Trusted, medically reviewed health information • Not a substitute for medical advice
Medically Verified MonographPrescription OnlyClass: Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)

Venlafaxine

Generic Name: Venlafaxine

Common Brand Names: Effexor XR
Dosage Form:Tablet, Extended-Release Capsule
Route:Oral
Pregnancy Category:C
Last Reviewed:9/21/2026

Seek Urgent Medical Attention If:

You experience severe allergic reaction symptoms (swelling of the face, lips, tongue, or throat causing difficulty breathing), severe rash with skin peeling, sudden intense chest pain, or symptoms of overdose. Call emergency medical services immediately.

Uses & Medical Indications

Treatment of major depressive disorder, generalized anxiety disorder, social anxiety disorder, panic disorder

Medical Conditions Treated:

Depression, GAD, SAD, Panic disorder

Dosage & Administration Guidelines

Adult Dosage

75 mg/day in divided doses (IR) or once daily (ER), increase gradually

Pediatric Dosage

Not approved; off-label for anxiety/depression

Elderly / Geriatric Considerations

Use caution, start at lower doses

Maximum Dose Limit

225-375 mg/day depending on formulation and setting

Renal Impairment:

Reduce dose by 25-50% in mild to moderate impairment

Hepatic Impairment:

Reduce dose by 50% in mild to moderate impairment

Side Effects & Safety Warnings

Common Side Effects

Nausea, somnolence, dry mouth, sweating, abnormal ejaculation, anorexia

Serious Adverse Reactions

Suicidal thoughts, serotonin syndrome, sustained hypertension, hyponatremia

Contraindications:

Concomitant use with MAOIs

Important Warnings & Precautions:

Suicidality in children/young adults. Discontinuation syndrome if stopped abruptly.

Interactions (Drugs, Food & Alcohol)

Drug-Drug Interactions:

MAOIs, other serotonergic drugs, NSAIDs/aspirin (bleeding risk)

Food & Dietary Interactions:

Take with food

Alcohol Interaction Warning:

May increase CNS depression

Pregnancy & Breastfeeding Safety

Pregnancy Safety

Risk of neonatal adaptation syndrome

Breastfeeding / Lactation

Excreted in milk, potential for adverse effects in infant

Patient Counseling & Practical Advice

How to Take:

Do not stop taking abruptly. Report worsening depression or suicidal thoughts.

What to Do if You Miss a Dose:

Take as soon as remembered. Do not take two doses at once.

Recommended Monitoring & Lab Tests:

Mental status, blood pressure, serum sodium

Trustworthy Sources & Medical Review

Content for Venlafaxine was synthesized and fact-checked against standardized regulatory monographs, official pharmacopoeias, and national health authorities:

  • Central Drugs Standard Control Organization (CDSCO) — National List of Essential Medicines
  • World Health Organization (WHO) — Model List of Essential Medicines 23rd List
  • Indian Pharmacopoeia Commission (IPC) — Indian Pharmacopoeia Drug Monographs
  • National Health Service (NHS) — Medicines A to Z Clinical Guidelines
Reviewer Credentials: PharmD, Clinical PharmacologistLast Reviewed Date: 9/21/2026

The information provided on this website is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.