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Medication Information Leaflet
Desvenlafaxine belongs to a class of medications known as Serotonin and Noradrenaline Reuptake Inhibitors (SNRI). It is used to treat symptoms of depression (low mood) such as:
- Feeling sad
- Feeling hopeless or useless
- Feeling bad about yourself
- Thoughts of ending your life
- Poor sleep, energy or appetite.
It may also be used to treat symptoms of anxiety such as:
- Feeling constantly worried and helpless
- Very fast heartbeat
- Uncontrolled shaking of body parts such as hands (tremors)
- Sweating
- Nervousness
Desvenlafaxine may be used for other conditions. Check with your healthcare professional if you are unsure why you are given this medication.
- Desvenlafaxine may be taken with or without food. Swallow the tablet whole, do NOT chew or crush it
- Take your medication according to the instructions stated on the medication label
- Do not stop taking or adjust the dose of this medication without checking with your doctor
- Do not be concerned if you notice the tablet shell in the stools sometimes. This is because our body is unable to dissolve the empty tablet shell after the medication has been absorbed
- Desvenlafaxine needs to be taken regularly for a few weeks before you can feel its full benefits. You should not stop taking this medication even if you do not feel better at the beginning. Continue to take this medication even after you feel better to prevent your symptoms from returning
- Do check with your doctor on how long you will have to be on this medication
- You may experience unpleasant effects such as dizziness, headache, difficulty sleeping, irritability, and nausea if you suddenly stop taking the medication on your own
- If you forget to take a dose, take it as soon as you remember. However, if more than half of the time to the next dose has passed, skip the missed dose and take the next dose at your usual timing.
- For example, for a medication to be taken two times daily at 8am and 8pm, and you missed your first dose at 8am, skip the first dose if it is after 2pm, and take your second dose at the usual timing at 8pm. Do not take two doses to make up for the missed dose.
Inform your healthcare professional if:
- You are allergic to this medication or any of the other ingredients of this medication
- You are pregnant, planning to become pregnant, or breastfeeding. If you are pregnant and/or breastfeeding, your doctor would have discussed the potential benefits and side-effects with you and should you have further questions or concerns, do consult your doctor
- You are taking any other medications (including those that can be bought without a prescription), supplements such as St John’s Wort, traditional Chinese medicine and herbal products. Some of them may affect how this medication works or cause serious drug interactions
- You have or have ever had:
- Other drug allergies
- Heart, kidney or liver disease
- Medical conditions such as high blood pressure, seizures (fits), Parkinson’s disease, increased eye pressure (glaucoma), low sodium in the blood (hyponatremia) or bleeding problems
- Other mental health conditions such as bipolar disorder, abnormally high or excited mood (mania)
- Been taking other medications for low mood in the past 2 weeks
Desvenlafaxine may increase your blood pressure. It is important to keep regular check-ups with your doctor.
The mentioned side effects generally affect up to 10% of patients.
- Nausea, vomiting or loss of appetite
- Take the medication with or after food.
- Take small but more frequent meals, and avoid fatty or spicy food
- Difficulty sleeping
- Discuss with your doctor if you can take your medication at a different time of the day
- Listen to relaxing music at bedtime
- Avoid eating or drinking too much before bedtime
- Limit caffeine intake (such as coffee, tea or energy drinks) at least 8 hours before bedtime
- Dry mouth
- Chew sugar-free gum, suck on sugar-free hard candies or ice chips, and sip water regularly
- Constipation
- Drink more water (if you do not have any fluid restriction), eat more high- fibre foods, and exercise regularly
- Speak to your doctor or pharmacist if you need medication to help with your constipation
- Dizziness
- Get up slowly from a sitting or lying down position
- Mild nervousness
- May occur at the start of treatment but usually improves over time with continued medication taking
- Headache, loss of appetite, weight loss, increased blood pressure, increased sweating, decreased sexual drive or ability
Most of the side effects listed here will improve with time. Speak with your doctor if they continue, get worse or are affecting your daily life.
The symptoms of a drug allergy include one or more of the following:
- Swollen face/eyes/lips/tongue
- Difficulty in breathing
- Itchy skin rashes over your whole body
Rarely this medication may cause:
- Seizures (fits)
- Unexplained fever, confusion, fast heartbeat, severe weakness, uncontrolled movements or twitching of the muscles (signs and symptoms of serotonin syndrome)
- Blurred vision
- Fast or uneven heartbeat, chest pain
- Unusual bruising or bleeding
- Unusual thoughts, talking, feeling, and acting with excitement that you cannot control (signs and symptoms of mania)
- Feeling confused, muscle weakness/cramps, difficulty in concentrating or remembering things, feeling unsteady when walking (signs and symptoms of low sodium in the blood)
If you experience any of these symptoms, you should stop your medication and see your healthcare professional immediately.
IMPORTANT:
In some cases, particularly in young people below the age of 25 years, this medication may cause the following changes to a person’s mental condition, especially in the first few weeks of treatment or during dose changes:
- New or worsening thoughts of harming yourself or ending your life
- Worsening agitation, restlessness, violent behaviour, or
- Other changes in mood or behaviour
Please inform your doctor as soon as possible, or for your family or caregiver to inform your doctor if you are unable to seek treatment on your own.
Do not stop taking this medication on your own without discussing with your doctor.
It is important to note that your doctor has prescribed this medication as he/ she feels you will benefit more from taking this medication over the possible risks that it may cause, which have a low chance of occurring, and most people take this medication without any of such problems.
Avoid drinking alcohol while taking Desvenlafaxine as it can worsen the symptoms of your depression and cause excessive sleepiness.
Store in a cool and dry place, away from direct sunlight. Keep this medication away from children.
