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Pristiq
Desvenlafaxine
$396.00
50mg · 3 × 30 tablets · 3 months supply
BrandBranded medicine· By Pfizer
$132.00 per month
Strength
How long a supply?
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Annual cost
$1584a year at this pack size
Prescription required
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50mg
100mg
FDA boxed warningSuicidal thoughts and behaviors
Antidepressants increased the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term studies. These studies did not show an increase in the risk of suicidal thoughts and behavior with antidepressant use in patients over age 24; there was a reduction in risk with antidepressant use in patients aged 65 and older
In patients of all ages who are started on antidepressant therapy, monitor closely for worsening, and for emergence of suicidal thoughts and behaviors. Advise families and caregivers of the need for close observation and communication with the prescriber
Desvenlafaxine extended-release tablets
are not approved for use in pediatric patients
Increased the risk of suicidal thoughts and behaviors in children, adolescents and young adults taking antidepressants.
Closely monitor for clinical worsening and emergence of suicidal thoughts and behaviors.
About Pristiq
Overview
Pristiq contains desvenlafaxine, an antidepressant in a group called serotonin and norepinephrine reuptake inhibitors (SNRIs). It is used to treat major depressive disorder in adults. It works by reducing the reuptake, or reabsorption, of serotonin and norepinephrine.
What it treats
Major depressive disorder (MDD) in adults.
Safety information
Side effects
Common side effects include nausea, dizziness, trouble sleeping, increased sweating, constipation, sleepiness, decreased appetite, anxiety and sexual function problems in men. Contact a doctor if you develop serious side effects, including allergic reactions, suicidal thoughts or behaviours, serotonin syndrome, raised blood pressure, unusual bleeding, angle-closure glaucoma, mania or hypomania, seizures, low blood sodium, or inflammatory lung conditions. The label highlights the risk of suicidal thoughts and behaviours in children, adolescents and young adults. Serotonin syndrome can occur when desvenlafaxine is taken alone, and the risk increases with other medicines that affect serotonin. Aspirin, NSAIDs, antiplatelet medicines and anticoagulants can increase the risk of bleeding. Blood pressure should be monitored regularly during treatment. Sexual dysfunction can also occur and should be discussed with your doctor. Stopping treatment can cause discontinuation symptoms. Speak with your prescriber before stopping.
FDA boxed warning
Suicidal thoughts and behaviors
Antidepressants increased the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term studies. These studies did not show an increase in the risk of suicidal thoughts and behavior with antidepressant use in patients over age 24; there was a reduction in risk with antidepressant use in patients aged 65 and older
In patients of all ages who are started on antidepressant therapy, monitor closely for worsening, and for emergence of suicidal thoughts and behaviors. Advise families and caregivers of the need for close observation and communication with the prescriber
Desvenlafaxine extended-release tablets
are not approved for use in pediatric patients
Increased the risk of suicidal thoughts and behaviors in children, adolescents and young adults taking antidepressants.
Closely monitor for clinical worsening and emergence of suicidal thoughts and behaviors.
A boxed warning is the strongest warning the US Food and Drug Administration requires on a medicine label. Text is taken from the official label, with internal section references removed.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
Do not take Pristiq if you are allergic to desvenlafaxine, venlafaxine or any ingredient in the tablets. Angioedema (swelling) has been reported with desvenlafaxine. Do not take Pristiq with a monoamine oxidase inhibitor (MAOI) used for psychiatric disorders, or within 14 days of stopping one. Do not start an MAOI for psychiatric disorders until at least 7 days after stopping Pristiq. Do not start Pristiq while receiving linezolid or intravenous methylene blue. These combinations increase the risk of serotonin syndrome. Pristiq should be avoided in people with untreated anatomically narrow eye angles because of the risk of angle-closure glaucoma. High blood pressure should be controlled before treatment and checked regularly during treatment. Caution is needed in people with bipolar disorder or a history of seizures. Other medicines that affect serotonin increase the risk of serotonin syndrome, which can also occur with Pristiq alone. Aspirin, NSAIDs, other antiplatelet medicines, warfarin and other anticoagulants may increase bleeding risk when taken with Pristiq. Other precautions include low blood sodium, interstitial lung disease, eosinophilic pneumonia and sexual dysfunction. Stopping treatment can cause discontinuation symptoms; discuss stopping with your prescriber. Use during the third trimester of pregnancy may cause discontinuation symptoms in the newborn. People aged 65 or older have a higher risk of a drop in blood pressure when standing.
Using Pristiq
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C in a dry place, in the original pack, away from direct light and moisture. Do not keep it in a bathroom. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label DESVENLAFAXINE TABLET, EXTENDED RELEASE [ADVAGEN PHARMA LTD] (DailyMed, retrieved 19 September 2026).
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