Efficacy
Social Anxiety Disorder (SAD)
SAD is underdiagnosed and risks leading to comorbid conditions
- Unfortunately, SAD is frequently not identified, and according to one study, 97% of patients go untreated within 1 year of onset[1]
- SAD precedes a comorbid psychiatric condition in up to 77% of cases[2][3]
- LUVOX CR has not been proven in clinical trials to prevent or treat comorbid conditions
- SAD affects about the same number of people as major depressive disorder[4][5]
SAD patients are severely impaired in several aspects of daily functioning[6]
With early recognition and treatment, there is a way out...
Once-A-Day LUVOX CR provides statistically significant improvement vs placebo in SAD symptoms as measured by the LSAS at week 12[7][8]
- Statistical separation from placebo occurred as early as week 4
Results from a multicenter, randomized, double-blind, placebo-controlled study in an intent-to-treat population of 247 adult patients with generalized SAD who received Luvox CR or placebo once-a-day. Mean (SE) baseline LSAS Total Score was 90.1 (1.5) for the Luvox CR group, which is considered to be severe social phobia according to the LSAS. A 26.7 point mean change (30% reduction) from baseline resulted in an LSAS Total Score of 63.4 at study end, which is considered to be moderate social phobia according to the LSAS.[7][9][10]
- An identically designed 12-week, placebo-controlled study had similar results, with a mean dose at endpoint of 204 mg/day[11]
Once-A-Day Luvox CR (fluvoxamine maleate) Extended-Release Capsules are indicated for the treatment of social anxiety disorder (SAD) and obsessive compulsive disorder (OCD).
Obsessive Compulsive Disorder (OCD)
OCD is underdiagnosed and undertreated
- OCD patients are often reluctant to discuss their symptoms and delay seeking treatment an average of 7.5 years[12]
- OCD can be masked by major depressive disorder, which has a lifetime prevalence of 67% in OCD patients[13][14]
- LUVOX CR is approved only for SAD and OCD[8]
- Some patients with OCD may require higher dosages than are needed in other disease states[15]
- The approved dosage range for LUVOX CR is 100 mg/day to 300 mg/day[8]
OCD has a detrimental impact on many factors of quality of life
LUVOX CR has not been systematically studied for its impact on quality-of-life measures.
With early recognition and treatment, there is a way out...
Once-A-Day LUVOX CR provides statistically significant improvement vs placebo in OCD symptoms as measured by the Y-BOCS at week 12[8][17]
- Statistical separation from placebo occurred as early as week 2[17]
Results from a multicenter, randomized, double-blind, placebo-controlled study in an intent-to-treat population of 237 adult outpatients with OCD who received Luvox CR or placebo once-a-day. Mean (SE) baseline Y-BOCS Total Score was 26.6 (0.3) for the Luvox CR group, which is considered to be severe OCD according to Y-BOCS. An 8.5 point mean change (32% reduction) from baseline resulted in a Y-BOCS Total Score of 18.1 at study end, which is considered to be moderate OCD according to the Y-BOCS.[17][18]
Once-A-Day Luvox CR (fluvoxamine maleate) Extended-Release Capsules are indicated for the treatment of social anxiety disorder (SAD) and obsessive compulsive disorder (OCD).
Once-A-Day LUVOX CR® (fluvoxamine maleate) Extended-Release Capsules are indicated for the treatment of social anxiety disorder (SAD) and obsessive compulsive disorder (OCD).
Important Safety Information
CONTRAINDICATIONS
The use of alosetron, tizanidine, thioridazine, or pimozide with LUVOX CR Capsules is contraindicated. The use of MAO inhibitors in combination with LUVOX CR Capsules, or within 14 days of discontinuing treatment with LUVOX CR Capsules, is contraindicated (see WARNINGS and PRECAUTIONS). LUVOX CR Capsules are also contraindicated in patients with a history of hypersensitivity to fluvoxamine maleate or any of its excipients.
ADVERSE EVENTS
In clinical trials, the most commonly observed adverse events with an incidence of ≥5% and at least twice that of placebo were nausea, somnolence, asthenia, diarrhea, anorexia, tremor, and sweating. Overall, these side effects were mild to moderate in severity and transient in nature. Other common adverse events (≥5% and at least twice that of placebo) included abnormal ejaculation and anorgasmia.
Suicidality and Antidepressant Drugs
Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders. Anyone considering the use of LUVOX CR® (fluvoxamine maleate) Extended-Release Capsules or any other antidepressant in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. LUVOX CR Capsules are not approved for use in pediatric patients. (See WARNINGS: Clinical Worsening and Suicide Risk, PRECAUTIONS: Information for Patients, and PRECAUTIONS: Pediatric Use.)
Please see full prescribing information, including boxed warning, for LUVOX CR.
References:
- ^ Wang PS, Berglund P, Olfson M, et al. Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:603-613.
- ^ Fehm L, Beesdo K, Jacobi F, et al. Social anxiety disorder above and below the diagnostic threshold: prevalence, comorbidity and impairment in the general population. Soc Psychiatry Psychiatr Epidemiol. 2008;43:257-265.
- ^ Schneier FR, Johnson J, Hornig CD, et al. Social phobia: comorbidity and morbidity in an epidemiologic sample. Arch Gen Psychiatry. 1992;49:282-288
- ^ Kessler RC, Chiu WT, Demler O, et al. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:617-627.
- ^ National Institute of Mental Health. The Numbers Count: Mental Disorders in America. Accessed September 18, 2007.
- ^ American Psychiatric Association. DSM-IV-TR. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text revision. Washington, DC: American Psychiatric Press, Inc.
- ^ Davidson J, Yaryura-Tobias J, DuPont R, et al. fluvoxamine-controlled release formulation for the treatment of generalized social anxiety disorder. J Clin Psychopharmacol. 2004;24:118-125.
- ^ LUVOX CR Prescribing Information. Jazz Pharmaceuticals, Inc., Palo Alto, CA; 2008.
- ^ Liebowitz MR. Social phobia. In: Klein DF, ed. Anxiety. Basel, Switzerland: Karger; 1987:141-173. Ban TA, Pichot P, Pöldinger W, eds. Modern Problems of Pharmacopsychiatry; vol 22.
- ^ Liebowitz MR. Personal communication. July 2008. Jazz Pharmaceuticals, Inc., Palo Alto, CA.
- ^ Westenberg HGM, Stein DJ, Yang H, et al. A double-blind placebo-controlled study of controlled release fluvoxamine for the treatment of generalized social anxiety disorder. J Clin Psychopharmacol. 2004;24:49-55.
- ^ Rasmussen SA, Tsuang MT. Clinical characteristics and family history in DSM-III obsessive-compulsive disorder. Am J Psychiatry. 1986;143:317-322.
- ^ Obsessive-Compulsive Disorder. In: Hales RE, Yudofsky SC, Talbott JA, eds. Textbook of Psychiatry. 3rd ed. Washington, DC: American Psychiatric Press, Inc. 1999:600-610.
- ^ Obsessive-Compulsive Disorder. In: Sadock BJ, Sadock VA, eds. Synopsis of Psychiatry. 9th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2003:616-623.
- ^ American Psychiatric Association. Practice guideline for the treatment of patients with obsessive-compulsive disorder. Published July 2007. Accessed September 18, 2007.
- ^ Koran LM, Thienemann ML, Davenport R. Quality of life for patients with obsessive-compulsive disorder. Am J Psychiatry. 1996;153:783-788.
- ^ Hollander E, Koran LM, Goodman WK, et al. A double-blind, placebo-controlled study of the efficacy and safety of controlled-release fluvoxamine in patients with obsessive-compulsive disorder. J Clin Psychiatry. 2003;64:640-647.
- ^ Goodman WK, Price LH, Rasmussen SA, et al. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry. 1989;46:1006-1011.
LUVOX CR is a registered trademark of Solvay Pharmaceuticals, Inc.
© 2008 Jazz Pharmaceuticals, Inc.


