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fluvoxamine (Favoxil CR / Favoxile CR / fluvoxamine CR)

✓ Approved

Astellas Pharma · SLC6A4 · Small Molecule

What is fluvoxamine?

fluvoxamine is a small molecule developed by Astellas Pharma. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand NamesFavoxil CR, Favoxile CR, fluvoxamine CR
CompanyAstellas Pharma
Drug ClassSmall Molecule
Molecular TargetSLC6A4
RouteOral (PO)
StatusApproved

Mechanism of Action

Molecular Targets

fluvoxamine acts on 1 molecular target:

SLC6A4solute carrier family 6 member 4 (5HTT, 5-HTT)
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

fluvoxamine is developed for 2 unique indications across 1 therapeutic area.

Therapeutic AreaConditionPhase
Psychiatric disordersObsessive-compulsive disorder✓ Approved
Psychiatric disordersSocial anxiety disorder✓ Approved

Related Research Articles

PubMedMarine life science & technology2026-08-30

Constructing of astaxanthin-loaded microalgal motor and its effect on ameliorating chronic colitis involving in oxidative stress, gut microbiota, and intestinal barrier.

Li Hongyan H, Gong Xinwei X, Li Huiru H, Zhang Chuqiao C et al.

Chitosan-astaxanthin nanoparticles (CS-ASTNPs) exhibited an anti-colitis activity, but their poor mobility restricts anti-inflammatory efficacy. Chlamydomonas reinhardtii (C. reinhardtii) was employed to load CS-ASTNPs to construct astaxanthin-loaded microalgal motors (CS-AST@CR). The particle size of CS-AST@CR was 4.2 ± 0.21 μm and its swimming speed was 89.3 ± 4.4 µm/s, which was slower than native C. reinhardtii (117.2 ± 2.7 µm/s), though their movement trajectories remained comparable. Compared to CS-ASTNPs, CS-AST@CR notably alleviated chronic colitis symptoms. It enhanced colon barrier function by promoting ZO-1, occludin, and MUC2 expression. Furthermore, CS-AST@CR markedly reduced TNF-α, IL-1β, and NLRP3 inflammasome production while increasing IL-10 levels. The oxidative response was effectively suppressed via activating the Nrf2/HO-1 pathway. Additionally, CS-AST@CR significantly increased Lactobacillus and Enterorhabdus abundance; whereas, CS-ASTNPs elevated Akkermansia and Bifidobacteriaceae richness. Collectively, CS-AST@CR integrated the advantages of microalgal motility and nanoparticle functionality, showing great potential for development as functional foods or therapeutic agents for colitis treatment.

PubMedEnvironmental geochemistry and health2026-08-30

Hydrogeochemical controls on chromium speciation and potential human health risks in surface waters of an ultramafic mining watershed.

Kutlu Banu B, Baydar Tarık T, Yıldırım Vesile V, Konurhan Zekeriya Z

Accurate assessment of chromium contamination in mining-influenced watersheds requires distinguishing between the environmentally contrasting Cr(III) and Cr(VI) species, yet environmental monitoring and risk assessments still rely predominantly on total chromium concentrations. This study evaluated whether chromium speciation provides additional information beyond operational total chromium for assessing chromium occurrence and potential human health risks in an ultramafic, mining-influenced watershed. Surface-water samples were collected from 28 sampling stations across the Pülümür and Ovacık regions of the Eastern Anatolia Basin (Türkiye) between March 2025 and February 2026. Chromium speciation was determined using species-specific UV-Visible spectrophotometric methods and integrated with hydrochemical characterization, multivariate statistical analyses, mineralogical investigations (XRD, SEM-EDS, and FTIR), and deterministic and empirical-bootstrap human health risk assessments. Operational total chromium, defined as the sum of separately measured Cr(III) and Cr(VI), ranged from below the detection limit to 578.13 µg L-1. For contextual screening, this calculated value exceeded World Health Organization (WHO) drinking-water guideline for total chromium at 14 stations; however, it was not an independently measured total-Cr concentration. The highest Cr(VI) concentration occurred at a localized hotspot, whereas Cr(III) predominated throughout most of the watershed. Nevertheless, Cr(VI)-based screening thresholds were exceeded at multiple stations under the assumed untreated drinking-water ingestion scenario, indicating that operational total chromium alone did not consistently identify the spatial distribution of Cr(VI)-related potential risk. Screening-level hazard quotient (HQ) estimates were higher for children than for adults; however, direct untreated consumption of the sampled surface waters was not verified. Mining-influenced stations generally exhibited higher chromium concentrations, although the relative contributions of geogenic weathering and mining-related mobilization could not be quantitatively apportioned. Overall, chromium speciation provided additional environmentally and toxicologically relevant information beyond operational total chromium for evaluating chromium mobility and screening-level potential human health risks in this ultramafic watershed.

PubMedJournal of nursing management2026-08-30

Factors Influencing Clinical Reasoning Among Clinical Nurses: An Integrative Review Using the Decision-Making Ecology Model.

Lee JuHee J, Lee Deokhyun D, Park Hyeran H

Clinical reasoning (CR) is a complex, context-dependent process that is essential for safe nursing care. Existing reviews have primarily focused on nursing students rather than practicing clinical nurses. Rapid changes in patient acuity and the increasing integration of digital technologies into healthcare highlight the need for an updated synthesis that reflects contemporary clinical environments. To identify and synthesize factors influencing CR among nurses in contemporary healthcare settings using the decision-making ecology (DME) model. Integrative review. The review followed the framework proposed by Whittemore and Knafl (2005). Literature searches were conducted in CINAHL, Cochrane Library, EMBASE, and PubMed for peer-reviewed studies published between January 2014 and June 2025. Data evaluation was performed using the Mixed Methods Appraisal Tool Version 2018. A total of 25 studies were included, and 116 factors were initially extracted. After synthesis, 55 factors were identified and organized into 17 subdomains within four domains of the DME model: decision-maker, case, organizational, and external. This review systematically identified multidimensional factors influencing nurses' CR using the DME model. CR competence should be understood not solely as an individual attribute but as a capability shaped by practice, organizational, and broader sociocultural environments. The findings highlight both established determinants and emerging technology-related influences on CR. Nurse managers should provide opportunities for case-based learning, peer feedback, and reflective discussion tailored to nurses' levels of CR competence and clinical practice environments. Organizations should support the development of CR by ensuring adequate human and material resources, clear guidelines, and open organizational cultures that enable nurses to express and act on their clinical judgments. As technologies become more integrated into clinical practice, policymakers should promote their appropriate use to strengthen CR while minimizing technology-related barriers.

PubMedJournal of environmental science and health. Part A, Toxic/hazardous substances & environmental engineering2026-08-30

Biodegradation and detoxification of Congo red by thermophilic Bacillus smithii AMPNK.

Kyathanahally Rajashekarappa Kotresh K, Basavarajappa Avinash A, Sirabadige Mahadevappa Pradeepa P, Dummi Mahadevan Gurumurthy G

Congo red (CR) is a widely used azo dye in the textile industry and is known for its carcinogenic properties. The discharge of CR-containing textile effluents necessitates efficient and sustainable treatment strategies before environmental release. In this study, the ability of the thermophilic bacterium Bacillus smithii AMPNK to biodegrade CR under different physicochemical conditions was evaluated. A maximum CR decolorization of approximately 95% was achieved at 55 °C when maltose was used as the carbon source, while beef extract was the most effective nitrogen source, yielding approximately 87.17% decolorization. The optimum pH for dye degradation was 7.0, with approximately 90% decolorization. UV-Vis, FT-IR, and GC-MS analyses confirmed the occurrence of azo bond cleavage and the formation of lower-molecular-weight degradation metabolites, indicating efficient biodegradation of CR. Laccase activity and total protein analysis further demonstrated that enzymatic degradation was closely associated with the active growth phase of B. smithii AMPNK. Phytotoxicity assays using Vigna radiata and Trigonella foenum-graecum revealed that untreated CR markedly inhibited seedling growth, reducing root length to 2.2 ± 1.23 cm and 2.1 ± 0.81 cm, respectively, whereas treatment with biodegraded metabolites restored root growth to 5.4 ± 1.50 cm and 4.7 ± 1.34 cm, respectively, indicating substantial detoxification. Overall, these findings demonstrate that thermophilic B. smithii AMPNK is a promising biocatalyst for the biodegradation and detoxification of Congo red in high-temperature textile wastewater.

PubMedToxicology reports2026-08-30

Cardiotoxicological assessment of crocin-coated silver nanoparticles in an experimental rat model.

Ziaaldini Mohammad Amin Abdolahi MAA, Fakhrtaha Tahora T, Samarghandian Saeed S, Farkhondeh Tahereh T

Silver nanoparticles (AgNPs) are widely used for various industrial and biomedical applications; however, their potential cardiotoxicity remains insufficiently understood and requires further investigation. We evaluated the cardiotoxic effects of AgNPs and crocin-coated AgNPs (CR-AgNPs) administered at doses of 20, 40, and 80 µg/kg in male Wistar rats. Forty-two rats were randomly allocated to seven groups as follows: The groups included a control group (normal saline), three AgNPs-treated groups (20, 40, and 80 µg/kg), and three crocin-coated AgNPs-treated groups (20, 40, and 80 µg/kg), all of which received treatment via oral gavage for 30 days. At the end of the experiment, the animals were anesthetized with ketamine and xylazine, and blood samples and cardiac tissues were collected for biochemical and histopathological analyses. Our findings showed that malondialdehyde (MDA) levels were significantly increased in the AgNPs 80 group compared with the control group. In addition, administration of CR-AgNPs at 80 µg/kg significantly reduced MDA levels compared with the AgNPs 80 group. Histopathological examination confirmed the toxic effect of AgNPs at 80 µg/kg, as evidenced by mild interstitial edema and localized separation of myocardial muscle fibers. In conclusion, these findings suggest that CR-AgNPs may represent a safer alternative for pharmaceutical applications by reducing the risk of subacute cardiotoxicity in experimental animals. Further investigations are required to provide additional evidence in this field.

PubMedThe Lancet regional health. Western Pacific2026-08-30

Priority assessment of antimicrobial-resistant pathogens in the Republic of Korea: a multicriteria decision analysis.

Kim Jeong Yeon JY, Yu Su-Yeon SY, Bae Eun Young EY, Yoon Jong Hyun JH et al.

Priority assessment of antimicrobial-resistant pathogens is essential for resource allocation and national risk management. This study aims to establish a priority list of antimicrobial-resistant pathogens to strengthen the national response to antimicrobial resistance (AMR) in the Republic of Korea (ROK). Antimicrobial-resistant pathogens were ranked throughout a multicriteria decision analysis using a preference-based survey based on PAPRIKA (Potentially All Pairwise Rankings of all possible Alternatives) method. This process involved identifying relevant criteria to evaluate pathogen priority and collecting data on disease burden for each antimicrobial-resistant pathogen. A literature review was conducted to develop a candidate list of antimicrobial-resistant pathogens (n = 56) and risk assessment criteria (n = 14). Seventeen pathogens and eight criteria were selected via a Delphi survey of experts (n = 31). Incidence, case fatality, five-year trend of AMR, and nonfatal health burden was set as quantitative indicators, while transmissibility, preventability, treatability, and antibiotic development pipeline were qualitative indicators. The pathogens were ranked using 56 expert responses from the PAPRIKA survey, and categorized them into three priority groups: emergency response, preferred management, and monitoring. The emergency response group included carbapenem-resistant (CR) Klebsiella pneumoniae, CR Acinetobacter baumannii, and vancomycin-resistant Enterococcus faecium. This priority list represents the first comprehensive assessment of AMR pathogens of greatest concern to the Korean healthcare system. Our findings may inform country-specific policy decisions, particularly regarding infection prevention and control and AMR research and development. This work was supported by a fund (Grant No. 2024ER220500) provided by the Korea National Institute of Health.

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