Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Venlafaxine
Drug ID BADD_D02346
Description Venlafaxine (Effexor) is an antidepressant within the serotonin-norepinephrine reuptake inhibitor (SNRI) class of medications. It exerts its effects primarily by blocking the transporters involved in the reuptake of the neurotransmitters serotonin and norepinephrine, therefore leaving more active neurotransmitter in the synapse. Venlafaxine is officially approved for use in the management of major depressive disorder (MDD), generalized anxiety disorder (GAD), social anxiety disorder, and panic disorder. As of 2014, Canadian clinical practice guidelines recommend venlafaxine as a first-line option for treatment of generalized anxiety, social anxiety, panic disorder, major depressive disorder (MDD), and consider it a second-line option for management of obsessive-compulsive disorder (OCD) [A177226,A177235]. Venlafaxine is also used off-label for prophylaxis of migraine headaches [A177229], for reduction of vasomotor symptoms associated with menopause [A177238], and for management of neuropathic pain (although there is only minimal evidence of efficacy for this condition) [A177232].
Indications and Usage Venlafaxine is indicated in the management of major depressive disorder (MDD), generalized anxiety disorder (GAD), social anxiety disorder (social phobia), and panic disorder with or without agoraphobia. Venlafaxine is also used off-label for prophylaxis of migraine headaches [A177229], for reduction of vasomotor symptoms associated with menopause [A177238], and for management of neuropathic pain (although there is only minimal evidence of efficacy for this condition) [A177232]. It is also considered a second-line option for management of obsessive-compulsive disorder (OCD) [A177226, A177235].
Marketing Status approved
ATC Code N06AX16
DrugBank ID DB00285
KEGG ID D08670
MeSH ID D000069470
PubChem ID 5656
TTD Drug ID D0P1UX
NDC Product Code 16714-655; 16714-658; 42799-961; 46708-433; 51655-717; 57664-396; 63187-414; 65162-305; 68071-2990; 70518-3450; 70710-1349; 71209-029; 23155-247; 51655-332; 52427-632; 57664-393; 67877-728; 68001-158; 68001-496; 16714-656; 23155-250; 43598-944; 43602-394; 43602-395; 50090-2408; 50090-4865; 57664-392; 61919-406; 61919-495; 61919-804; 63629-3324; 65162-300; 68382-020; 70771-1649; 70934-761; 71209-027; 71335-9704; 71610-606; 57664-394; 62332-012; 64980-579; 65162-306; 67877-727; 67877-729; 68001-157; 68001-498; 68084-856; 68084-896; 68382-101; 0527-2606; 70518-3623; 70710-1352; 23155-248; 31722-124; 31722-125; 51407-456; 61919-617; 68071-4341; 68084-844; 70710-1348; 71209-087; 71209-088; 72865-200; 46708-431; 57664-395; 62332-009; 64980-578; 64980-580; 68001-156; 68001-159; 68001-160; 68001-499; 68382-019; 68382-021; 71335-0449; 16714-659; 23155-249; 62332-010; 63187-929; 65162-302; 65162-307; 68001-497; 68071-3433; 70771-1652; 71209-025; 71209-026; 31722-123; 43602-393; 46708-430; 62332-008; 68071-3432; 0527-2616; 70710-1350; 71209-028; 71335-0778; 72865-198; 16714-657; 27241-222; 43063-633; 43598-943; 43602-392; 50090-4805; 51407-453; 60760-713; 60760-728; 62332-011; 63187-752; 67877-726; 68382-018; 71209-089; 72865-197; 72865-199; 27241-221; 27241-224; 46708-434; 64980-581; 70518-1547; 70771-1650; 70771-1651; 70934-941; 23155-246; 27241-223; 31722-126; 46708-432; 51407-454; 51407-455; 51407-457
UNII GRZ5RCB1QG
Synonyms Venlafaxine Hydrochloride | Hydrochloride, Venlafaxine | Cyclohexanol, 1-(2-(dimethylamino)-1-(4-methoxyphenyl)ethyl)-, hydrochloride | 1-(2-(dimethylamino)-1-(4-methoxyphenyl)ethyl)cyclohexanol HCl | Wy 45030 | Wy-45030 | Wy45030 | Wy-45,030 | Wy 45,030 | Wy45,030 | Sila-Venlafaxine | Sila Venlafaxine | Effexor | Trevilor | Vandral | Efexor | Venlafaxine | Dobupal
Chemical Information
Molecular Formula C17H27NO2
CAS Registry Number 93413-69-5
SMILES CN(C)CC(C1=CC=C(C=C1)OC)C2(CCCCC2)O
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice.
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Poor feeding infant14.03.02.022; 18.04.06.0060.000032%-
Pharyngeal paraesthesia17.02.06.035; 22.04.05.018---
Infantile apnoea18.04.15.003; 22.11.02.0040.000048%-
Selective eating disorder14.03.02.024; 19.09.01.0120.000048%-
Antidepressant discontinuation syndrome08.06.02.0210.000032%-
Attention deficit hyperactivity disorder19.21.04.0040.000048%-
Behaviour disorder19.01.01.0050.000032%-
Dilated cardiomyopathy02.04.01.0170.000048%-
Drug effective for unapproved indication08.06.01.037; 12.09.02.0010.000235%-
Drug ineffective for unapproved indication08.06.01.038; 12.09.02.0020.000605%-
Drug use disorder19.07.06.0120.000048%-
Electric shock sensation08.06.02.023; 17.02.07.0240.000142%-
Encephalopathy neonatal17.13.02.014; 18.04.04.0150.000032%-
Heavy menstrual bleeding21.01.03.005---
Hyperaesthesia teeth07.09.06.0050.000032%-
Hypoventilation neonatal18.04.15.007; 22.11.02.0140.000032%-
Intermenstrual bleeding21.01.01.015---
Left ventricular enlargement02.04.02.0450.000032%-
Neonatal respiratory distress18.04.10.004; 22.11.02.0150.000032%-
Neonatal seizure17.12.03.038; 18.04.04.0190.000032%-
Patient elopement17.02.05.075; 19.01.02.019---
Pharyngeal swelling22.04.05.028---
Pregnancy with implant contraceptive08.07.04.003; 18.08.01.0060.000032%-
Therapeutic product effect decreased08.06.01.0500.000229%-
Therapeutic product effect incomplete08.06.01.0520.000660%-
Therapeutic response changed08.06.01.059---
Vulvovaginal inflammation21.14.02.014---
Brain fog16.32.03.050; 17.02.05.077; 19.21.02.017---
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ADReCS-Target
Drug Name ADR Term Target
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