r/fluvoxamine

Started fluvoxamine in February. 50mg first, then bumped to 150mg around week 6 after my psychiatrist checked in.

The first few weeks were a mess honestly. Nausea every morning for like 10 days straight. I remember eating plain crackers before taking it just to have something in my stomach. I almost stopped taking it twice, both times talked myself out of it because I'd already waited months to get the appointment.

The thing that shifted first wasn't the OCD stuff. It was this weird thing where I was in a work meeting and someone said something kind of passive aggressive and I noticed I wasn't replaying it for the next 3 hours. That sounds small but for me that was huge. The intrusive thoughts were still there but they weren't sticky in the same way.

By month 2 the OCD patterns were actually quieter. Not gone, but like... turned down. The volume knob moved maybe 30%. Which I know sounds underwhelming but if you live with it you know 30% is a lot.

Still dealing with afternoon fatigue and some nights I can't fall asleep even though I'm exhausted. Taking it in the morning helped a little with the sleep thing but not completely fixed.

Been on Luvox 50mg consistently since the beginning of September 2025. Recently entered a relationship and whenever we have sex I can't orgasm and it sucks. Is it normal to get these effects at a dose that is typically considered low?

My psychiatrist prescribed me 50mg of Fluvoxamine for the next two months or so: I have OCD and mild depression.

I’m 23 (F) and have a beautiful relationship. I’m really scared about the side effects regarding libido and sexual desire and it’s keeping me blocked on the decision to actually start the medicine.

I also can’t really understand what it means: for how I work, I’m interested in sex mainly when I’m cozy and alone with my partner and it’s very contextually dependent. Meaning that I mainly search for this kind of intimacy in terms of connecting with my bf.

But aside from viewing as a beautiful man and wanting to be with him when we’re alone I don’t really wake up and think about sex.

I just wanted some (positive) experiences and feedbacks maybe.

Is it normal my psy prescribed me this medicine for insomnia ? But i heard its for ocd she didn’t told me that but i had really bad symptoms insane mood swings my head feels heavy and lost motivation to do things and my heart is racing she told me to come back after 2 weeks .. also i take adhd medicine and xanax when needed

44M, prescribed for Severe Health Anxiety

I know it's a low dose and fairly new to the drug, but today marks exactly 3 weeks on Fluvoxomine Maleate. I'm experiencing brain fog, exhaustion and just like a walking zombie. Has anyone else had this experience with this low of a dosage and time frame?

Hey i have been taking it for almost a year and so. Doctor prescribed me to take it 3 times a day. So i took it for a while and then i decreased it to one dose a day on my own. Why? Because 1- i couldn't reach orgasm 2- i couldn't drink alcohol.

Now that im only taking one dose of it i feel better. My ocd is under control. BUT i still can't reach orgasm. I feel aroused time to time but i don't feel like myself. I want to go cold turkey and cut it off entirely. Ahhhh help me.

Hi all! Does Anyone here have experience and hence comparative opinion about fluvoxamine vs fluoxetine?
I currently take fluvoxamine 100 mg for 2 years now in the morning, because night dose made me very sleepy (morning dose is better for some reason), but still I am sleepy and it also causes this funny forgetfulness when you completely forget what you wanted to say. I mean it is way more frequent than normal. It is ok on anxiety and mood, although I am still getting very irritated (turned out 3 years ago that I am autistic), I have sensory sensitivities, most notably and which have the highest impact on my life hyperacusis and misophonia.
I am thinking about changing to fluoxetine because allegedly it do not have this sleepiness/slow mind side effect.

So if anyone here who have insight and some opinion to share, I would be obliged.

Hello! I was bumped up to 150mg extended release recently. Every night I cannot sleep until around 3-4am. I am wide awake at night and need a nap during the day. I also feel very foggy, almost like I am not even real. I know what I’m doing but it almost feels out of body. I have been more anxious recently too.

Is this normal for this to happen when you get bumped up?

Thank you!

Hey all, my fault if this has been asked before but I'm just trying to get a gauge on all of this. I've been prescribed fluvoxamine for OCD and I really wanna take it, but caffeine has been my crutch for a very long time. Otherwise my fatigue is unbearable, especially with me also taking clonazepam. So my question comes back to the effect Luvox has with the liver's processing of caffeine. Would I have to cut it out entirely, is there a safe amount I could still have? I'm tempted to try another SSRI that would still allow me to have coffee and maybe one that also isn't as sedating, but all the studies I've read have pointed to fluvoxamine being the most effective option.

Does anyone have any insight on this? Or their own experiences with combining caffeine and fluvoxamine? It's just genuinely something that I don't know how I could give up, especially with the active lifestyle I've been trying to cultivate as of late :/

Thank you!

My psych just prescribed me this for my panic disorder and obsessive compulsions. Problem is that I read that you cannot have caffeine with this!! I don’t drink coffee, but I drink Yerba mate every morning. The Yerba mate has really helped me in my weight loss journey so I’m hesitant to stop. Is it really unsafe to combine them? I refuse to gain weight. I spent the last 15 years of my life being obese and feeling so gross about it. I’m finally back at my normal weight.

Recently have switched over from Lexapro to Luvox, have been on 150 bupropion the whole time….and I have had a horrible time. I’m like having full blown panic attacks ever since starting Fluvoxamine. I’ve been on it for a bout a 2 months now. I went from 25mg to 50 mg. I can’t pinpoint the problem. I can’t even think straight. I feel like my brain is hollow inside. I also feel a shortness of breath, I feel like if I don’t think about breathing my body won’t do it for me. Could just be the anxiety. But has anyone found that this was NOT the medicine for you even though it’s supposed to help with particular symptoms? I’m still picking my hair also. For sure. And my intrusive thoughts have gotten worse.

just started luvox 5 days ago and I constantly have music playing my head. I do get music stuck in my head frequently, but over the last 5 days it has been every waking moment. it's mostly a neutral to positive thing unless im actively trying to fall asleep.

I also have OCD, but I want to have OCD. I just don’t want anxiety. My OCD means that my house is always clean and everything is always in its place. I’m a perfectionist and that really helps with my job which requires as close to perfection as possible. I enjoy these qualities. I’m worried that a side effect of taking this will be that I no longer care about that stuff. Like having my house clean or my car clean or having things organized and put away.

My doc prescribed me this 50mg twice a day for OCD he told me to just take it at night for a few days to get used to it first. I haven’t been on any medication for anything because my old psychiatrist never answered me for a refill and I went through bad withdrawals that terrified me. I tried the 50 mg at night and it made me so tired a little nauseous and I got scared and haven’t taken it again. Is this a normal symptom am I just getting in my head too much? Should I be taking a lower dose?

I'm starting Luvox 25mg for 1 week, increasing to 50mg after a week. I have contamination OCD and my psych wants to see how I do on Luvox. My only experience with this type of medication was Zoloft in 2021 which worked great for me, but made me throw up (increasingly with increased dose). I'm excited to try Luvox as I've read so many success stories on Reddit. Just wondering if anyone takes Luvox in combination with any of the other meds I'm on:

- Trazadone for sleep

- Mirtrazapine for sleep (I alternate between the two because Mirt makes me ravenously hungry, but works better)

- Adderall (20mg)

- Tirzepatide

I also heard Luvox can be somewhat difficult (albeit fast) to get off of and I'm curious if anyone has had experience with that. Thank you all!

I recently went up to 50 mg after a month on 25 mg and out of impatience to feel better, I took two pills every day for a few days. I am now going to be without for 14 days until I am allowed a refill. I tried to request an early refill but my prescriber denied it. Can anyone with a similar experience tell me what I could expect? Is my mood going to dip in that timeframe; am I going to become nauseous again when I restart?

Hi!

21M here - after a few sessions with a psychiatrist following a rather harsh (2 month) period in which I was suffering from somewhat severe hypochondria and generalized anxiety my psych prescribed me 300 mg of Luvox (slowly increasing dosage). My psychiatrist says that until 300 mg I won’t feel any effects but reading other people’s posts this does not seem to be the case. I have not been formally diagnosed with OCD and I would like to make sure that I’m not taking an crazy high dose straight out of the gates. Anyone who could give their two cents?

Hey all - i started this journey 5 weeks ago and upped to 100mg 15 days ago. I have health anxiety ocd, gad etc.

Side effects most recently are just blanket anxiety and sadness. Like no motivation. I just need to know its worth pushing through this.