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Effexor XR
Venlafexine
$63.00
75mg · 3 × 28 capsules · 3 months supply
Generic· By Dexxon
$21.00 per month
Brand or generic
Generic packs carry the same active ingredient at the same strength.
Strength
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Annual cost
$273a year at this pack size
Prescription required
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37.5 mg
75 mg
150mg
225mg
FDA boxed warningSuicidal 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
Increased risk of suicidal thoughts and behavior in pediatric patients and young adults taking antidepressants. Closely monitor all antidepressant-treated patients for clinical worsening and emergence of suicidal thoughts and behaviors.
About Effexor XR
Overview
Effexor XR contains venlafaxine hydrochloride, an antidepressant in the serotonin and norepinephrine reuptake inhibitor (SNRI) class. It is used in adults to treat major depressive disorder, generalized anxiety disorder, social anxiety disorder and panic disorder. Its exact action is unclear, but it is thought to work by reducing the reabsorption of serotonin and norepinephrine, increasing their activity in the central nervous system.
What it treats
Used in adults to treat: • Major depressive disorder • Generalized anxiety disorder • Social anxiety disorder • Panic disorder
Safety information
Side effects
Common side effects include nausea, sleepiness, dry mouth, sweating, reduced appetite, constipation, reduced sex drive, ejaculation problems and difficulty getting or maintaining an erection. Contact a doctor if you develop serious side effects, including allergic reactions, suicidal thoughts or behaviour (a risk highlighted in adolescents and young adults), serotonin syndrome, raised blood pressure, unusual bleeding, angle-closure glaucoma, mania or hypomania, seizures, low blood sodium, or inflammatory lung conditions. Serotonin syndrome can occur with Effexor XR alone, and the risk increases when it is taken with other medicines that affect serotonin. Bleeding risk may increase when it is taken with aspirin, NSAIDs, antiplatelet medicines or anticoagulants. Symptoms can also occur when treatment is reduced or stopped; discuss stopping treatment with your prescriber. Changes in weight, height and appetite have been reported in children and adolescents.
FDA 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
Increased risk of suicidal thoughts and behavior in pediatric patients and young adults taking antidepressants. Closely monitor all antidepressant-treated patients for clinical worsening and emergence of suicidal thoughts and behaviors.
A boxed warning is the strongest warning the US Food and Drug Administration requires on a medicine label. Text is taken from the official label, with internal section references removed.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
Do not take Effexor XR if you are allergic to venlafaxine hydrochloride, desvenlafaxine succinate or any of its other ingredients. Do not take it while using a monoamine oxidase inhibitor (MAOI), including linezolid or intravenous methylene blue, or within 14 days of stopping an MAOI, because of the risk of serotonin syndrome. Conditions requiring caution include high blood pressure, untreated narrow drainage angles in the eyes, bipolar disorder and a history of seizures. High blood pressure should be controlled before treatment and monitored regularly. Screening for bipolar disorder is needed before treatment. Serotonin syndrome can occur with Effexor XR alone, and the risk increases with other medicines that affect serotonin. Aspirin, NSAIDs, other antiplatelet medicines, warfarin and other anticoagulants may increase bleeding risk when used with Effexor XR. Other risks include low blood sodium, interstitial lung disease, eosinophilic pneumonia and sexual dysfunction. Use during the third trimester of pregnancy may increase the risk of breathing problems, unstable body temperature, feeding difficulties, low muscle tone, tremor or irritability in the newborn. Do not stop treatment suddenly; stopping should be managed by your prescriber because withdrawal symptoms can occur.
Using Effexor XR
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C in a dry place, in the original pack, away from direct light and moisture. Do not keep it in a bathroom. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label EFFEXOR XR (VENLAFAXINE HYDROCHLORIDE) CAPSULE, EXTENDED RELEASE [VIATRIS SPECIALTY LLC] (DailyMed, retrieved 19 September 2026).
Patient information and references
Official and supporting information to read alongside advice from your prescriber or pharmacist.
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