VENLAFAXINE HYDROCHLORIDE

Details

Stereochemistry	RACEMIC
Molecular Formula	C17H27NO2.ClH
Molecular Weight	313.863
Optical Activity	( + / - )
Defined Stereocenters	0 / 1
E/Z Centers	0
Charge	0

SHOW SMILES / InChI

Structure Search

SMILES

Cl.COC1=CC=C(C=C1)C(CN(C)C)C2(O)CCCCC2

InChI

InChIKey=QYRYFNHXARDNFZ-UHFFFAOYSA-N

InChI=1S/C17H27NO2.ClH/c1-18(2)13-16(17(19)11-5-4-6-12-17)14-7-9-15(20-3)10-8-14;/h7-10,16,19H,4-6,11-13H2,1-3H3;1H

HIDE SMILES / InChI

Molecular Formula	C17H27NO2
Molecular Weight	277.4018
Charge	0
Count

Stereochemistry	RACEMIC
Additional Stereochemistry	No
Defined Stereocenters	0 / 1
E/Z Centers	0
Optical Activity	( + / - )

Molecular Formula	ClH
Molecular Weight	36.461
Charge	0
Count

Stereochemistry	ACHIRAL
Additional Stereochemistry	No
Defined Stereocenters	0 / 0
E/Z Centers	0
Optical Activity	NONE

Description
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s015lbl.pdf | https://www.ncbi.nlm.nih.gov/pubmed/16140280

Venlafaxine is an arylalkanolamine serotonin-norepinephrine reuptake inhibitor, which is sold under several brand names; one of them is venlafaxine hydrochloride. Venlafaxine hydrochloride is a venlafaxine extended release tablets, which are indicated for the treatment of major depressive disorder (MDD). Efficacy of venlafaxine in MDD was shown in both short-term trials and a longer-term trial in MDD. A major depressive episode (DSM-IV) implies a prominent and relatively persistent depressed mood or the loss of interest or pleasure in nearly all activities, representing a change from previous functioning, and includes the presence of at least five of the following nine symptoms during the same two-week period. In addition, venlafaxine hydrochloride is indicated for the treatment of social anxiety (SAD), also known as social phobia. Social Anxiety Disorder (DSM-IV) is characterized by a marked and persistent fear of 1 or more social or performance situations in which others expose to unfamiliar people or to possible scrutiny the person. Exposure to the feared situation almost invariably provokes anxiety, which may approach the intensity of a panic attack. The feared situations are avoided or endured with intense anxiety or distress. The mechanism of the antidepressant action of venlafaxine in humans is believed to be associated with its potentiation of neurotransmitter activity in the CNS. Preclinical studies have shown that venlafaxine and its active metabolite, O-desmethylvenlafaxine (ODV), are potent inhibitors of neuronal serotonin and norepinephrine reuptake and weak inhibitors of dopamine reuptake.

CNS Activity

Originator

Approval Year

Targets

Primary Target	Pharmacology	Condition	Potency
Norepinephrine transporter 197 Target ID: CHEMBL222 Sources: https://www.ncbi.nlm.nih.gov/pubmed/16140280	Inhibitor 8504		1.26 µM [Ki]
Serotonin transporter 183 Target ID: CHEMBL228 Sources: https://www.ncbi.nlm.nih.gov/pubmed/16140280	Inhibitor 8504		74.0 nM [Ki]

Conditions

Condition	Modality	Targets	Highest Phase	Product
Major depressive disorder 179 Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s015lbl.pdf	Primary		Approved 8583	VENLAFAXINE HYDROCHLORIDE Approved Use Major Depressive Disorder Venlafaxine Extended Release Tablets (venlafaxine hydrochloride) are indicated for the treatment of major depressive disorder (MDD). Efficacy of venlafaxine in MDD was shown in both short-term trials and a longer-term trial in MDD. A major depressive episode (DSM-IV) implies a prominent and relatively persistent (nearly every day for at least 2 weeks) depressed mood or the loss of interest or pleasure in nearly all activities, representing a change from previous functioning, and includes the presence of at least five of the following nine symptoms during the same two-week period: depressed mood, markedly diminished interest or pleasure in usual activities, significant change in weight and/or appetite, insomnia or hypersomnia, psychomotor agitation or retardation, increased fatigue, feelings of guilt or worthlessness, slowed thinking or impaired concentration, a suicide attempt or suicidal ideation. Social Anxiety Disorder Venlafaxine Extended Release Tablets are indicated for the treatment of Social Anxiety Disorder (SAD), also known as Social Phobia, as defined in DSM-IV. Social Anxiety Disorder (DSM-IV) is characterized by a marked and persistent fear of 1 or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others. Exposure to the feared situation almost invariably provokes anxiety, which may approach the intensity of a panic attack. The feared situations are avoided or endured with intense anxiety or distress. The avoidance, anxious anticipation, or distress in the feared situation(s) interferes significantly with the person's normal routine, occupational or academic functioning, or social activities or relationships, or there is a marked distress about having the phobias. Lesser degrees of performance anxiety or shyness generally do not require psychopharmacological treatment. Launch Date 2008
Social anxiety disorder 12 Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s015lbl.pdf	Primary		Approved 8583	VENLAFAXINE HYDROCHLORIDE Approved Use Major Depressive Disorder Venlafaxine Extended Release Tablets (venlafaxine hydrochloride) are indicated for the treatment of major depressive disorder (MDD). Efficacy of venlafaxine in MDD was shown in both short-term trials and a longer-term trial in MDD. A major depressive episode (DSM-IV) implies a prominent and relatively persistent (nearly every day for at least 2 weeks) depressed mood or the loss of interest or pleasure in nearly all activities, representing a change from previous functioning, and includes the presence of at least five of the following nine symptoms during the same two-week period: depressed mood, markedly diminished interest or pleasure in usual activities, significant change in weight and/or appetite, insomnia or hypersomnia, psychomotor agitation or retardation, increased fatigue, feelings of guilt or worthlessness, slowed thinking or impaired concentration, a suicide attempt or suicidal ideation. Social Anxiety Disorder Venlafaxine Extended Release Tablets are indicated for the treatment of Social Anxiety Disorder (SAD), also known as Social Phobia, as defined in DSM-IV. Social Anxiety Disorder (DSM-IV) is characterized by a marked and persistent fear of 1 or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others. Exposure to the feared situation almost invariably provokes anxiety, which may approach the intensity of a panic attack. The feared situations are avoided or endured with intense anxiety or distress. The avoidance, anxious anticipation, or distress in the feared situation(s) interferes significantly with the person's normal routine, occupational or academic functioning, or social activities or relationships, or there is a marked distress about having the phobias. Lesser degrees of performance anxiety or shyness generally do not require psychopharmacological treatment. Launch Date 2008

C_max

Value	Dose	Analyte	Population
26.9 ng/mL DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	75 mg 1 times / day steady-state, oral dose: 75 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	VENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED
97.9 ng/mL DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	75 mg 1 times / day steady-state, oral dose: 75 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	DESVENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED
150 ng/mL DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	150 mg 1 times / day steady-state, oral dose: 150 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	VENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED
260 ng/mL DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	150 mg 1 times / day steady-state, oral dose: 150 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	DESVENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED

AUC

Value	Dose	Co-administered	Analyte	Population
1536.3 ng × h/mL DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	75 mg 1 times / day steady-state, oral dose: 75 mg route of administration: Oral experiment type: STEADY-STATE co-administered:		VENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED
2926 ng × h/mL DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	75 mg 1 times / day steady-state, oral dose: 75 mg route of administration: Oral experiment type: STEADY-STATE co-administered:		DESVENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED

T_1/2

Value	Dose	Analyte	Population
7.5 h DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	75 mg 1 times / day steady-state, oral dose: 75 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	VENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED
12.5 h DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	75 mg 1 times / day steady-state, oral dose: 75 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	DESVENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED
10.7 h DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	150 mg 1 times / day steady-state, oral dose: 150 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	VENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED
12.5 h DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	150 mg 1 times / day steady-state, oral dose: 150 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	DESVENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED

F_unbound

Value	Dose	Analyte	Population
73% DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	75 mg 1 times / day steady-state, oral dose: 75 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	VENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED
70% DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	75 mg 1 times / day steady-state, oral dose: 75 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	DESVENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED
73% DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	150 mg 1 times / day steady-state, oral dose: 150 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	VENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED
70% DRUG LABEL https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022104s016lbl.pdf	150 mg 1 times / day steady-state, oral dose: 150 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	DESVENLAFAXINE plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FED

Overview

CYP3A4	CYP2C9	CYP2D6	hERG
substrate 1946 inhibitor 2252	substrate 1193	substrate 1388 inhibitor 2507	inhibitor 2217

OverviewOther

Other Inhibitor	Other Substrate	Other Inducer
Nav1.5 116 P-gp 1741 CYP1A2 2153 CYP2C 20	CYP2C19 1119 P-gp 2052	P-gp 301 BCRP 101 OCT1 39 MRP2 146 OATP1B1 29 CYP1A2 832

Drug as perpetrator

Target	Modality	Activity	Clinical evidence
CYP1A2 2333	inhibitor 4027 Sources: https://onlinelibrary.wiley.com/doi/10.1002/(SICI)1520-6394(1998)7:1+%3C24::AID-DA7%3E3.0.CO;2-F	minimal or no
CYP2C 37	inhibitor 4027 Sources: https://onlinelibrary.wiley.com/doi/10.1002/(SICI)1520-6394(1998)7:1+%3C24::AID-DA7%3E3.0.CO;2-F	minimal or no
CYP3A4 2633	inhibitor 4027 Sources: https://onlinelibrary.wiley.com/doi/10.1002/(SICI)1520-6394(1998)7:1+%3C24::AID-DA7%3E3.0.CO;2-F	minimal or no
P-gp 1932	inhibitor 4027 Sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3268186/	no [IC50 >100 uM]
CYP2D6 2546	inhibitor 4027 Sources: https://onlinelibrary.wiley.com/doi/10.1002/(SICI)1520-6394(1998)7:1+%3C24::AID-DA7%3E3.0.CO;2-F	weak	yes (co-administration study) Comment: info taken from abstract; Coadministration with risperidone increased AUC of risperidone by 32%. See https://pubmed.ncbi.nlm.nih.gov/24964257/ Sources: https://onlinelibrary.wiley.com/doi/10.1002/(SICI)1520-6394(1998)7:1+%3C24::AID-DA7%3E3.0.CO;2-F
BCRP 985	inducer 1966 Sources: https://pubmed.ncbi.nlm.nih.gov/23897419/	yes
CYP1A2 2333	inducer 1966 Sources: https://www.tandfonline.com/doi/abs/10.3109/00498254.2014.955831	yes
MRP2 625	inducer 1966 Sources: https://www.tandfonline.com/doi/abs/10.3109/00498254.2014.955831	yes
OATP1B1 1095	inducer 1966 Sources: https://www.tandfonline.com/doi/abs/10.3109/00498254.2014.955831	yes
OCT1 656	inducer 1966 Sources: https://www.tandfonline.com/doi/abs/10.3109/00498254.2014.955831	yes
P-gp 1932	inducer 1966 Sources: https://pubmed.ncbi.nlm.nih.gov/23897419/	yes

Drug as victim

Target	Modality	Activity	Clinical evidence
CYP3A4 1946	substrate 4014 Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/97/020699ap_effexor_clinphrmr_admindoc_.pdf#page=7 Page: 7.0	inconclusive	yes (co-administration study) Comment: Coadministration with ketoconazole (CYP3A4 inhibitor) increased AUC by 70%. See https://pubmed.ncbi.nlm.nih.gov/24964257/ Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/97/020699ap_effexor_clinphrmr_admindoc_.pdf#page=7 Page: 7.0
P-gp 2052	substrate 4014 Sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3268186/	no
CYP2C19 1119	substrate 4014 Sources: https://pubmed.ncbi.nlm.nih.gov/10192828/	yes	weak (co-administration study) Comment: Coadministration with voriconazole (CYP2C9 inhibitor) increased AUC by 31%. See https://pubmed.ncbi.nlm.nih.gov/24964257/ Sources: https://pubmed.ncbi.nlm.nih.gov/10192828/
CYP2C9 1193	substrate 4014 Sources: https://pubmed.ncbi.nlm.nih.gov/10192828/	yes	weak (co-administration study) Comment: Coadministration with voriconazole (CYP2C9 inhibitor) increased AUC by 31%. See https://pubmed.ncbi.nlm.nih.gov/24964257/ Sources: https://pubmed.ncbi.nlm.nih.gov/10192828/
CYP2D6 1388	substrate 4014 Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/020699s110s111lbl.pdf#page=27 Page: 27.0	yes	yes (co-administration study) Comment: Coadministration with diphenhydramine increased AUC 2-fold; Coadministration with ketoconazole increased AUc by 70%. See https://pubmed.ncbi.nlm.nih.gov/24964257/ Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/020699s110s111lbl.pdf#page=27 Page: 27.0

Tox targets

Target	Modality	Activity	Metabolite	Clinical evidence
Nav1.5 119	inhibitor 2237 Sources: https://www.sciencedirect.com/science/article/abs/pii/S0014299916302874?via%3Dihub
hERG 2263	inhibitor 2237 Sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3002179/

Sourcing

Vendor/Aggregator	ID	URL
ChEBI	CHEBI:9943	https://www.ebi.ac.uk/chebi/searchId.do?chebiId=CHEBI:9943
ChemicalBook	CB42567671	https://www.chemicalbook.com/ChemicalProductProperty_EN_CB42567671
ChemicalBook	CB7136180	https://www.chemicalbook.com/ChemicalProductProperty_EN_CB7136180
eMolecules	902654	https://www.emolecules.com/cgi-bin/more?vid=902654
MolPort	MolPort-003-666-534	https://www.molport.com/shop/molecule-link/MolPort-003-666-534

PubMed

Title	Date	PubMed
Practitioner versus medication-expert opinion on psychiatric pharmacotherapy of mentally retarded patients with mental disorders.	2001-10-01	11596698
Addition of olanzapine for treatment-resistant depression.	2001-10	11579017
Pregnancy outcome following gestational exposure to venlafaxine: a multicenter prospective controlled study.	2001-10	11579012
[Changes in antidepressants consumption in the health area of Zamora from 1996 to 1999].	2001-09-30	11602104
High-performance liquid chromatographic method to screen and quantitate seven selective serotonin reuptake inhibitors in human serum.	2001-09-25	11587344
Even low-dose treatment of venlafaxine may provoke recurrence of hypertension in an Asian patient?	2001-09-25	11569474
Postmortem tissue concentrations of venlafaxine.	2001-09-15	11516890
Rapid high-performance liquid chromatographic measurement of venlafaxine and O-desmethylvenlafaxine in human plasma. Application to management of acute intoxications.	2001-09-05	11530979
Once-daily venlafaxine extended release (XR) vs. fluoxetine for the treatment of depression.	2001-09	11592259
On-line capillary electrophoresis-electrospray mass spectrometry for the stereoselective analysis of drugs and metabolites.	2001-09	11589295
Antidepressants in social anxiety disorder.	2001-09	11588653
The pharmacoeconomics of venlafaxine in depression.	2001-09	11570029
The clinical, psychosocial, and pharmacoeconomic ramifications of remission.	2001-09	11570028
Effects of chronic tramadol on pre- and post-synaptic measures of monoamine function.	2001-09	11565620
The combined use of bupropion, lithium, and venlafaxine during ECT: a case of prolonged seizure activity.	2001-09	11528316
Long-term outcome after ECT for catatonic depression.	2001-09	11528308
Successful use of cardiac allograft from serotonin antagonist intoxication.	2001-08-15	11502988
Microdialysis in freely moving mice: determination of acetylcholine, serotonin and noradrenaline release in galanin transgenic mice.	2001-08-15	11489302
Venlafaxine in the treatment of postpartum depression.	2001-08	11561929
[Serotonin-noradrenaline reuptake inhibitors(SNRIs)].	2001-08	11519152
[14C]Serotonin uptake and [O-methyl-11C]venlafaxine kinetics in porcine brain.	2001-08	11518644
Flushing in a menopausal woman taking venlafaxine.	2001-08	11481177
Topiramate in venlafaxine-induced visual hallucinations in an obese patient with a posterior cerebral artery infarction.	2001-08	11476137
Mirtazapine versus venlafaxine in hospitalized severely depressed patients with melancholic features.	2001-08	11476127
S33005, a novel ligand at both serotonin and norepinephrine transporters: II. Behavioral profile in comparison with venlafaxine, reboxetine, citalopram, and clomipramine.	2001-08	11454919
S33005, a novel ligand at both serotonin and norepinephrine transporters: I. Receptor binding, electrophysiological, and neurochemical profile in comparison with venlafaxine, reboxetine, citalopram, and clomipramine.	2001-08	11454918
Sertraline, paroxetine, and venlafaxine in refugee posttraumatic stress disorder with depression symptoms.	2001-07	11534876
In vitro effects of St. John's wort extract and hyperforin on 5 HT uptake and efflux in human blood platelets.	2001-07	11518065
Efficacy of venlafaxine extended release in patients with major depressive disorder and comorbid generalized anxiety disorder.	2001-07	11488362
[Depressive disorders and antidepressive therapy. A comparison of neurology practice and psychiatric clinic].	2001-07	11478223
Neuroimaging profiles and the differential therapies of depression.	2001-07	11448371
Functional brain circuits in major depression and remission.	2001-07	11448370
Brain blood flow changes in depressed patients treated with interpersonal psychotherapy or venlafaxine hydrochloride: preliminary findings.	2001-07	11448369
Venlafaxine extended release (ER) in the treatment of generalised anxiety disorder: twenty-four-week placebo-controlled dose-ranging study.	2001-07	11435263
Venlafaxine-induced hair loss.	2001-07	11431245
Use of vancomycin silica stationary phase in packed capillary electrochromatography. II. Enantiomer separation of venlafaxine and O-desmethylvenlafaxine in human plasma.	2001-06-01	11459304
Symptom reduction and suicide risk in patients treated with placebo in antidepressant clinical trials: a replication analysis of the Food and Drug Administration Database.	2001-06	11466159
The health economic impact of antidepressant usage from a payer's perspective: a multinational study.	2001-06	11452675
The Stanley Foundation Bipolar Network. I. Rationale and methods.	2001-06	11450179
Antidepressant discontinuation (withdrawal) symptoms presenting as 'stroke'.	2001-06	11448088
Use of antidepressants in treatment of comorbid diabetes mellitus and depression as well as in diabetic neuropathy.	2001-03	11465683
A review of the pharmacological and clinical profile of mirtazapine.	2001	11607047
Hot flashes: aetiology and management.	2001	11587246
Attaining remission in generalized anxiety disorder: venlafaxine extended release comparative data.	2001	11577788
Overview of different pharmacotherapies for attaining remission in generalized anxiety disorder.	2001	11577786
Hormone replacement in women with a history of breast cancer.	2001	11524554
Venlafaxine extended-release: a review of its use in the management of major depression.	2001	11524036
Separation anxiety disorder in children and adolescents: epidemiology, diagnosis and management.	2001	11460893
Do some antidepressants work faster than others?	2001	11444763
Pharmacology of rapid-onset antidepressant treatment strategies.	2001	11444761

Patents

Sample Use Guides

In Vivo Use Guide

Major Depressive Disorder: for most patients, the recommended starting dose for Venlafaxine Extended Release Tablets is 75 mg/day, administered in a single dose. In the clinical trials establishing the efficacy of venlafaxine hydrochloride extended-release capsules in moderately depressed outpatients, the initial dose of venlafaxine was 75 mg/day. For some patients, it may be desirable to start at 37.5 mg/day for 4 to 7 days, to allow new patients to adjust to the medication before increasing to 75 mg/day. While the relationship between dose and antidepressant response for venlafaxine hydrochloride extended-release capsules has not been adequately explored, patients not responding to the initial 75 mg/day dose may benefit from dose increases to a maximum of approximately 225 mg/day. Dose increases should be in increments of up to 75 mg/day, as needed, and should be made at intervals of not less than 4 days, since steady state plasma levels of venlafaxine and its major metabolites are achieved in most patients by day 4. In the clinical trials establishing efficacy, upward titration was permitted at intervals of 2 weeks or more; the average doses were about 140 to 180 mg/day. It should be noted that, while the maximum recommended dose for moderately depressed outpatients is also 225 mg/day for venlafaxine hydrochloride immediate-release tablets, more severely depressed inpatients in one study of the development program for that product responded to a mean dose of 350 mg/day (range of 150 to 375 mg/day). Whether or not higher doses of Venlafaxine Extended Release Tablets are needed for more severely depressed patients is unknown; however, the experience with venlafaxine hydrochloride extended-release capsule doses higher than 225 mg/day is very limited. Social Anxiety Disorder (Social Phobia): the recommended dose is 75 mg/day, administered in a single dose. There was no evidence that higher doses confer any additional benefit.

Route of Administration: Oral

In Vitro Use Guide

In vitro radioligand binding studies were carried out in rat brain membranes to assess the affinity of various reuptake inhibitors for the serotonin (5-hydroxytryptamine, 5-HT) and the norepinephrine transporters using the selective ligands [3H]cyanoimipramine and [3H]nisoxetine, respectively. Venlafaxine, a dual 5-HT and norepinephrine reuptake inhibitor, displayed only a moderate affinity for the 5-HT transporter (Ki = 74 nM) and a very low affinity for the norepinephrine transporter (Ki = 1.26 microM). The relatively low affinities of venlafaxine contrast with its potent in vivo 5-HT and norepinephrine reuptake blocking properties. These results raise the possibility that the in vivo effects on the 5-HT and norepinephrine reuptake observed with venlafaxine may not be mediated solely by its binding to the [3H]cyanoimipramine and [3H]nisoxetine binding sites.

Substance Class	Chemical Created by `admin` on `Mon Mar 31 19:21:44 GMT 2025` Edited by `admin` on `Mon Mar 31 19:21:44 GMT 2025`
Record UNII	7D7RX5A8MO
Record Status	`Validated (UNII)`
Record Version

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Name

Type

Language

VENLAFAXINE HYDROCHLORIDE

Official Name

English

EFFEXOR

Preferred Name

English

Venlafaxine hydrochloride [WHO-DD]

Common Name

English

VENLAFAXINE HYDROCHLORIDE [EP IMPURITY]

Common Name

English

NSC-745751

Code

English

VENLAFAXINE HCL

Common Name

English

VENLAFAXINE HYDROCHLORIDE [EP MONOGRAPH]

Common Name

English

VENLAFAXINE HYDROCHLORIDE [MI]

Common Name

English

VENLAFAXINE HYDROCHLORIDE [VANDF]

Common Name

English

VENLAFAXINE HYDROCHLORIDE [USAN]

Common Name

English

VENLAFAXINE HYDROCHLORIDE [HSDB]

Common Name

English

VENLAFAXINE HYDROCHLORIDE [MART.]

Common Name

English

CYCLOHEXANOL, 1-(2-(DIMETHYLAMINO)-1-(4-METHOXYPHENYL)ETHYL)-, HYDROCHLORIDE

Systematic Name

English

VENLAFAXINE (AS HYDROCHLORIDE)

Common Name

English

VENLAFAXINE HYDROCHLORIDE [JAN]

Common Name

English

VENLAFAXINE HYDROCHLORIDE [USP-RS]

Common Name

English

VENLAFAXINE HYDROCHLORIDE [ORANGE BOOK]

Common Name

English

(±)-1-(.ALPHA.-((DIMETHYLAMINO)METHYL)-P-METHOXYBENZYL)CYCLOHEXANOL HYDROCHLORIDE

Common Name

English

WY-45030

Code

English

VENLAFAXINE HYDROCHLORIDE [USP MONOGRAPH]

Common Name

English

Classification Tree Code System Code

NCI_THESAURUS

C265