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Molecule

Venlafaxine

Also known as venlafaxine besylate monohydrate, venlafaxine hydrochloride
Available on requestPsychiatry
Presentations
19
Brands
1
Manufacturers
1
Available from stock
0

Venlafaxine is a serotonin and norepinephrine reuptake inhibitor indicated in adults for the treatment of major Depressive Disorder (MDD), among other approved uses. It is available as extended-release capsules, tablets and extended-release tablets for oral use. MedsAcross supplies Venlafaxine for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Serotonin and Norepinephrine Reuptake Inhibitor, Norepinephrine Uptake Inhibitors, Serotonin Uptake Inhibitors
ATC classification
N06AX16 Venlafaxine · Antidepressant, subgroup N06AX
US FDA first approval
28 December 1993
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Extended-release capsule, Tablet, Extended-release tablet
Identifiers
UNII GRZ5RCB1QGRxCUI 39786CAS 93413-69-5DrugBank DB00285Q898407

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Effexor XR is indicated in adults for the treatment of: • Major Depressive Disorder (MDD) • Generalized Anxiety Disorder (GAD) • Social Anxiety Disorder (SAD) • Panic Disorder (PD) Effexor XR is a serotonin and norepinephrine reuptake inhibitor (SNRI) indicated for the treatment of adults with: • Major Depressive Disorder (MDD). • Generalized Anxiety Disorder (GAD). • Social Anxiety Disorder (SAD). • Panic Disorder (PD)

Source: US FDA prescribing information

How it works

The mechanism of action of venlafaxine in the treatment of MDD, GAD, SAD, and PD is unclear, but is thought to be related to the potentiation of serotonin and norepinephrine in the central nervous system, through inhibition of their reuptake.

Source: US FDA prescribing information

Dosing overview

Indication Starting Dose Target Dose Maximum Dose MDD 37.5-75 mg/day 75 mg/day 225 mg/day GAD 37.5-75 mg/day 75 mg/day 225 mg/day SAD 75 mg/day 75 mg/day 75 mg/day PD 37.5 mg/day 75 mg/day 225 mg/day • Take once daily with food. Capsules should be taken whole, do not divide, crush, chew, or dissolve. • When discontinuing treatment, reduce the dose gradually. • Renal impairment: reduce the total daily dose by 25% to 50% in patients with renal impairment. Reduce the total daily dose by 50% or more in patients undergoing dialysis or with severe renal impairment. • Hepatic impairment: reduce the daily dose by 50% in patients with mild to moderate hepatic impairment. In patients with severe hepatic impairment or hepatic cirrhosis, it may be necessary to reduce the dose by more than 50%.

Source: US FDA prescribing information

Contraindications

Effexor XR is contraindicated in patients: • with known hypersensitivity to venlafaxine hydrochloride, desvenlafaxine succinate or to any excipients in the formulation. • taking, or within 14 days of stopping, MAOIs (including the MAOIs linezolid and intravenous methylene blue) because of the risk of serotonin syndrome. • Hypersensitivity to venlafaxine hydrochloride, desvenlafaxine succinate, or any excipients in the Effexor XR formulation. • Concomitant use of monoaminoxidase inhibitors (MAOIs) or within 14 days of discontinuing an MAOI.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (suicidal thoughts and behaviors): Antidepressants increased the risk of suicidal thoughts and behavior in pediatric and young adult patients in short-term studies. Closely monitor all antidepressant-treated patients for clinical worsening, and emergence of suicidal thoughts and behaviors. Effexor XR is not approved for use in pediatric patients. • Serotonin Syndrome: Increased risk when co-administered with other serotonergic agents, but also when taken alone. If it occurs, discontinue Effexor XR and serotonergic agents and initiate supportive treatment. • Elevated Blood Pressure: Control hypertension before initiating treatment. Monitor blood pressure regularly during treatment. • Increased Risk of Bleeding: Concomitant use of aspirin, NSAIDs, other antiplatelet drugs, warfarin, and other anticoagulants may increase risk.

Source: US FDA prescribing information

Side effects

The following adverse reactions are discussed in more detail in other sections of the labeling: • Hypersensitivity • Suicidal Thoughts and Behaviors in Adolescents and Young Adults • Serotonin Syndrome • Elevated Blood Pressure • Increased Risk of Bleeding • Angle-Closure Glaucoma • Activation of Mania/Hypomania • Discontinuation Syndrome • Seizure • Hyponatremia • Weight and Height Changes in Pediatric Patients • Appetite Changes in Pediatric Patients • Interstitial Lung Disease and Eosinophilic Pneumonia • Sexual Dysfunction Most common adverse reactions (incidence ≥5% and at least twice the rate of placebo): nausea, somnolence, dry mouth, sweating, abnormal ejaculation, anorexia, constipation, impotence (men), and libido decreased.

Source: US FDA prescribing information

Interactions

Drugs Having Clinically Important Interactions with Effexor XR Table 15: Clinically Important Drug Interactions with Effexor XR Monoamine Oxidase Inhibitors (MAOI) Clinical Impact The concomitant use of SNRIs, including Effexor XR, with MAOIs increases the risk of serotonin syndrome. Intervention Concomitant use of Effexor XR is contraindicated in patients taking MAOIs, including MAOIs such as linezolid or intravenous methylene blue. Other Serotonergic Drugs Clinical Impact Concomitant use of Effexor XR with other serotonergic drugs (including other SNRIs, SSRIs, triptans, tricyclic antidepressants, opioids, lithium, buspirone, amphetamines, tryptophan, and St. John's Wort) increases the risk of serotonin syndrome. Intervention Monitor for symptoms of serotonin syndrome when Effexor XR is used concomitantly with other drugs that may affect the serotonergic neurotransmitter systems.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

19 presentations of Venlafaxine, sorted by availability.

MedicineManufacturerRegisterAvailability
Venlafaxine 75 mg extended-release capsuleOralGeneric name—US FDAAvailable on request
Venlafaxine 37.5 mg extended-release capsuleOralGeneric name—US FDAAvailable on request
Venlafaxine 150 mg extended-release capsuleOralGeneric name—US FDAAvailable on request
Venlafaxine 75 mg tabletOralGeneric name—US FDAAvailable on request
Venlafaxine 37.5 mg tabletOralGeneric name—US FDAAvailable on request
Venlafaxine 100 mg tabletOralGeneric name—US FDAAvailable on request
Venlafaxine 25 mg tabletOralGeneric name—US FDAAvailable on request
Venlafaxine 50 mg tabletOralGeneric name—US FDAAvailable on request
Venlafaxine 150 mg extended-release tabletOralGeneric name—US FDAAvailable on request
Venlafaxine 75 mg extended-release tabletOralGeneric name—US FDAAvailable on request
Venlafaxine 225 mg extended-release tabletOralGeneric name—US FDAAvailable on request
Venlafaxine 37.5 mg extended-release tabletOralGeneric name—US FDAAvailable on request
Venlafaxine 225 mg tabletOralGeneric name—US FDAAvailable on request
Venlafaxine 150 mg tabletOralGeneric name—US FDAAvailable on request
Effexor XR 150 mg extended-release capsuleOralViatris SpecialtyUS FDAAvailable on request
Effexor XR 37.5 mg extended-release capsuleOralViatris SpecialtyUS FDAAvailable on request
Effexor XR 75 mg extended-release capsuleOralViatris SpecialtyUS FDAAvailable on request
Venlafaxine 100 mg extended-release capsuleOralGeneric name—US FDAAvailable on request
Venlafaxine 112.5 mg extended-release tabletOralGeneric name—US FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 28 December 1993Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Venlafaxine in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Venlafaxine available for export from India?

Yes, on request. MedsAcross lists 19 presentations of Venlafaxine and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Venlafaxine have?

The catalogue lists 1 brand names for Venlafaxine, including Effexor XR.

Is Venlafaxine approved by the US FDA?

Yes. The US FDA first approved Venlafaxine on 28 December 1993, according to Drugs@FDA.

Does Venlafaxine need cold chain shipping?

No listed presentation of Venlafaxine is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Venlafaxine in?

Venlafaxine is classified under ATC code N06AX16 (Venlafaxine).

References

  1. Effexor XR prescribing information (Viatris Specialty). U.S. National Library of Medicine, DailyMed. Retrieved 15 August 2023

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