Fluvoxamine for COVID19 Prescribed Online

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Did you know doctors now use a generic drug fluvoxamine for COVID infection? A new US study showed it helped prevent severe symptoms in 80 COVID patients. Doctors already prescribe this medication for obsessive compulsive disorder. It is safe, has mild side effects and it is cheap.

If you have COVID19, then get a prescription for Fluvoxamine online at VeganPrimaryCare.com. You can make an online telemedicine appointment with Scott Harrington DO in most US States. Dr. Harrington diagnoses and treats a variety of acute illnesses and also provides Primary Care online. Don’t suffer needlessly, make an appointment with VeganPrimaryCare.com online today.

Scott Harrington, DO

Founder, VeganPrimaryCare.com, Family Medicine Specialist in Palm Harbor FL, Providing Primary Care Online in Most US States

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What is Fluvoxamine and how can it help with COVID19?

Fluvoxamine is a medication that treats obsessive-compulsive disorder (OCD). It is an SSRI or a selective serotonin reuptake inhibitor. It is an antidepressant medication. It works on increasing serotonin levels to receptors in the brain.

Why is fluvoxamine special and how does it help COVID19?

Unlike other SSRIs, fluvoxamine interacts with a protein called the sigma-1 receptor (S1R). Fluvoxamine causes decreased production of inflammatory molecules harmful during severe COVID infection. (Lenze)

How is fluvoxamine different from hydroxychloroquine?

Fluvoxamine is safer than hydroxychloroquine. The FDA recommends against the use of hydroxychloroquine with patients with COVID. Hydroxychloroquine causes severe heart rhythm problems, issues with diabetics, and patients with G6PD. (FDA) When compared to hydroxychloroquine, fluvoxamine has fewer severe side effects. Doctors prescribe Fluvoxamine as an outpatient and it is much cheaper.

How was the fluvoxamine studied?

In a two week study, scientists gave COVID positive patients with mild symptoms, fluvoxamine or placebo. They found that the fluvoxamine group did not get hospitalized. In the placebo group, 8 percent of the patients required hospitalization or oxygen. It was a preliminary study involving 152 patients. In the study, 80 patients had fluvoxamine and 72 had placebo. (Lenze)

Who cannot take the medication?

Fluvoxamine has many drug interactions. Do not take fluvoxamine while taking alosetron (for IBS), pimozide, thioridazine (anti-psychotics), tizanidine (muscle relaxer), selegiline (anti-Parkinson), duloxetine or MAO inhibitors (antidepressants). Fluvoxamine is a strong CYP1A2 blocker. Blocking CYP1A2 elevates other drugs by blocking liver metabolism. You will need more frequent blood monitoring if you take warfarin (blood thinner), lithium (mood stabilizer) or theophylline (asthma medication). (UpToDate)

Is there a “black box” warning for fluvoxamine?

Yes. Fluvoxamine and other antidepressant drugs increase the risk of suicidal thinking and behavior in children and young adults. (UpToDate)

Can you take fluvoxamine for COVID if you are under 18?

There were no children studied in the fluvoxamine research. Without further study, children should not take fluvoxamine for COVID treatment.

Can you take fluvoxamine if you are pregnant or breastfeeding?

If you are pregnant or breastfeeding you should discuss the risks of fluvoxamine with your physician. Fluvoxamine crosses the placenta and is in breastmilk. (UpToDate)

What are the side effects of taking fluvoxamine?

The recent study reported very few side effects in fluvoxamine. The most frequent side effects that patients report for fluvoxamine provided below. (UpToDate) Of note, these side effects may happen initially and then go away during treatment as your body adjusts to the medicine.

nausea (34-40%)

headache (22-35%)

insomnia (21-35%)

drowsiness (22-27%)

weakness (14-26%)

diarrhea (11-18%)

dizziness (11-15%)

dry mouth (10-14%)

nervousness (10-12%)

ejaculatory disorder (8-11%)

constipation (4% to 10%)

Does fluvoxamine cause withdrawal symptoms?

The body metabolizes Fluvoxamine quickly so that it is out of your system in 2-3 days. This quick metabolism can lead to withdrawal symptoms. The COVID treatment study was for 15 days and this was short enough to avoid withdrawal symptoms.

Want to see the doctor now? See how it works!

Get to know Dr Scott Harrington, DO and VeganPrimaryCare.com.

Make an appointment (click here)
Complete an online doctor’s visit: Meet online with Dr. Scott Harrington, DO. He will listen to your concerns, learn about your way of eating, exercise and stress level. The doctor will address any questions you have, and discuss healthy goals.
Comprehensive testing: If needed, Dr. Scott Harrington can schedule you laboratory tests. Dr. Scott Harrington will review the results and call you on the phone and send your records to an online portal.
Healthy Goals, Optimization and Follow-up: Dr. Scott Harrington will set goals and help you along the way. With each step forward, you will see more and more health benefits. Meet periodically to adjust and refine your treatment plan. Dr. Scott Harrington will help you make the best of your situation, condition and resources.

Written By:

Dr. Scott Harrington, D.O.

A Vegan Primary Care doctor, who is Board Certified in Family Medicine. He can be your online vegan doctor at VeganPrimaryCare.com. Contact him at

email@veganprimarycare.com.

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References:

Lenze, Eric J., et al. “Fluvoxamine vs Placebo and Clinical Deterioration in Outpatients With Symptomatic COVID-19: A Randomized Clinical Trial.” JAMA (2020). (Full Text)
“Fluvoxamine: Drug Information.” UpToDate,com, Accessed 3 Dec. 2020, www.uptodate.com/contents/fluvoxamine-drug-information?search=fluvoxamine
Center for Drug Evaluation and Research. “FDA Cautions Use of Hydroxychloroquine/Chloroquine for COVID-19.” U.S. Food and Drug Administration, FDA, 4 Apr. 2020, www.fda.gov/drugs/drug-safety-and-availability/fda-cautions-against-use-hydroxychloroquine-or-chloroquine-covid-19-outside-hospital-setting-or.