Abolition of the drug Epevelon
As with the treatment with other antidepressants, a sharp discontinuation of venlafaxine therapy - especially after high doses of the drug - can cause withdrawal symptoms, which is why it is recommended that the dose be gradually lowered before the drug is withdrawn. The length of the period necessary to reduce the dose depends on the size of the dose, the duration of therapy, as well as the individual sensitivity of the patient.
When prescribing Epevelone, patients with lactose intolerance should take into account the content of lactose (56.62 mg in each tablet 25 mg, 84.93 mg in each tablet 37.5 mg, 113.24 mg in each tablet 50 mg, 169.86 mg in each tablet 75 mg).
In patients with depressive disorders, the likelihood of suicidal attempts should be considered before initiating any drug therapy. Therefore, in order to reduce the risk of overdose, the initial dose of the drug should be as low as possible, and the patient should be under careful medical supervision.
In patients with affective disorders in the treatment of antidepressants, including venlafaxine, hypomanic or manic conditions may occur.
Like other antidepressants, venlafaxine must be administered with caution to a patient with a history of mania. Such patients need medical supervision.
Like other antidepressants, venlafaxine should be administered with caution to patients with epileptic seizures in the anamnesis. Treatment with venlafaxine should be interrupted if epileptic seizures occur.
Patients should be warned about the need to consult a doctor immediately if rashes, urticaria or other allergic reactions occur.
In some patients, when taking venlafaxine, a dose-dependent increase in blood pressure is noted, and therefore regular monitoring of blood pressure is recommended, especially during the period of clarification or increase in dosage.
An increase in heart rate may occur, especially during high doses. Care is advised with tachyarrhythmias.
Patients, especially the elderly, should be warned about the possibility of dizziness and discomfort.
Like other serotonin reuptake inhibitors, venlafaxine may increase the risk of hemorrhages in the skin and mucous membranes.Care should be taken when treating patients who are predisposed to such conditions.
During the administration of the drug may be observed mydriasis, in connection with which it is recommended to control intraocular pressure in patients prone to its increase or suffering from an angle-closure glaucoma.
There is insufficient data on the use of venlafaxine in patients who have recently undergone myocardial infarction and who suffer from decompensated heart failure. Such patients should be administered with caution.
The clinical trials conducted to date have not revealed a tolerance to, or dependence on, venlafaxine. Despite this, as with other drugs acting on the central nervous system, the physician must establish close monitoring of patients to identify signs of drug abuse. Careful monitoring and follow-up are necessary for patients who have a history of such symptoms.
Women of childbearing age should apply appropriate methods of contraception during the administration of venlafaxine.
Although venlafaxine does not affect psychomotor and cognitive functions, it should be borne in mind that any drug therapy with psychoactive drugs can reduce the ability to make judgments, thinking or performing motor functions. This should be warned by the patient before starting treatment. If such effects occur, the extent and duration of the restrictions should be determined by the physician.
Also, alcohol is not recommended.