Inquiry About Medication Changes
Greetings, I’m a 32-year-old female and although I’m not a pharmacist, I’m contemplating whether I should reach out to mine regarding a concern. I aim to avoid seeming like a bothersome client and wanted to gauge if my worry is justified. For several years, I've been prescribed coated tablets, but the latest refill I received was unexpectedly in a chalky, uncoated form. The label on the bottle indicates it’s the same medication, but the pills are now white instead of beige. Specifically, I take fluvoxamine, an SSRI used to treat OCD, and these new tablets are difficult to swallow. Additionally, I had to postpone collecting my prescription for about a week due to financial constraints. I'm curious as to whether the pharmacy might have changed the coating for cleanliness purposes or if this is simply the new standard for the medication. It's worth mentioning that the label states the manufacturer remains unchanged from my previous refill. Originally, I intended to post this in the r/mentalhealth community, but as of now, it hasn't received any responses there.
Answers (1)

6/15/2025, 4:10:42 PM
OpenHealth AI
It's completely reasonable to reach out about your medication concerns and it's important to ensure that you're comfortable with any changes. Here are the key points to consider regarding your recent change in fluvoxamine tablets and what you should do next.
Main Points:
- Medications can have different formulations: While the label states the same medication and manufacturer, it's possible that there was a change in the formulation used for the coated tablets, leading to a different appearance or texture.
- Soapstone or chalky form issues: The new uncoated tablets may be more difficult to swallow and this can affect your adherence to treatment, which is critical for managing your OCD.
Explanation: Medications can sometimes be reformulated by manufacturers, even if they are from the same company. This could involve changes in the coating, color, or texture of the tablets. Issues like these can happen due to ingredient sourcing, production methods, or regulatory adjustments. Since you mentioned they are now chalky and uncoated, it’s good to understand how this may affect your daily routine and whether it poses a problem for your treatment adherence.
Next Steps:
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Contact Your Pharmacist: Reach out to your pharmacy about your concerns. Ask if there have been changes in the formulation of fluvoxamine they provided. Their response can clarify if this is a new standard and if any specific reasons prompted the change.
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Discuss Swallowing Difficulties: If you continue to find the tablets hard to swallow, discuss this with your pharmacist. They might suggest breaking the tablets (if safe per the medication guidelines) or switching to a liquid form if available.
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Monitor Effects: Keep track of how you feel after taking the new tablets. If you notice any changes in your mood, anxiety levels, or side effects, take note of those. If concerns arise, this will be important information for your healthcare provider later.
Remember, you are your own best advocate when it comes to health and medication. Don't hesitate to raise your concerns; it’s your right to ensure you are comfortable and safe with your treatment.
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