![]() ▪️ Modified release formulations usually have XL in their brand name, for example Efexor XL. Modified-release tablets and capsules release the medicine gradually over the day as they pass through the gut. You can take your daily dose at any time of day but try to stick to the same time each day. ▪️ If you've been prescribed extended-release or modified-release venlafaxine tablets or capsules, these should be taken once a day. ▪️ If you've been prescribed standard immediate-release venlafaxine tablets, these should be taken twice a day, morning and evening. Follow the instructions given by your doctor when it's time to stop treatment with venlafaxine. They can usually be avoided by stopping the medicine gradually, usually by reducing the dose slowly over a period of weeks or months, depending on your individual situation. ▪️ Withdrawal symptoms are temporary and are not due to addiction or dependence on the medicine. Withdrawal symptoms are temporary and are not due to addiction or dependence on the medicine. These may include headaches, tremor, agitation or anxiety, feeling sick, vomiting, sweating, dizziness, palpitations, diarrhoea, pins and needles or electric shock sensations, emotional instability, difficulty sleeping and abnormal dreams. ▪️ Do not suddenly stop taking venlafaxine unless your doctor tells you to, as this can cause withdrawal symptoms. With anxiety it's usually recommended that you keep taking your antidepressant for at least 12 months after you feel better. With depression it's normal for your doctor to ask you to keep taking your antidepressants for at least six months after you feel better (at least two years if you've had several bouts of depression), as this has been shown to reduce the risk of your depression coming back. ▪️ You should keep taking venlafaxine every day for as long as your doctor asks you to. How long do I need to take venlafaxine for? ▪️ If you feel your depression or anxiety has got worse, or if you have any distressing thoughts, or feelings about suicide or harming yourself in the first few weeks, or indeed at any point during treatment or after stopping treatment, then it is very important to talk to your doctor. You should keep taking it for as long as your doctor asks you to. You'll usually need to keep taking venlafaxine every day for several months, and for at least six months after you feel better. ▪️ It can take between two to four weeks of taking venlafaxine before it starts to work, so it's very important that you keep taking it, even if it doesn't seem to make much difference at first. However, you should never increase your dose on your own. ![]() If your doctor feels it's necessary, your dose may be gradually increased after a few weeks. Do not take more than the dose prescribed by your doctor. ▪️ It takes a while for venlafaxine to build up its effects, so keep taking it as prescribed even if you feel it's not working at first. ▪️ The usual starting dose of venlafaxine is 75 mg daily, but you may be prescribed a lower dose if you have kidney or liver problems. ▪️ The recommended dose of venlafaxine will vary from person to person, depending on the severity of the depression.
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