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Generic of venlafaxine ], is considered to be superior fluoxetine. The most significant difference between venlafaxine and fluoxetine is that, when used as primary therapy, venlafaxine has a low Venlaf 180mg $70.56 - $2.35 Per pill risk of hyponatraemia [47]. Another difference is that venlafaxine has a lower incidence of serious cardiac events in patients with major depression [48]. An added benefit of venlafaxine treatment is that it can be administered as a pill containing 20 to 40 mg of antidepressant. As an example, venlafaxine can be taken by the following methods: 1. Take 20-40 mg of an antidepressant (eg, fluoxetine, escitalopram, duloxetine, citalopram, or fluvoxamine) with meals, as an anesthetic and sedative, or before bedtime [39]. 2. Take a single, daily dose of fluoxetine–like drug (eg, venlafaxine) at bedtime [39]. 3. Take a single, daily dose of fluoxetine–like drug (eg, venlafaxine) as a stimulant dexedrine, dextroamphetamine, methylphenidate, or amphetamine) [39]. Other nonpharmacological treatments best price on venlafaxine for bipolar disorder include antidepressants (see Table). Table 2. Antidepressant Treatment Method* Dose Duration Venlafaxine 20 to 40 mg as an anesthetic (sleep aid and muscle relaxant) with meals 5 years or longer Clomipramine 1.5 mg amitriptyline 3 as an antidepressant (eg, aripiprazole) 2 years or longer Other antidepressants (eg, venlafaxine, clomipramine) 2 months or less ECT 0.5 to 2 mA 3 15 days (includes treatment for insomnia [39]), with an estimated 40% relapse rate (with a 25% reduction in antidepressant efficacy) Open a separate window Table 3. Dose of a Drug Other Than an Antidepressant* Treatment Method Duration Venlafaxine (20 to 40 mg as an anesthetic) with meals, anesthetic and sedative, or before bedtime Clomipramine 1.5 mg or amitriptyline 3 as an antidepressant (eg, aripiprazole) 2 years or longer (including the risk of hyponatraemia) ECT 0.5 to 2 mA 1 years No treatment Clozapine (20 to 40 mg) 1 2 years Clomipramine 8 mg or amitriptyline as an antidepressant (eg, fluoxetine) cloridrato de venlafaxina generico preço 2 years or longer Fluoxetine mg, either alone or in combination with aripiprazole desipramine 20 mg as an antidepressant, e.g. generic pharmacy net coupon escitalopram 20 mg, as an anesthetic and sedative, or before bedtime. Other antidepressants (e.g., venlafaxine 20–40 mg) 2 months or longer (includes risk of hyponatraemia, low hyponatrophy, and possible increase in risk of hyperadrenergic effects). Citalopram 1 mg (or sertraline 3 to 5 mg on an as needed basis antidepressant) 3 hours to 2 days ECT 0.125 mA. (eg, with a low risk of hyperkalemia; can increase the risk of hypertension and hyperaldosteronism), with an estimated 40% relapse rate (if antidepressant efficacy improved (with or without treatment of hypertension)) Open in a separate window Table 4. Drug in Combination with Antidepressant (with venlafaxine) + Treatment Method Dose Duration Venlafaxine ()

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