Venlafaxine
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Venlafaxine can be used in pregnancy if recommended by your doctor.
What is it?
Venlafaxine (Efexor®, Majoven®, Politid®, Sunveniz®, Venaxx®, Vencarm®, Venlablue®, Venladex®, Venlasov®, Vensir®, Venzip®, ViePax®) is a medicine used to treat depression, anxiety, and panic disorder.
Benefits
What are the benefits of taking venlafaxine in pregnancy?
Venlafaxine can reduce the symptoms of some mental health conditions. Its use can help you remain well during pregnancy and while looking after your baby.
Risks
Are there any risks of taking venlafaxine during pregnancy?
There is no good evidence that venlafaxine affects your baby’s development.
If you take venlafaxine in later pregnancy, you will usually be advised to give birth in hospital. This is because:
• Venlafaxine and similar medicines can sometimes cause short-term withdrawal symptoms in newborn babies. Your baby may need to be checked and observed for a few days after birth.
• Very rarely, use of similar drugs to venlafaxine in late pregnancy can cause a problem in the baby, where blood flow to the lungs is too high; this is called persistent pulmonary hypertension of the newborn (PPHN). After birth, your baby will be checked for breathing problems by a midwife or paediatrician.
Alternatives
Are there any alternatives to taking venlafaxine in pregnancy?
Possibly. Your GP or mental health specialist will be able to advise whether venlafaxine is still the best treatment during pregnancy.
No treatment
What if I prefer not to take medicines during pregnancy?
Venlafaxine use may be recommended in pregnancy to give you the best chance of staying well. If you are advised to continue venlafaxine in pregnancy, you can discuss the risks and benefits with your doctor.
Will my baby need extra monitoring?
Women in the UK are offered a very detailed scan at around 20 weeks of pregnancy as part of their routine antenatal care. Taking venlafaxine in pregnancy would not normally require extra monitoring of your baby for birth defects.
If you have taken venlafaxine around the time of delivery, your baby may require extra monitoring after birth because of the possible risk of neonatal withdrawal.
Are there any risks to my baby if the father has taken venlafaxine?
We do not expect any increased risk to your baby if the father takes venlafaxine.
Who can I talk to if I have questions?
If you have any questions regarding the information in this leaflet, please discuss them with your health care provider. They can access more detailed medical and scientific information from www.uktis.org.