Discount Prescription Drugs & Pain Medicine » Anti Depressants » Effexor (Venlafaxine)
Effexor (Venlafaxine) is an antidepressant used to treat depression and anxiety. It may also be used to treat other conditions as determined by your doctor.
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About Effexor (Venlafaxine):
Product Type: Anti Depressants
Brand name: Effexor
Generic name: Venlafaxine
What is the most important information I should know about Effexor?
• Do not take Effexor if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan) phenelzine (Nardil) selegiline (Eldepryl Emsam) or tranylcypromine (Parnate) during the past 14 days. Serious and sometimes fatal reactions have occurred when these medicines were taken at the same time and they must not be used together with Effexor.
• You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication especially if you are 18 years of age or younger. Talk with your doctor about this risk. While you are taking Effexor you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment or whenever your dose is changed. In addition to you watching for changes in your own symptoms your family or other caregivers should 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.
• Contact your doctor if you have any of the following side effects especially if they are new symptoms or if they get worse: mood changes anxiety panic attacks trouble sleeping irritability agitation aggressiveness severe restlessness mania (mental and/ or physical hyperactivity) or thoughts of suicide or hurting yourself.
• It may take 4 weeks or more for you to start feeling better. Do not stop using Effexor without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
What is Effexor?
• Effexor is in a class of drugs called antidepressants. Effexor affects chemicals in the brain that may become unbalanced and cause depression panic or anxiety.
• Effexor is used to treat major depressive disorder anxiety and panic disorder.
• Effexor may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Effexor?
• You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication especially if you are under 18 years old. Talk with your doctor about this risk. While you are taking Effexor you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment or whenever your dose is changed. In addition to you watching for changes in your own symptoms your family or other caregivers should 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.
• Do not take Effexor if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan) phenelzine (Nardil) selegeline (Eldepryl Emsam) or tranylcypromine (Parnate) during the past 14 days. Serious and sometimes fatal reactions have occurred when these medicines were taken at the same time and they must not be used together with Effexor. You must wait at least 7 days after you stop taking Effexor before you start taking an MAO inhibitor.
• Before taking Effexor tell your doctor if you have:
cirrhosis or other liver disease;
kidney disease;
a family or personal history of bipolar disorder (manic depression);
a family or history of suicidal thoughts or actions;
high blood pressure;
glaucoma;
seizures or epilepsy;
a bleeding or blood clotting disorder;
diet pills; or
high cholesterol.
• If you have any of the conditions listed above you may not be able to take Effexor or you may need a dosage adjustment or special monitoring during treatment.
• FDA pregnancy category C. This medication may be harmful to an unborn baby. Similar medicines have caused problems in newborn babies of mothers who used the drug late in pregnancy (during the third trimester). Tell your doctor if you are pregnant or plan to become pregnant during treatment.
• Effexor 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.
• Older adults may be more sensitive to the side effects of this medication.
How should I take Effexor?
• Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.
• Take each dose with water. You should take Effexor with food.
• Swallow 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.
• Try to take Effexor at the same time each day.
• It may take 4 weeks or more for you to start feeling better. Do not stop using Effexor without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
• Store Effexor at room temperature away from moisture and heat.
What happens if I miss a dose?
• Take the missed dose as soon as you remember. However if it is almost time for the next regularly scheduled dose skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
• Seek emergency medical attention if you think you have taken too much of this medication.
• Symptoms of a Effexor overdose may include dizziness sleepiness nausea and numbness or tingling in your hands or feet.
What should I avoid while taking Effexor?
• Avoid drinking alcohol which can increase some of the side effects of Effexor.
• Avoid using other medicines that make you sleepy (such as cold medicine pain medication muscle relaxers other antidepressants and medicine for seizures). They can add to sleepiness caused by Effexor.
• Effexor can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
What are the possible side effects of Effexor?
• Get 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.
• Contact your doctor promptly if you have any of the following side effects especially if they are new symptoms or if they get worse: mood changes anxiety panic attacks trouble sleeping irritability agitation aggressiveness severe restlessness mania (mental and/ or physical hyperactivity) thoughts of suicide or hurting yourself.
• Call your doctor at once if you have any of these serious side effects:
feeling light-headed fainting;
increased blood pressure (severe headache blurred vision);
seizure (convulsions); or
fast or slow heartbeat.
• Other less serious side effects are more likely to occur such as:
drowsiness or dizziness;
nervousness or anxiety;
dry mouth;
nausea vomiting diarrhea constipation;
decreased sex drive impotence or difficulty having an orgasm;
headache blurred vision;
sleep problems (insomnia);
tremor or chills;
increased sweating; or
changes in appetite or weight.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Effexor?
• Do not take Effexor together with a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan) phenelzine (Nardil) selegiline (Eldepryl) or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Effexor. You must wait at least 7 days after you stop taking Effexor before you start taking an MAO inhibitor.
• Before taking Effexor tell your doctor if you are using any of the following medicines:
diet pills;
diuretics;
cimetidine (Tagamet Tagamet HB);
warfarin (Coumadin);
amiodarone (Cordarone) quinidine (Quinadex Cardioquin Quinaglute) mibefradil (Posicor)
methadone (Dolophine Methadose);
HIV medicines such as indinavir (Crixivan) ritonavir (Norvir); saquinavir (Invirase) nelfinavir (Viracept);
haloperidol (Haldol) or risperidone (Risperdal); or
other antidepressants such as clomipramine (Anafranil) desipramine (Norpramin) duloxetine (Cymbalta) fluoxetine (Prozac) paroxetine (Paxil) buproprion (Wellbutrin Zyban).
• If you are using any of these drugs you may not be able to use Effexor or you may need dosage adjustments or special tests during treatment.
• There may be other drugs not listed that can affect Effexor. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Generic Effexor (Venlafaxine)
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Venlafaxine Effexor

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This risk will increase the longer you use anaprox. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). Seek emergency medical help if you have symptoms of heart or circulation problems such as chest pain weakness shortness of breath slurred speech or problems with vision or balance. This medicine can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking anaprox. Older adults may have an even greater risk of these serious gastrointestinal side effects. Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black bloody or tarry stools or coughing up blood or vomit that looks like coffee grounds. 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Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). NSAIDs can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Older adults may have an even greater risk of these serious gastrointestinal side effects. Do not use this medication if you are allergic to anaprox or if you have a history of allergic reaction to aspirin or other NSAIDs. Before taking anaprox tell your doctor if you are allergic to any drugs or if you have: • a history of heart attack stroke or blood clot; • heart disease congestive heart failure high blood pressure; • a history of stomach ulcers or bleeding; • liver or kidney disease; • asthma; • polyps in your nose; • a bleeding or blood clotting disorder; or • if you smoke. If you have any of these conditions you may not be able to use anaprox or you may need a dosage adjustment or special tests during treatment. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking anaprox during the last 3 months of pregnancy may result in birth defects. Do not take anaprox during pregnancy unless your doctor has told you to. Naproxen 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. Do not give this medicine to a child younger than 2 years old without the advice of a doctor. How should I take anaprox? Take this medication exactly as directed on the label or as it has been prescribed by your doctor. Do not use the medication in larger amounts or use it for longer than recommended. EC-Naprosyn is a slower-acting form of anaprox and this brand should be used only for treating arthritis or ankylosing spondylitis. Follow your doctor's instructions. Do not crush chew or break an extended-release or enteric-coated tablet. Swallow the pill whole. The extended-release pill is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. The enteric-coated pill has a special coating to protect your stomach. Breaking the pill could damage this coating. Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose measure the liquid with a marked measuring spoon or medicine cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one. If you take anaprox for a long period of time your doctor may want to check you on a regular basis to make sure this medication is not causing harmful effects. Do not miss any scheduled visits to your doctor. Store anaprox at room temperature away from moisture and heat. What happens if I miss a dose? Since anaprox is sometimes taken as needed you may not be on a dosing schedule. If you are taking the medication regularly take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a anaprox overdose may include nausea vomiting stomach pain confusion drowsiness black or bloody stools coughing up blood shallow breathing fainting or coma. What should I avoid while taking anaprox? Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid prolonged exposure to sunlight. Naproxen may increase the sensitivity of the skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable. Naproxen side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Stop taking anaprox and seek medical attention or call your doctor at once if you have any of these serious side effects: • chest pain weakness shortness of breath slurred speech problems with vision or balance; • black bloody or tarry stools; • coughing up blood or vomit that looks like coffee grounds; • swelling or rapid weight gain; • urinating less than usual or not at all; • nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes); • fever sore throat and headache with a severe blistering peeling and red skin rash; • bruising severe tingling numbness pain muscle weakness; or • fever headache neck stiffness chills increased sensitivity to light purple spots on the skin and/or seizure (convulsions). 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