Venlafaxine
Your safety is our first priority. Learn more about key medication details, side effects, and other important information about your treatment.
Important Safety Information
Venlafaxine is a prescription medication used to treat major depressive disorder (MDD), generalized anxiety disorder (GAD), social anxiety disorder (SAD), and panic disorder. It belongs to a class of medications called serotonin-norepinephrine reuptake inhibitors (SNRIs). Venlafaxine is commonly known by the brand name Effexor XR®.
Venlafaxine should only be used under the supervision of a licensed healthcare provider.
Do not take Venlafaxine if you:
- Are currently taking or have recently taken a monoamine oxidase inhibitor (MAOI)
- Have uncontrolled narrow-angle glaucoma
- Are allergic to venlafaxine, desvenlafaxine, or any of its ingredients
Warnings and Precautions:
- Suicidal thoughts or behaviors may occur, especially in children, adolescents, and young adults. Monitor closely during the first few months of treatment or when adjusting the dose.
- Serotonin syndrome may occur when combined with other serotonergic drugs. Symptoms include agitation, hallucinations, fever, sweating, shivering, muscle stiffness, or tremors.
- May cause increases in blood pressure, especially at higher doses. Monitor blood pressure regularly during treatment.
- Use with caution in patients with a history of seizures, bipolar disorder, glaucoma, liver or kidney impairment.
- May cause hyponatremia (low sodium levels), particularly in elderly patients or those taking diuretics.
- Do not stop venlafaxine abruptly, as this may cause withdrawal symptoms (e.g., dizziness, headache, irritability, nausea, and insomnia).
Possible Side Effects
Seek immediate medical attention if you experience:
- Seizures
- Chest pain, shortness of breath, or irregular heartbeat
- Severe dizziness or fainting
- Swelling of the face, tongue, or throat
- Signs of serotonin syndrome (e.g., confusion, hallucinations, fever, sweating, tremor)
- Thoughts of suicide or self-harm
Common Side Effects May Include:
- Nausea
- Dry mouth
- Dizziness
- Insomnia or drowsiness
- Increased sweating
- Loss of appetite or weight changes
- Sexual dysfunction (e.g., decreased libido, delayed ejaculation, or difficulty achieving orgasm)
- Constipation
Before Taking Venlafaxine, Tell Your Healthcare Provider If You:
- Have a history of mental health conditions such as bipolar disorder or suicidal thoughts
- Have high blood pressure or heart disease
- Have liver or kidney disease
- Have glaucoma
- Have a history of seizures or epilepsy
- Are pregnant, planning to become pregnant, or breastfeeding
Drug Interactions
Tell your healthcare provider about all medications, supplements, and herbal products you are taking, especially:
- Other antidepressants (SSRIs, SNRIs, MAOIs)
- Triptans, tramadol, lithium, or St. John’s Wort
- Blood thinners (e.g., warfarin)
- NSAIDs (e.g., ibuprofen, aspirin)
- Drugs that affect blood pressure
Administration & Storage:
- Take venlafaxine exactly as prescribed, with food.
- Swallow extended-release capsules whole—do not crush, chew, or split.
- Take at the same time each day to maintain even levels in your body.
- Store at room temperature, away from moisture, heat, and light.
- Keep out of reach of children.
If you experience side effects or have concerns about your medication, contact your healthcare provider immediately. Do not stop taking venlafaxine without medical supervision.