Fluvoxamine and Lithium Interaction

Drug interaction information between Fluvoxamine and Lithium.

Fluvoxamine and Lithium have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Fluvoxamine and Lithium. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Fluvoxamine

Selective Serotonin Reuptake Inhibitor (SSRI)

Drug B

Lithium

Mood Stabilizer

How They Interact

Both drugs affect a brain chemical called serotonin, and taking them together can cause too much serotonin activity or even seizures.

FDA Label Information

Lithium: As with other serotonergic drugs, lithium may enhance the serotonergic effects of fluvoxamine and, therefore, the combination should be used with caution. Seizures have been reported with the coadministration of immediate-release fluvoxamine maleate tablets and lithium.

Frequently Asked Questions

What SPL severity band is on file for Fluvoxamine + Lithium?

Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Lithium has 90 labeled pairs on file vs Fluvoxamine's 40. In the moderate band specifically: Fluvoxamine has 3 (also Phenelzine, Tasimelteon); Lithium has 23 (also Amiloride, Amiodarone, Amlodipine/Valsartan, Azilsartan).

What mechanism field is on file for Fluvoxamine and Lithium?

Both drugs affect a brain chemical called serotonin, and taking them together can cause too much serotonin activity or even seizures.

Lithium carries more major-labeled pairs than Fluvoxamine

SPL source-record counts only. This page's band is moderate · classes on file: Fluvoxamine (Selective Serotonin Reuptake Inhibitor (SSRI)); Lithium (Mood Stabilizer).

Lithium has 2 major-labeled pairs vs Fluvoxamine's 1. This page itself is in the moderate band, not the major band.

Fluvoxamine

1 major · 3 moderate · 36 minor · 40 total

Lithium

2 major · 23 moderate · 65 minor · 90 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.