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Venlafaxine side effects

Across 87 first-hand reports, people mentioned a side effect 24 times (about 28 per 100 reports). The most common: withdrawal, insomnia, brain zaps. User reports show what people notice — they can't tell you whether Venlafaxine is safe for you.

Reported side effects

withdrawal10
insomnia3
brain zaps2
headache2
emotional blunting2
libido loss2
brain fog2
mania1

What got worse for some people

In their own words

“I tried Venlafaxine and my ADHD improved significantly. However, it also had a certain amount of excitotoxicity, and I couldn't sleep at night.”
MixedRead the discussion ↗
“I found that Venlafaxine was good once it down regulated my norephineprine. Before I was constantly full of somatic anxiety but now it’s definitely improved.”
MixedRead the discussion ↗
“When I quit Effexor many years ago, I had to slowly decrease the dose over a period that was twice as long as I had been on them. Brain zaps from hell.”
HelpedRead the discussion ↗
“never actually found anything that helped. Not one thing... Supplements I've tried include fish oil pills, htp-5, fluoxetine, effexor, adderall, ritalin, vitamin b complexes, and st johns wort.”
Didn't helpRead the discussion ↗
“venlafaxine did something...This at least helps me sleep...it just gives me that flattened serotonin effect where everything is 'fine,' apathy, emotional blunting, low libido.”
MixedRead the discussion ↗
“after the second week I could only sleep 2 hours a night and I felt anxious and foggy all day.”
Didn't helpRead the discussion ↗

Is Venlafaxine safe? What the research covers

AResearch: Strong314 meta-analyses · 562 randomized trials on PubMed
Mol Psychiatry · 2023
Antidepressants for the treatment of adults with major depressive disorder in the maintenance phase: a systematic review and network meta-analysis

Conclusion: Compared to placebo, venlafaxine was associated with a lower incidence of dizziness, while desvenlafaxine, sertraline, and vortioxetine were associated with a higher incidence of nausea/vomiting. In conclusion, desvenlafaxine, paroxetine, venlafaxine, and vortioxetine had reasonable efficacy, acceptability, and tolerability in the treatment of adults with stable MDD.

Venlafaxine side effects: what 87 users report — PlainPill