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Venlafaxine

Generic Name
Venlafaxine
Brand Names
Effexor
Drug Type
Small Molecule
Chemical Formula
C17H27NO2
CAS Number
93413-69-5
Unique Ingredient Identifier
GRZ5RCB1QG

Overview

Venlafaxine is an antidepressant and a serotonin and norepinephrine reuptake inhibitor (SNRI). Its active metabolite, desvenlafaxine, works by blocking the reuptake of serotonin and norepinephrine, which are key neurotransmitters in mood regulation. Venlafaxine is officially approved to treat major depressive disorder (MDD), generalized anxiety disorder (GAD), social anxiety disorder, and panic disorder in adults. The immediate formulation of the drug, marketed as Effexor, was first approved by the FDA in 1993 and the extended-release formulation, Effexor XR, was later introduced in 1997. Venlafaxine has been used as a first-line treatment for MDD, GAD, social anxiety disorder, and panic disorder in Canada for many years. It was also considered a second-line treatment for obsessive-compulsive disorder (OCD). Venlafaxine was also investigated in off-label uses for the prophylaxis of migraine headaches, for reduction of vasomotor symptoms associated with menopause, and for the management of neuropathic pain (although there is only minimal evidence of efficacy for this condition).

Background

Venlafaxine is an antidepressant and a serotonin and norepinephrine reuptake inhibitor (SNRI). Its active metabolite, desvenlafaxine, works by blocking the reuptake of serotonin and norepinephrine, which are key neurotransmitters in mood regulation. Venlafaxine is officially approved to treat major depressive disorder (MDD), generalized anxiety disorder (GAD), social anxiety disorder, and panic disorder in adults. The immediate formulation of the drug, marketed as Effexor, was first approved by the FDA in 1993 and the extended-release formulation, Effexor XR, was later introduced in 1997. Venlafaxine has been used as a first-line treatment for MDD, GAD, social anxiety disorder, and panic disorder in Canada for many years. It was also considered a second-line treatment for obsessive-compulsive disorder (OCD). Venlafaxine was also investigated in off-label uses for the prophylaxis of migraine headaches, for reduction of vasomotor symptoms associated with menopause, and for the management of neuropathic pain (although there is only minimal evidence of efficacy for this condition).

Indication

Venlafaxine is indicated for the management of major depressive disorder (MDD), generalized anxiety disorder (GAD), social anxiety disorder (SAD), and panic disorder.

Associated Conditions

  • Generalized Anxiety Disorder
  • Major Depressive Disorder (MDD)
  • Migraine
  • Neuropathic Pain
  • Panic Disorder
  • Social Anxiety Disorder (SAD)
  • Vasomotor Symptoms Associated With Menopause

Clinical Trials

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Title
Posted
Study ID
Phase
Status
Sponsor
2020/06/24
N/A
Completed
2020/01/18
Not Applicable
UNKNOWN
Beijing Tongren Hospital
2020/01/06
Phase 2
Completed
2019/12/20
Phase 4
UNKNOWN
Xijing Hospital
2018/07/17
Not Applicable
Completed
Guangzhou General Hospital of Guangzhou Military Command
2018/07/02
Not Applicable
Completed
2018/05/22
N/A
Recruiting
2018/04/27
N/A
Recruiting
2018/02/15
Phase 3
Completed
2017/09/07
Phase 1
Terminated

FDA Drug Approvals

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Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
Zydus Lifesciences Limited
65841-752
ORAL
75 mg in 1 1
9/28/2023
Bryant Ranch Prepack
71335-1338
ORAL
75 mg in 1 1
1/7/2022
Aphena Pharma Solutions - Tennessee, LLC
43353-690
ORAL
75 mg in 1 1
5/9/2014
A-S Medication Solutions
50090-6301
ORAL
37.5 mg in 1 1
10/21/2022
A-S Medication Solutions
50090-5145
ORAL
75 mg in 1 1
11/6/2020
Bryant Ranch Prepack
71335-1864
ORAL
37.5 mg in 1 1
1/13/2022
Northstar Rx LLC
16714-659
ORAL
100 mg in 1 1
10/30/2023
XLCare Pharmaceuticals, Inc.
72865-198
ORAL
75 mg in 1 1
10/29/2021
Proficient Rx LP
63187-414
ORAL
75 mg in 1 1
1/1/2021
AvPAK
50268-817
ORAL
37.5 mg in 1 1
1/8/2024

EMA Drug Approvals

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Approved Product
Authorization Holder
Status
Issued Date
No EMA approvals found for this drug.

HSA Drug Approvals

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Approved Product
Manufacturer
Approval Number
Dosage Form
Strength
Approval Date
No HSA approvals found for this drug.

NMPA Drug Approvals

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Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
Venlafaxine Hydrochloride Capsules
国药准字H20067435
化学药品
胶囊剂
6/23/2021
Venlafaxine Hydrochloride Capsules
国药准字H19980051
化学药品
胶囊剂
4/24/2024
Venlafaxine Hydrochloride Capsules
国药准字H20066157
化学药品
胶囊剂
6/23/2021
Venlafaxine Hydrochloride Sustained-Release Capsules
国药准字H20213455
化学药品
胶囊剂
6/8/2021
Venlafaxine Hydrochloride Sustained-Release Capsules
国药准字H20243693
化学药品
胶囊剂
5/15/2024
Venlafaxine Hydrochloride Sustained-Release Capsules
国药准字H20223035
化学药品
胶囊剂
1/30/2022
Venlafaxine Hydrochloride Sustained-Release Capsules
国药准字H20223276
化学药品
胶囊剂
4/29/2022
Venlafaxine Hydrochloride Sustained-Release Capsules
国药准字H20234024
化学药品
胶囊剂
8/8/2023
Venlafaxine Hydrochloride Sustained-Release Capsules
国药准字HJ20160384
化学药品
胶囊剂
7/22/2021
Venlafaxine Hydrochloride Sustained-Release Capsules
国药准字H20223057
化学药品
胶囊剂
1/30/2022

PPB Drug Approvals

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Registration No.
Company
Licence No.
Strength
Registration Date
No PPB approvals found for this drug.

TGA Drug Approvals

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Approved Product
ARTG ID
Sponsor
Registration Type
Status
Registration Date
TERRY WHITE CHEMISTS VENLAFAXINE XR venlafaxine (as hydrochloride) 150 mg modified release capsule blister pack
286953
Medicine
A
6/23/2017
ELAXINE SR 150 venlafaxine (as hydrochloride) 150 mg modified release capsule blister pack
285316
Medicine
A
5/17/2017
APO-VENLAFAXINE XR venlafaxine (as hydrochloride) 150 mg modified release capsule blister pack
286957
Medicine
A
6/23/2017
Venlafaxine XR-WGR venlafaxine (as hydrochloride) 150 mg modified release capsule blister pack
285259
Medicine
A
5/17/2017
VENLAFAXINE GENERICHEALTH XR venlafaxine (as hydrochloride) 75mg modified release capsule blister
151884
Medicine
A
8/6/2009
ELAXINE SR 75 venlafaxine (as hydrochloride) 75 mg modified release capsule blister pack
285315
Medicine
A
5/17/2017
ALEMBIC VENLAFAXINE XR venlafaxine (as hydrochloride) 37.5 mg modified release capsule blister pack
285251
Medicine
A
5/17/2017
APO-VENLAFAXINE XR venlafaxine (as hydrochloride) 75 mg modified release capsule blister pack
286958
Medicine
A
6/23/2017
Venlafaxine XR-WGR venlafaxine (as hydrochloride) 225 mg modified release capsule
292623
Medicine
A
8/9/2018
EFEXOR-XR venlafaxine (as hydrochloride) 37.5mg modified release capsule blister pack
99802
Medicine
A
10/14/2004
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