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Precautions

Do NOT use Effexor XR if:

• you happen to be allergic to your ingredient in Effexor XR
• you consider or have got a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort during the last 14 days
• you take a fenfluramine derivative (eg, dexfenfluramine), methylene blue, nefazodone, sibutramine, or tryptophan.

Contact your medical professional or physician right away if some of these sign up for you.

Some health conditions may interact with Effexor XR. Tell your physician or pharmacist for those who have any health concerns, particularly when any of the following apply to you:

• if you might be pregnant, likely to get pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, and other substances
• if you or possibly a loved one has a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• in case you have a good seizures, heart problems (eg, heart failure, irregular heartbeat), abnormal electrocardiograms (ECGs), a newly released cardiac arrest, blood pressure, an overactive thyroid, liver problems, lung problems, kidney problems, stomach or bowel bleeding, blood or bleeding problems, increased eye pressure (eg, glaucoma), nerves problems, or metabolism problems
• if you are dehydrated, have low blood sodium levels, or consume alcohol
• if you will be having electroconvulsive therapy (ECT).

Some medicines may interact with Effexor XR. Tell your medical provider if you take any other medicines, especially any in the following:

• Certain diet medicines (eg, phentermine, fenfluramine), linezolid, lithium, MAOIs (eg, phenelzine), methylene blue, metoclopramide, nefazodone, rasagiline, selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), selegiline, serotonin 5-HT₁ receptor agonists (eg, sumatriptan), sibutramine, SNRIs (eg, duloxetine),St. John's wort, tramadol, trazodone, tricyclic antidepressants (eg, amitriptyline), or tryptophan because severe unwanted effects, say for example a reaction that may include fever, rigid muscles, blood pressure level changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) for the reason that likelihood of bleeding, including stomach bleeding, may be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) as the probability of low blood sodium levels may be increased
• Azole antifungals (eg, ketoconazole) or cimetidine because they may increase the likelihood of Effexor XR's unwanted effects
• Cyproheptadine given it may decrease Effexor XR's effectiveness
• Aripiprazole, haloperidol, phenothiazines (eg, chlorpromazine, thioridazine), or risperidone because the likelihood of their unwanted effects could possibly be increased by Effexor XR.

This might not be a total report on all interactions which could occur. Ask your medical provider if Effexor XR may connect to other medicines which you take. Check using your doctor before you start, stop, or change the dose of any medicine.

Important safety information:

• Effexor XR could potentially cause drowsiness, dizziness, or blurred vision. These effects could be worse if you take it with alcohol or certain medicines. Use Effexor XR with caution. Do not drive or perform other possible unsafe tasks unless you recognize how you answer it.
• Do not consume alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you're using Effexor XR without checking along with your doctor; it might increase their effects. Ask your friendly phamacist for those who have questions on which medicines may cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take greater than the recommended dose, or use for over prescribed without checking with your doctor.
• Children, teenagers, and teenagers who take Effexor XR could be at increased risk for suicidal thoughts or actions. Watch all patients having Effexor XR closely. Contact the doctor immediately if new, worsened, or sudden symptoms for example depressed mood; anxious, restless, or irritable behavior; panic and anxiety attacks; or any unusual change in mood or behavior occur. Contact a doctor without delay if any warning signs of suicidal thoughts or actions occur.
• Serotonin syndrome is really a possibly fatal syndrome that could be caused by Effexor XR. Your risk might be greater for Effexor XR with certain other medicines (eg, "triptans," MAOIs, SSRIs). Symptoms can include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor at once for those who have these symptoms.
• Neuroleptic malignant syndrome (NMS) is really a possibly fatal syndrome which can be brought on by Effexor XR. Symptoms might include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact a medical expert at the same time for those who have these symptoms.
• If your doctor tells you to stop taking Effexor XR, you need to wait for a period of time before you begin to look at certain other medicines (eg, MAOIs, nefazodone, thioridazine). Ask your medical professional when you ought to start to consider your brand-new medicines after you might have stopped taking Effexor XR.
• Effexor XR may rarely create a prolonged, painful erection. This could happen even when you happen to be not having sexual intercourse. If this is not treated immediately, it may bring about permanent sexual dysfunctions like impotence. Contact your physician immediately take place.
• Lab tests, including blood pressure and blood cholesterol, may be performed when you use Effexor XR. These tests could possibly be used to monitor your problem or look for negative effects. Be sure to keep all doctor and lab appointments.
• Use Effexor XR with caution inside the elderly; they could possibly be more responsive to its effects, especially low blood sodium levels.
• Caution is required when utilizing Effexor XR in children; they may be more sensitive to its effects, especially increased probability of suicidal thoughts or actions.
• Effexor XR ought to be combined with extreme care in kids; safety and effectiveness in children weren't confirmed.
• Effexor XR might cause weight changes and growth changes. Children and teenagers might require regular weight and growth checks when they take Effexor XR.

Pregnancy and breast-feeding: Effexor XR may cause injury to the fetus if it can be used during the last three months of childbearing. If you get pregnant, contact your doctor. You will need to discuss the huge benefits and perils of using Effexor XR while you happen to be pregnant. Effexor XR can be found in breast milk. Do not breastfeed while taking Effexor XR.