desvenlafaxine (Pristiq, Khedezla) (cont.)

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Many experts believe that an imbalance among neurotransmitters is the cause of depression. Serotonin and norepinephrine are two neurotransmitters released by nerves in the brain. Desvenlafaxine works by preventing the reuptake of serotonin and epinephrine by nerves after they have been released. Since uptake is an important mechanism for removing released neurotransmitters and terminating their actions on adjacent nerves, the reduced uptake caused by desvenlafaxine increases the effect of serotonin and norepinephrine in the brain. The FDA approved desvenlafaxine in February 2008.



PREPARATIONS: Tablets (extended release): 50 and 100 mg

STORAGE: Tablets should be kept at room temperature, 20 C and 25 C (68 F and 77 F).

PRESCRIBED FOR: Desvenlafaxine is used for the treatment of major depression.

DOSING: The recommended dose of desvenlafaxine is 50 mg daily, with or without food. Tablets should be taken whole and should not be crushed, divided, chewed, or dissolved. Doses greater than 50 mg are not more effective but cause more side effects.

DRUG INTERACTIONS: All SNRIs, including desvenlafaxine, should not be taken with any of the monoamine oxidase inhibitor (MAOI) class of antidepressants, for example, isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), selegiline (Eldepryl), and procarbazine (Matulane) or other drugs that inhibit monoamine oxidase [for example, linezolid (Zyvox)]. Such combinations may lead to confusion, high blood pressure, tremor, hyperactivity, coma, and death. Desvenlafaxine should not be administered within 14 days after stopping MAOIs and MAOIs should not be administered within 7 days of stopping desvenlafaxine.

Medically Reviewed by a Doctor on 8/6/2014

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