Savella, illustration of capsule form (not a photo of the actual pack)

Illustrative image.

Savella

Milnacipran

Prescription required

$99.00

25mg · 3 × 56 capsules · 3 months supply

BrandBranded medicine

$33.00 per month

Strength

How long a supply?

1 month$33.00 a month
3 months$33.00 a month
6 months$33.00 a month
Supplied from Israel

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Annual cost

$429a year at this pack size

Prescription required

Upload your prescription after ordering, or send it to our pharmacy team. We dispense only against a valid prescription.

25mg

50mg

FDA boxed warningSuicidality and antidepressant drugs

SAVELLA is a selective serotonin and norepinephrine reuptake inhibitor (SNRI), similar to some drugs used for the treatment of depression and other psychiatric disorders. Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders. Anyone considering the use of such drugs in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on SAVELLA should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. SAVELLA is not approved for use in the treatment of major depressive disorder. SAVELLA is not approved for use in pediatric patients.

Increased risk of suicidal ideation, thinking, and behavior in children, adolescents, and young adults taking antidepressants for major depressive disorder (MDD) and other psychiatric disorders.

Read this with the rest of the clinical information

About Savella

Overview

Savella contains milnacipran, a serotonin and norepinephrine reuptake inhibitor (SNRI). It is used to manage fibromyalgia and is not approved for use in children. It reduces the reuptake of the chemical messengers serotonin and norepinephrine by nerve cells, but exactly how it improves fibromyalgia symptoms is unknown.

What it treats

Fibromyalgia in adults.

Safety information

Side effects

Common side effects include nausea, headache, constipation, dizziness, difficulty sleeping, hot flushes, increased sweating, vomiting, a dry mouth, palpitations, a faster heart rate and high blood pressure. Serious risks include worsening depression or suicidal thoughts, serotonin syndrome, seizures, increased liver enzymes and bleeding. Seek immediate medical help for suicidal thoughts or a seizure. Contact a doctor promptly about worsening depression, unusual bleeding or changes in your heartbeat. Blood pressure and heart rate should be checked before treatment and monitored during treatment. Serotonin syndrome can occur with Savella alone, and the risk increases when it is taken with other medicines that affect serotonin. Bleeding risk may increase with NSAIDs, aspirin or other medicines that affect blood clotting. Savella should be avoided in people with substantial alcohol use or chronic liver disease. Savella can also cause sexual problems and urinary problems, particularly in men with a history of blocked urine flow. Tell your doctor if these occur. Withdrawal symptoms can occur when treatment is stopped; speak with your prescriber before stopping.

FDA boxed warning

Suicidality and antidepressant drugs

SAVELLA is a selective serotonin and norepinephrine reuptake inhibitor (SNRI), similar to some drugs used for the treatment of depression and other psychiatric disorders. Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders. Anyone considering the use of such drugs in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on SAVELLA should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. SAVELLA is not approved for use in the treatment of major depressive disorder. SAVELLA is not approved for use in pediatric patients.

Increased risk of suicidal ideation, thinking, and behavior in children, adolescents, and young adults taking antidepressants for major depressive disorder (MDD) and other psychiatric disorders.

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

• Suicidal thoughts or behavior, seek medical help immediately. • Worsening depression or unusual changes in behavior, contact your doctor right away. • A seizure, seek medical help immediately. • Unusual bleeding, seek medical attention right away.

If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.

Before taking this medicine

Do not take Savella with an MAOI used to treat psychiatric disorders, or within 14 days after stopping one. Do not start an MAOI until at least 5 days after stopping Savella. Do not start Savella while receiving linezolid or intravenous methylene blue. Savella should be avoided in people with substantial alcohol use or chronic liver disease. Caution is needed in people with a history of seizures or, in men, urinary tract obstruction or difficulty urinating. Savella can raise blood pressure and heart rate; both should be checked before treatment and monitored periodically. Monitor for worsening depression or suicide risk. Serotonin syndrome can occur with Savella alone, and the risk increases when it is taken with other medicines that affect serotonin. Aspirin, NSAIDs and other medicines that affect blood clotting may increase the risk of bleeding when taken with Savella. Use during the third trimester of pregnancy may increase the risk of breathing problems, unstable temperature, feeding difficulties, low muscle tone, tremor or irritability in the newborn. Savella may also cause sexual dysfunction and withdrawal symptoms when treatment is stopped; discuss stopping treatment with your prescriber.

Using Savella

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 SAVELLA (MILNACIPRAN HYDROCHLORIDE) TABLET, FILM COATED [CARDINAL HEALTH 107, LLC] (DailyMed, retrieved 19 September 2026).

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