Effexor is one of the most commonly prescribed medications for depression, anxiety disorders, and other mental conditions. The medication is only available through prescription and is FDA approved, meaning that the manufacturer has proven its efficacy for certain conditions, as well as its safety. Therefore, receiving an Effexor will first require the prescription of a doctor, which may be done both in-person and online.
What Is Effexor (Venlafaxine)?
Effexor (venlafaxine) is FDA-approved for treating symptoms of depression and anxiety disorders.2 In some cases, the drug may be prescribed off-label (not FDA-approved indications) for the treatment of PTSD and OCD, among other conditions.7 Effexor belongs to the serotonin and norepinephrine reuptake inhibitors (SNRIs) class of drugs which regulates the amount of serotonin and norepinephrine in the brain. This plays an important role in improving one’s mood, helping to lessen symptoms of anxiety or depression.
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While the brand name of venlafaxine, Effexor, is more expensive than generic forms, both include the same active ingredients and are equally effective. Doses of Effexor will be determined by a physician. These may be adjusted when needed based on side effects and how a patient responds to the medication.
Effexor is FDA-approved for the treatment of:2
- Major depressive disorder (MDD)
- Generalized anxiety disorder (GAD)
- Social anxiety disorder (SAD)
- Panic disorder (PD)
Practitioners might prescribe Effexor off-label for:7
- Obsessive compulsive disorder (OCD)
- Post-traumatic stress disorder (PTSD)
- Attention deficit disorder (ADHD)
- Premenstrual dysphoric disorder (PMDD)
- Fibromyalgia
- Symptoms of diabetic neuropathy
Side Effects of Effexor
As a person’s body adjusts to Effexor, they may experience side effects such as vomiting and nausea.3 These reactions are generally mild and do not usually require immediate medical attention. However, if adverse effects persist or worsen, it is important to alert a doctor or seek immediate medical attention.
Side effects of Effexor may include:2
- Headache
- Vomiting or nausea
- Sweating
- Appetite or weight changes
- Sleeping problems
- Dizziness
- Drowsiness
- Anxiety
- Constipation
- Dry mouth
Drug Interactions With Effexor
Like many medications, Effexor can have harmful interactions with other substances. Effexor has a unique chemical structure and combining it with certain medications or alcohol can be life-threatening.5 It’s important to inform your doctor of any prescriptions or substances you are currently taking.
Substances that may interact with Effexor include:2
- St. John’s Wort: St. John’s Wort is an herbal remedy for depression. Interaction with Effexor increases the side effects of Effexor.5
- Non-steroidal anti-inflammatory drugs (NSAIDs): The interaction between NSAIDs and Effexor can increase the risk of bleeding or bruising.
- Monoamine oxidase inhibitors (MAOIs): Taking Effexor with or within 14 days of stopping MAOIs increases the risk of serotonin syndrome.
- Alcohol: The interaction between Effexor and alcohol can worsen side effects of either substance.
- Other SNRIs and SSRIs: Other SNRIs and SSRIs can trigger or worsen the side effects of Effexor.
- Blood thinners: Taking Effexor while on blood thinners increases the risk of excessive bleeding as Effexor interferes with the body’s blood clotting process.
- Adderall: Taking Adderall with Effexor can increase the effects of Adderall, such as anxiety and nervousness.
Would I Benefit From Effexor?
Before prescribing Effexor, a doctor will conduct a screening to determine if Effexor is a suitable option for patients. A physician will look for certain symptoms such as feelings of sadness, loss of interest, sleep disturbances, or anger outbursts. If these signs are present and a person is diagnosed with depression, a patient may benefit from Effexor or another antidepressant.
Effexor may be recommended in place of or alongside psychotherapy. This depends on several factors, including the drug’s efficacy, treatment duration, or possible side effects.
Your doctor might consider Effexor for you if experience symptoms of a mental health disorder, such as:
- Always feeling on edge
- Frequent panic attacks
- Physical symptoms of anxiety such as sweating and dizziness
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How to Get an Effexor Prescription
Effexor is only available via prescription from a licensed health practitioner. A doctor will determine if Effexor might be suitable based on factors such as symptoms, other medical conditions, and age.
When looking to get prescribed Effexor, be sure to follow these steps:
- Make an appointment with your physician: Before a prescription can be issued, an appointment with a licensed physician must be made and attended.
- Talk with your provider about your condition: Be sure to inform your doctor about any and all of your symptoms. This will help them determine the best course of action.
- Receive a diagnosis: Upon reviewing your symptoms, a doctor can provide you with an accurate diagnosis, inform you of treatment options, and offer tips for coping.
- Consider costs and insurance coverage: Effexor can be costly, especially if you do not have insurance. Consider your options before fulfilling your prescription.
Who Can Prescribe Effexor?
Certain laws and regulations restrict who can prescribe medications such as Effexor. Only healthcare providers with the proper education and licenses are permitted to recommend Effexor to patients.
Some of the healthcare providers who can prescribe Effexor include:
- Primary care providers
- Psychiatrists
- Licensed nurse practitioners
- Licensed assistant physicians
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Online psychiatry is a helpful solution for those with busy schedules, who live in rural areas, or who do not have access to mental health resources . Several telepsychiatry platforms offer Effexor medication management. Like traditional therapy, telehealth offers assessments and screenings, as well as prescriptions.
What If I Can’t Get Prescribed Effexor?
Not everyone can be prescribed Effexor. If a physician does not recommend Effexor, it is important not to “doctor-shop” or seek medication from other providers. Do not obtain prescription medications from friends or family. A doctor will consider safety when prescribing Effexor, and will therefore suggest alternatives if Effexor is not a suitable option.
Alternatives to Effexor may include:
Do Over-the-Counter Alternatives Exist?
There are several over-the-counter (OTC) substances that may help with managing symptoms of anxiety or depression. Examples include St. John’s Wort, omega-3 fatty acids, and s-adenosylmethionine. However, these alternatives are as not effective as medication and should not be taken by someone who is taking Effexor or another antidepressant, unless directed by a doctor. Always consult with a doctor before taking OTC medications.
Questions to Ask Your Health Team
Before considering Effexor, it is important to discuss the medication thoroughly with a doctor. A physician will provide information about possible side effects of the medication, substances to avoid while taking Effexor, and proper dosages. They will explain both the benefits and risks associated with treatment.
Questions to ask your care team about Effexor include:
- How often should I come in for checkups while taking Effexor?
- Is Effexor effective for treating my anxiety/depression?
- Are there alternatives to Effexor?
- Does my insurance cover Effexor?
- What should I do if Effexor does not work for me?
- Is it safe to take over-the-counter alternatives with Effexor?
- Can I take Effexor while on other medications?
- Why is letting my doctor know about my medical history important?
When to Seek Immediate Help
It can be challenging to cope with anxiety or depression. If you are in a crisis and need help immediately, call the 9-1-1 emergency hotline. You can also visit the nearest medical facility for treatment
Final Thoughts
Effexor can help in the management of anxiety and depression symptoms. A doctor or care team may prescribe Effexor based on a person’s symptoms, health conditions, and possible benefits of treatment.
Additional Resources
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