venlafaxine

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venlafaxine

Pronunciation:VEN la fax een
Brand:Effexor, Effexor XR

Effexor 100 mg

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Effexor 25 mg

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Effexor 37.5 mg

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Effexor 50 mg

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Effexor 75 mg

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Effexor XR 150 mg

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Effexor XR 37.5 mg

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Effexor XR 75 mg

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Venlafaxine 100 mg-MYL

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Venlafaxine 100 mg-TEV

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Venlafaxine 150 mg ER-TEV

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Venlafaxine 25 mg-MYL

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Venlafaxine 25 mg-TEV

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Venlafaxine 37.5 mg ER-TEV

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Venlafaxine 37.5 mg-MYL

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Venlafaxine 37.5 mg-TEV

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Venlafaxine 50 mg-MYL

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Venlafaxine 50 mg-TEV

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Venlafaxine 75 mg ER-TEV

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Venlafaxine 75 mg-MYL

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Venlafaxine 75 mg-TEV

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What is the most important information I should know about venlafaxine?

donotYou should not take this medication if you are allergic to venlafaxine, or if you are also using a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take venlafaxine. After you stop taking venlafaxine, you must wait at least 7 days before you start taking an MAOI.

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

emtCall your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.
noalcoholDrinking alcohol can increase certain side effects of venlafaxine.
donotDo not stop using venlafaxine suddenly, or you could have unpleasant symptoms. Ask your doctor how to avoid these symptoms when you stop using venlafaxine.

What is venlafaxine?

Venlafaxine is an antidepressant in a group of drugs called selective serotonin and norepinephrine reuptake inhibitors (SSNRIs). Venlafaxine affects chemicals in the brain that may become unbalanced and cause depression.

Venlafaxine is used to treat major depressive disorder, anxiety, and panic disorder.

Venlafaxine may also be used for other purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking venlafaxine?

donotYou should not take this medication if you are allergic to venlafaxine, or if you are also using a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take venlafaxine. After you stop taking venlafaxine, you must wait at least 7 days before you start taking an MAOI.

Do not take venlafaxine together with desvenlafaxine (Pristiq).

If you have any of these other conditions, you may need a venlafaxine dose adjustment or special tests:

  • bipolar disorder (manic depression);
  • cirrhosis or other liver disease;
  • kidney disease;
  • high blood pressure;
  • glaucoma;
  • seizures or epilepsy;
  • a bleeding or blood clotting disorder; or
  • high cholesterol.

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.

Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

nopregFDA pregnancy category C. Venlafaxine may be harmful to an unborn baby, and may cause problems in a newborn baby if the mother takes the medication late in pregnancy (during the third trimester). Tell your doctor if you are pregnant or plan to become pregnant during treatment.
nobrfeedVenlafaxine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
nochildDo not give this medication to anyone under 18 years old without the advice of a doctor.

How should I take venlafaxine?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

waterTake this medication with a full glass of water.
foodVenlafaxine should be taken with food. Try to take venlafaxine at the same time each day.
nocrushSwallow the controlled-release capsule (Effexor XR) whole, without crushing or chewing. To make the medication easier to swallow, you may open the capsule and sprinkle the medicine into a small amount of applesauce. Swallow all of the mixture without chewing, and do not save any for later use.
donotIt may take 4 weeks or more for your symptoms to improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 4 weeks of treatment.
donotDo not stop using venlafaxine suddenly, or you could have unpleasant symptoms. Ask your doctor how to avoid these symptoms when you stop using venlafaxine.
rtStore venlafaxine at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

emtSeek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include vomiting, fast heart rate, blurred vision, extreme drowsiness, or seizure (convulsions).

What should I avoid while taking venlafaxine?

noalcoholAvoid drinking alcohol, which can increase some of the side effects of venlafaxine.
dizzyVenlafaxine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

What are the possible side effects of venlafaxine?

emtGet emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

donotCall your doctor at once if you have a serious side effect such as:
  • seizure (convulsions);
  • very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out;
  • agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination;
  • headache, trouble concentrating, memory problems, weakness, feeling unsteady, confusion, hallucinations, fainting, shallow breathing or breathing that stops;
  • cough, chest tightness, trouble breathing; or
  • easy bruising.

Less serious side effects may include:

  • drowsiness, dizziness, feeling nervous;
  • strange dreams;
  • increased sweating;
  • blurred vision;
  • dry mouth;
  • changes in appetite or weight;
  • mild nausea, constipation; or
  • decreased sex drive, impotence, or difficulty having an orgasm.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect venlafaxine?

dizzyBefore using venlafaxine, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures or anxiety). They can add to sleepiness caused by venlafaxine.

Ask your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with venlafaxine may cause you to bruise or bleed easily.

Tell your doctor about all other medications you use, especially:

  • cimetidine (Tagamet, Tagamet HB);
  • ketoconazole (Nizoral);
  • linezolid (Zyvox);
  • lithium (Eskalith, LithoBid);
  • haloperidol (Haldol) or risperidone (Risperdal);
  • tramadol (Ultram, Ultracet);
  • tryptophan (sometimes called L-tryptophan);
  • warfarin (Coumadin);
  • almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig); or
  • any other antidepressants such as amitriptyline (Elavil), amoxapine (Asendin), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), protriptyline (Vivactil), sertraline (Zoloft), or trimipramine (Surmontil).

This list is not complete and there are many other drugs that can interact with venlafaxine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about venlafaxine.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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