Generic Name: desvenlafaxine (des VEN la FAX een)
Brand Names: Pristiq
What is desvenlafaxine?
Desvenlafaxine is an antidepressant in a group of drugs called selective serotonin and norepinephrine reuptake inhibitors (SNRIs). Desvenlafaxine affects chemicals in the brain that may become unbalanced and cause depression.
Desvenlafaxine is used to treat major depressive disorder.
Desvenlafaxine may also be used for purposes not listed in this medication guide.
What is the most important information I should know about desvenlafaxine?
You should not take this medication if you are allergic to desvenlafaxine or venlafaxine (Effexor), or if you are also using a monoamine oxidase inhibitor (MAOI) such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).
Do not take desvenlafaxine together with venlafaxine (Effexor).
You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Treatments for depression are getting better everyday and there are things you can start doing right away.
Call your doctor at once if you have any new or worsening symptoms 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. It may take several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after a few weeks of treatment.
What should I discuss with my healthcare provider before taking desvenlafaxine?
You should not take this medication if you are allergic to desvenlafaxine or venlafaxine (Effexor), or if you are also using a monoamine oxidase inhibitor (MAOI) such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take desvenlafaxine. After you stop taking desvenlafaxine, you must wait at least 7 days before you start taking an MAOI.
Do not take desvenlafaxine together with venlafaxine (Effexor).
To make sure you can safely take venlafaxine, tell your doctor if you have any of these other conditions:
bipolar disorder (manic depression);
liver or kidney disease;
- liver disease;
- kidney disease;
heart disease, high blood pressure, high cholesterol, or a history of stroke;
glaucoma;
seizures or epilepsy;
a history of stroke;
a bleeding or blood clotting disorder;
low levels of sodium in your blood; or
if you are switching to desvenlafaxine from another antidepressant.
You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.
Your family or other caregivers should also 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.
FDA pregnancy category C. Desvenlafaxine may cause problems in a newborn baby if the mother takes the medication late in pregnancy (during the third trimester). Tell your doctor if you are pregnant or plan to become pregnant during treatment. Desvenlafaxine 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 medication to anyone under 18 years old without the advice of a doctor.
How should I take desvenlafaxine?
Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
Desvenlafaxine can be taken with or without food. Try to take the medicine at the same time each day.
Do not crush, chew, break, or dissolve the extended-release tablet. Swallow it whole. Breaking the pill may cause too much of the drug to be released at one time. It may take several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after a few weeks of treatment. Do not stop using desvenlafaxine suddenly, or you could have unpleasant symptoms. Ask your doctor how to avoid these symptoms when you stop using desvenlafaxine.
Your blood pressure will need to be checked often. Visit your doctor regularly.
Store at room temperature away from moisture and heat.
See also: Desvenlafaxine dosage (in more detail)
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.
Overdose symptoms may include vomiting, agitation, fast heart rate, and numbness or tingly feeling.
What should I avoid while taking desvenlafaxine?
Drinking alcohol can increase certain side effects of desvenlafaxine. Desvenlafaxine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Avoid exposure to sunlight or tanning beds. Desvenlafaxine can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 15 or higher) when you are outdoors.
Desvenlafaxine side effects
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.
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 a serious side effect such as:
seizure (convulsions);
agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination;
blurred vision, eye pain, or seeing halos around lights;
cough, chest tightness, trouble breathing;
easy bruising or bleeding (nosebleeds, bleeding gums), blood in your urine or stools, coughing up blood;
very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out;
severe skin reaction - fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling;
headache, trouble concentrating, memory problems, weakness, feeling unsteady, confusion, hallucinations, fainting, shallow breathing or breathing that stops;
Less serious side effects may include:
increased sweating;
dizziness, drowsiness;
loss of appetite;
mild nausea, constipation;
sleep problems (insomnia); 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.
Desvenlafaxine Dosing Information
Usual Adult Dose for Depression:
Initial dose: 50 mg orally once daily, with or without food.
In clinical studies, doses of 50 to 400 mg/day were shown to be effective, although no additional benefit was demonstrated at doses greater than 50 mg/day and adverse events and discontinuations were more frequent at higher doses.
When discontinuing therapy, gradual dose reduction is recommended whenever possible to minimize discontinuation symptoms.
Desvenlafaxine should be taken at approximately the same time each day.
Tablets must be swallowed whole with fluid and not divided, crushed, chewed, or dissolved.
It is generally agreed that acute episodes of major depressive disorder require several months or longer of sustained pharmacologic therapy. However, the longer term efficacy of desvenlafaxine at doses of 50 mg/day that was effective in short-term, controlled studies has not been studied. Patients should be periodically reassessed to determine the need for continued treatment.
Usual Geriatric Dose for Depression:
Initial dose: 50 mg orally once daily, with or without food.
No dosage adjustment is required solely on the basis of age; however, the possibility of reduced renal clearance of desvenlafaxine in an elderly patient should be considered when determining the dose.
In clinical studies, doses of 50 to 400 mg/day were shown to be effective, although no additional benefit was demonstrated at doses greater than 50 mg/day and adverse events and discontinuations were more frequent at higher doses.
When discontinuing therapy, gradual dose reduction is recommended whenever possible to minimize discontinuation symptoms.
Desvenlafaxine should be taken at approximately the same time each day.
Tablets must be swallowed whole with fluid and not divided, crushed, chewed, or dissolved.
It is generally agreed that acute episodes of major depressive disorder require several months or longer of sustained pharmacologic therapy. However, the longer term efficacy of desvenlafaxine at doses of 50 mg/day that was effective in short-term, controlled studies has not been studied. Patients should be periodically reassessed to determine the need for continued treatment.
What other drugs will affect desvenlafaxine?
Ask your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), indomethacin (Indocin), meloxicam (Mobic), and others. Taking any of these drugs with desvenlafaxine may cause you to bruise or bleed easily.
Before using desvenlafaxine, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures or anxiety). They can add to sleepiness caused by desvenlafaxine.
Tell your doctor about all other medications you use, especially:
a blood thinner such as warfarin (Coumadin);
a diuretic (water pill);
linezolid (Zyvox);
lithium (Eskalith, Lithobid);
metoclopramide (Reglan);
midazolam (Versed);
St. John's wort;
tramadol (Ultram, Ultracet, Rybix, Ryzolt, Synapryn);
tryptophan (sometimes called L-tryptophan);
an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin), telithromycin (Ketek), and others;
antifungal medication such as clotrimazole (Mycelex Troche), itraconazole (Sporanox), ketoconazole (Extina, Ketozole, Nizoral, Xolegal), or voriconazole (Vfend);
heart or blood pressure medication such as diltiazem (Cartia, Cardizem), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan), and others;
HIV/AIDS medicine such as fosamprenavir (Lexiva), indinavir (Crixivan), ritonavir (Norvir), and others;
migraine headache medication such as sumatriptan (Imitrex, Treximet), almotriptan (Axert), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig); or
any other antidepressant such as amitriptyline (Elavil, Vanatrip), citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Symbyax), paroxetine (Paxil, Pexeva), sertraline (Zoloft), and others.
This list is not complete and there are many other drugs that can interact with desvenlafaxine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.
More desvenlafaxine resources
- Desvenlafaxine Side Effects (in more detail)
- Desvenlafaxine Dosage
- Desvenlafaxine Use in Pregnancy & Breastfeeding
- Desvenlafaxine Drug Interactions
- Desvenlafaxine Support Group
- 451 Reviews for Desvenlafaxine - Add your own review/rating
- desvenlafaxine Advanced Consumer (Micromedex) - Includes Dosage Information
- Desvenlafaxine Extended-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)
- Desvenlafaxine Succinate Monograph (AHFS DI)
- Pristiq Prescribing Information (FDA)
- Pristiq Consumer Overview
Compare desvenlafaxine with other medications
- ADHD
- Anxiety
- Bipolar Disorder
- Depression
- Fibromyalgia
- Hot Flashes
- Narcolepsy
- Neuralgia
- Obesity
- Panic Disorder
- Post Traumatic Stress Disorder
- Postmenopausal Symptoms
Where can I get more information?
- Your pharmacist can provide more information about desvenlafaxine.
See also: desvenlafaxine side effects (in more detail)
No comments:
Post a Comment