen 100mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा फ्लुवोक्सामिन 100 मिलीग्राम की गोली है, जिसका उपयोग मुख्य रूप से ऑब्सेसिव-कंपल्सिव डिसऑर्डर (OCD) और सोशल एंग्जायटी डिसऑर्डर के इलाज में किया जाता है। यह दवा मस्तिष्क में सेरोटोनिन नामक रसायन के स्तर को बढ़ाकर काम करती है, जिससे मूड और चिंता में सुधार होता है। यह अवसाद, पैनिक डिसऑर्डर और पोस्ट-ट्रॉमेटिक स्ट्रेस डिसऑर्डर में भी कभी-कभी प्रयोग की जाती है। इस दवा को डॉक्टर के निर्देशानुसार ही लें, और इसका सेवन अचानक बंद न करें।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, नींद आना, अनिद्रा, मुँह सूखना, सिरदर्द और चक्कर आना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ हफ्तों में सुधर जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन सेरोटोनिन सिंड्रोम, रक्तस्राव का खतरा, और युवाओं में आत्महत्या के विचार शामिल हो सकते हैं। यदि आपको बेचैनी, भ्रम, तेज धड़कन, बुखार या असामान्य रक्तस्राव हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे अचानक बंद न करें, क्योंकि इससे withdrawal के लक्षण हो सकते हैं। शराब न पिएं और तब तक वाहन न चलाएं जब तक आपको इसका असर पता न चल जाए। अपने डॉक्टर को अन्य सभी दवाओं के बारे में बताएं, खासकर MAOI, NSAID और रक्त पतला करने वाली दवाएं। बच्चों और युवाओं में मूड में बदलाव पर नजर रखें।
💊 voxazen 100mg tablet Uses & Benefits
[{"condition":"Obsessive-Compulsive Disorder (OCD)","description":"Reduces the frequency and intensity of obsessions and compulsions, improving daily functioning.","evidence":"Well-established"},{"condition":"Social Anxiety Disorder","description":"Helps reduce anxiety and fear in social situations, improving quality of life.","evidence":"Well-established"},{"condition":"Major Depressive Disorder","description":"Used as an antidepressant when other SSRIs are not suitable.","evidence":"Established"},{"condition":"Panic Disorder","description":"May reduce the frequency and severity of panic attacks.","evidence":"Limited"},{"condition":"Post-Traumatic Stress Disorder (PTSD)","description":"Sometimes used off-label to reduce PTSD symptoms.","evidence":"Limited"}]
Off-label uses: [{"condition":"Generalized Anxiety Disorder","description":"May be prescribed off-label for chronic anxiety.","evidence":"Limited"},{"condition":"Eating Disorders","description":"Occasionally used in bulimia nervosa, but evidence is limited.","evidence":"Limited"}]
Primary treatment for: Obsessive-Compulsive Disorder (OCD)
Also treats: Social Anxiety Disorder, Major Depressive Disorder, Panic Disorder, Post-Traumatic Stress Disorder
📋 Drug Information
| Generic Name(s) | Fluvoxamine (100mg) |
| Brand Name | voxazen 100mg tablet |
| Manufacturer | Zenith Healthcare Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Selective Seretonin Reuptake inhibitors (SSRIs) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by selectively inhibiting the reuptake of serotonin (5-hydroxytryptamine, 5-HT) at the presynaptic neuronal membrane. This inhibition increases the concentration of serotonin in the synaptic cleft, enhancing serotonergic neurotransmission. The exact mechanism by which this leads to therapeutic effects in OCD and anxiety is not fully understood but is thought to involve downregulation of serotonin receptors and adaptive changes in neural circuits.
Mechanism Steps
💡 How to Take voxazen 100mg tablet
Strength: Immediate-release tablet, 100 mg
Dosage Information
| Adult Dosage | The usual starting dose for adults is 50 mg once daily at bedtime. The dose may be increased gradually every 4-7 days up to a maximum of 300 mg per day, divided into two doses. For OCD, the typical effective dose is 100-300 mg per day. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | For children aged 8-17 years with OCD, the starting dose is 25 mg once daily at bedtime. The dose may be increased by 25 mg every 4-7 days up to a maximum of 200 mg per day. Doses above 50 mg per day should be divided into two doses. Pediatric dosing must be individualized by a qualified clinician. |
| Elderly Dosage | Elderly patients should start at a lower dose (e.g., 25-50 mg once daily) and titrate slowly due to increased sensitivity and reduced hepatic function. Dose must be individualized by a qualified clinician. |
| Renal Impairment | No specific dose adjustment is provided in the labeling. Use with caution in patients with renal impairment. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | In patients with hepatic impairment, start with a lower dose and titrate slowly. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | 300 mg per day for adults; 200 mg per day for children aged 8-17 years. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of voxazen 100mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAOIs | Major | |
| Thioridazine | Major | |
| Pimozide | Major | |
| Warfarin | Major | |
| Tizanidine | Major | |
| NSAIDs | Moderate | |
| Tricyclic antidepressants | Moderate | |
| Benzodiazepines | Moderate | |
| Alcohol | Moderate | |
| Caffeine | Minor |
🚨 Major Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Thioridazine
- Pimozide
- Warfarin
- Tizanidine
⚡ Moderate Interactions
- NSAIDs (e.g., ibuprofen, aspirin)
- Tricyclic antidepressants (e.g., amitriptyline)
- Benzodiazepines (e.g., diazepam)
- Alcohol
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can increase drowsiness, dizziness, and difficulty concentrating, and may worsen depression.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to fluvoxamine or any component of the formulation","Concurrent use with monoamine oxidase inhibitors (MAOIs) or within 14 days of stopping an MAOI","Concurrent use with thioridazine","Concurrent use with pimozide","Concurrent use with tizanidine","Concurrent use with alosetron","Concurrent use with ramelteon"]
⚠️ Warnings & Precautions
["May increase risk of suicidal thoughts and behaviors in children, adolescents, and young adults. Monitor closely.","Serotonin syndrome can occur, especially with concomitant serotonergic drugs. Seek immediate care if symptoms occur.","May impair physical and mental abilities. Avoid driving or operating machinery until effects are known.","Use with caution in patients with a history of seizures, mania, or bipolar disorder.","May cause hyponatremia, especially in elderly and those on diuretics. Monitor sodium levels.","May increase bleeding risk, especially when used with NSAIDs, aspirin, or warfarin.","Do not stop abruptly; taper gradually to avoid withdrawal symptoms.","Use with caution in patients with narrow-angle glaucoma.","May affect blood glucose control in diabetics; monitor closely."]
🤱 Lactation Safety
Fluvoxamine is excreted in breast milk. Caution is advised. Consult a doctor before breastfeeding. Monitor infant for drowsiness, poor feeding, or irritability.
💊 Overdose Management
Overdose may cause nausea, vomiting, drowsiness, tachycardia, and in severe cases, serotonin syndrome, seizures, and coma. There is no specific antidote. Treatment is supportive and symptomatic. Contact a poison control center or emergency room immediately if overdose is suspected.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed. Do not stop suddenly, as withdrawal symptoms may occur. Avoid alcohol and driving until you know how it affects you. Inform your doctor about all other medicines, especially MAOIs, NSAIDs, and blood thinners. Report any mood changes, especially in children and young adults. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the effects of this medicine, especially sedation, dizziness, and hyponatremia. Start at a lower dose and titrate slowly. Monitor sodium levels and renal function regularly.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before conception. This medicine may pose risks to the fetus, especially in the third trimester. Your doctor may switch to a safer alternative or adjust the dose. Do not stop suddenly without medical advice.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthetic agents and increase the risk of serotonin syndrome. Your doctor may advise temporary discontinuation before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. It may cause dry mouth, which can increase the risk of dental problems. Maintain good oral hygiene and stay hydrated. No major interactions with dental anesthetics are expected, but always inform your dentist.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness or dizziness, especially when starting treatment. Avoid strenuous exercise or driving until you know how it affects you. Stay hydrated during exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness, dizziness, or difficulty concentrating, especially during the first few weeks. Avoid driving or operating heavy machinery until you know how it affects you. It may improve your ability to work by reducing OCD and anxiety symptoms, but adjustments may be needed initially.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects or no improvement after several weeks, your doctor may adjust the dose or switch to another medicine. Abrupt discontinuation can cause withdrawal symptoms like dizziness, nausea, and irritability.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe for many patients, but regular monitoring is recommended. It may cause sexual dysfunction, weight changes, and emotional blunting in some individuals. Periodic evaluation of mood, suicidal ideation, and metabolic parameters is advised. Do not stop without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Particularly Exposure and Response Prevention (ERP) for OCD, which is highly effective.
Evidence: Well-establishedCan help reduce anxiety and improve emotional regulation.
Evidence: ModerateAerobic exercise can reduce symptoms of anxiety and depression.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are known. However, if you are scheduled for vaccination, inform your healthcare provider about this medicine. There is no need to stop the medicine unless advised.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. If traveling across time zones, adjust dosing times gradually under medical advice. Store at room temperature and protect from extreme heat or moisture. Check customs regulations for controlled substances; this medicine is not a controlled substance in most countries but carry documentation to avoid issues.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may notice some improvement in 1-2 weeks, but full benefits for OCD may take 10-12 weeks. Be patient and continue as prescribed.
A: If you remember within a few hours, take it. If it's almost time for your next dose, skip the missed dose and continue your regular schedule. Do not double dose.
A: No, do not stop suddenly. Your doctor will taper the dose gradually to avoid withdrawal symptoms and relapse.
A: It is best to avoid alcohol as it can increase drowsiness and worsen depression.
A: Some people experience sexual side effects like decreased libido or difficulty reaching orgasm. Talk to your doctor if this bothers you; dose adjustment or other options may help.
🤔 Common Patient Concerns
🔄 Substitutes for voxazen 100mg tablet
View AllAlternative brands with exact same active ingredient:
-
fluoxa 100mg tabletElite Pharma Pvt Ltd ₹164.53 0.9% CHEAPER
-
psyvoxin 100mg tabletPsycormedies ₹172.13 3.7% COSTLIER
-
revilife 100 mg tabletAbbott ₹181.41 9.3% COSTLIER
-
oc-min 100 tabletPsychocare Health Pvt Ltd ₹182.81 10.1% COSTLIER
-
Foxa 100mg TabletKardic Kare ₹183.75 10.7% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is addictive.
Fact: This medicine is not addictive in the sense of causing cravings, but it can cause withdrawal symptoms if stopped suddenly. It should be tapered gradually under medical supervision. - Myth: This medicine works immediately.
Fact: It may take 1-2 weeks for initial effects and up to 10-12 weeks for full benefits in OCD. - Myth: You can stop taking this medicine once you feel better.
Fact: Stopping suddenly can cause withdrawal symptoms and relapse. Always consult your doctor before stopping. - Myth: This medicine is safe to take with any other medication.
Fact: It can interact with many drugs, including MAOIs, NSAIDs, and blood thinners. Always inform your doctor about all medicines you take.
🔄 Alternative Options
Generic Alternatives
- Fluvoxamine maleate
Brand Alternatives
- Arkavoxin 100mg Tablet