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Drug interactions

Fluvoxamine + Silodosin

Severity: Minor

Fluvoxamine and Silodosin: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Fluvoxamine inhibits CYP3A4 weakly to moderately and may increase silodosin exposure. Higher levels could increase dizziness and orthostatic hypotension.

What this interaction means in plain words

Fluvoxamine and Silodosin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Fluvoxamine belongs to Central Nervous System; Silodosin belongs to Genitourinary.

Evidence level: Low

Why it happens

Inhibition of CYP3A4-mediated silodosin metabolism by fluvoxamine.

What to do

Monitor for dizziness and orthostatic hypotension after starting fluvoxamine. Reduce silodosin if symptoms occur.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Fluvoxamine with Silodosin?

MediHelp rates the interaction as minor. Fluvoxamine and Silodosin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Fluvoxamine inhibits CYP3A4 weakly to moderately and may increase silodosin exposure. Higher levels could increase dizziness and orthostatic hypotension.

How serious is the interaction between Fluvoxamine and Silodosin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for dizziness and orthostatic hypotension after starting fluvoxamine. Reduce silodosin if symptoms occur.

What other medicines interact with Silodosin?

MediHelp also lists interactions of Silodosin with, for example, Atazanavir, Conivaptan, Darunavir. The full list is on the Silodosin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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