Generic Name: venlafaxine (VEN la fax een)
Brand Name: Effexor XR
What is Effexor XR?
Effexor XR may also be used for purposes not listed in this medication guide.
Do not use Effexor XR within 7 days before or 14 days after you have used an MAO inhibitor, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine.
Some young people have thoughts about suicide when first taking an antidepressant. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor.
Do not stop using Effexor XR without first talking to your doctor.
Before taking this medicine
You should not take this medicine if you are allergic to Effexor XR or desthis medicine (Pristiq).
Do not use Effexor XR within 7 days before or 14 days after you have used an MAO inhibitor, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine. A dangerous drug interaction could occur.
Some medicines can interact with Effexor XR and cause a serious condition called serotonin syndrome. Be sure your doctor knows if you also take opioid medicine, herbal products, or medicine for depression, mental illness, Parkinson's disease, migraine headaches, serious infections, or prevention of nausea and vomiting. Ask your doctor before making any changes in how or when you take your medications.
To make sure Effexor XR is safe for you, tell your doctor if you have ever had:
a thyroid disorder;
a history of seizures;
a bleeding or blood clotting disorder;
low levels of sodium in your blood; or
if you are switching to Effexor XR from another antidepressant.
Some young people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using Effexor XR. Your family or other caregivers should also be alert to changes in your mood or symptoms.
Effexor XR may cause serious lung problems in a newborn if the mother takes the medicine late in pregnancy (during the third trimester). However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant while taking this medicine. Do not start or stop taking this medicine during pregnancy without your doctor's advice.
Venlafaxine can pass into breast milk and may harm a nursing baby. You should not breast-feed while using this medicine.
Effexor XR is not approved for use by anyone younger than 18 years old.
How should I take Effexor XR?
Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Effexor XR should be taken with food. Try to take this medicine at the same time each day.
Do not crush, chew, break, or open an extended-release tablet or capsule. Swallow it whole.
To make the extended-release capsule 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.
It may take several weeks before your symptoms improve. Keep using the medication as directed. Do not stop using Effexor XR without first talking to your doctor. You may have unpleasant side effects if you stop taking this medicine suddenly.
Your blood pressure will need to be checked often.
This medicine can cause you to have a false positive drug screening test. If you provide a urine sample for drug screening, tell the laboratory staff that you are taking Effexor XR.
Store 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?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid while taking Effexor XR?
Drinking alcohol with this medicine can cause side effects.
Ask your doctor before taking a nonsteroidal anti-inflammatory drug (NSAID) for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), diclofenac, indomethacin, meloxicam, and others. Using an NSAID with Effexor XR may cause you to bruise or bleed easily.
Effexor XR may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
Effexor XR side effects
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.
Call your doctor at once if you have:
blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights;
cough, chest tightness, trouble breathing;
a seizure (convulsions);
severe nervous system reaction--very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out.
Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea
Common side effects may include:
nausea, vomiting, diarrhea;
changes in appetite or weight;
dry mouth, yawning;
dizziness, headache, anxiety, feeling nervous;
fast heartbeats, tremors or shaking;
sleep problems (insomnia), strange dreams, tired feeling;
increased sweating; 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.
See also: Side effects (in more detail)
What other drugs will affect Effexor XR?
Taking this medicine with other drugs that make you sleepy can worsen this effect. Ask your doctor before taking Effexor XR with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.
Many drugs can interact with Effexor XR. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any you start or stop using, especially:
any other antidepressant;
tryptophan (sometimes called L-tryptophan);
This list is not complete and many other drugs can interact with Effexor XR. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Give a list of all your medicines to any healthcare provider who treats you.
More about Effexor XR (venlafaxine)
- Side Effects
- During Pregnancy or Breastfeeding
- Dosage Information
- Drug Images
- Drug Interactions
- Compare Alternatives
- Support Group
- Pricing & Coupons
- En Español
- 568 Reviews – Add your own review/rating
- Generic Availability
- Drug class: serotonin-norepinephrine reuptake inhibitors
- Effexor XR (Venlafaxine Extended-Release Capsules)
- Effexor XR (Venlafaxine Extended-Release Tablets)
- Effexor-XR (Advanced Reading)
Related treatment guides
Where can I get more information?
- Your pharmacist can provide more information about Effexor XR.
- 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.
- Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2012 Cerner Multum, Inc. Version: 14.01.
Date modified: February 01, 2018
Last reviewed: July 11, 2017