Serotonin-norepinephrine reuptake inhibitors

Compare the named medicines in this source-linked class directory.

Membership describes a named action or a component of a combination. A medicine may appear in several families. Medicines in one family are not automatically interchangeable; this is a study directory, not a prescribing guide.

Duloxetine
Venlafaxine
Desvenlafaxine

Generic names and pronunciation

Duloxetine · doo-LOX-e-teen
Venlafaxine · ven-la-FAX-een
Desvenlafaxine · des-VEN-la-fax-een

Pronunciation is shown for the US English generic name.

Body system and related classes

Body system: Psychiatry

How each medicine works

Duloxetine — Exact mechanism unknown; believed to potentiate serotonergic and noradrenergic activity in the CNS.
Venlafaxine — Thought to potentiate serotonin and norepinephrine in the CNS by inhibiting their reuptake.
Desvenlafaxine — Thought to potentiate serotonin and norepinephrine in the CNS by inhibiting their reuptake; a potent, selective SNRI.

Each summary is the mechanism line from the medicine’s study card.

What each medicine is used for

Duloxetine — Major depressive disorder in adults; Generalized anxiety disorder in adults and children aged 7 years and older; Diabetic peripheral neuropathic pain in adults; Fibromyalgia in adults and adolescents aged 13 years and older; Chronic musculoskeletal pain in adults
Venlafaxine — Major depressive disorder in adults; Generalized anxiety disorder in adults; Social anxiety disorder in adults; Panic disorder in adults
Desvenlafaxine — Major depressive disorder (adults)

Each list is the uses line from the medicine’s study card.

Telling these medicines apart

Medicines in this class: 3

Listed on more than one card in this class

Used for

Major depressive disorder in adults · 2/3: Duloxetine, Venlafaxine

Common side effects

Nausea · 3/3: Duloxetine, Venlafaxine, Desvenlafaxine

Dry mouth · 2/3: Duloxetine, Venlafaxine

Somnolence · 2/3: Duloxetine, Venlafaxine

Constipation · 2/3: Duloxetine, Desvenlafaxine

Hyperhidrosis · 2/3: Duloxetine, Desvenlafaxine

Warnings

Serotonin syndrome · 3/3: Duloxetine, Venlafaxine, Desvenlafaxine

Elevated blood pressure · 2/3: Venlafaxine, Desvenlafaxine

Interactions

Other serotonergic drugs · 2/3: Venlafaxine, Desvenlafaxine

Boxed warning

3/3: Duloxetine, Venlafaxine, Desvenlafaxine

Listed on only one card in this class

Duloxetine: Warnings — Hepatotoxicity; Orthostatic hypotension, falls, syncope · Interactions — Potent CYP1A2 inhibitors; Potent CYP2D6 inhibitors; MAOIs

Venlafaxine: Common side effects — Sweating; Abnormal ejaculation · Warnings — Discontinuation syndrome · Interactions — MAO inhibitors; Antiplatelets / anticoagulants

Desvenlafaxine: Common side effects — Dizziness; Insomnia · Warnings — Increased bleeding risk · Interactions — MAO inhibitors (contraindicated); Aspirin, NSAIDs, anticoagulants

An item counts as shared only when both cards use the same wording. If a card does not list an item, that is not a statement that the effect never occurs.