


Ask a doctor about a prescription for VENLAFAXINE RETARD SANDOZ 75 mg PROLONGED-RELEASE HARD CAPSULES
Venlafaxine Retard Sandoz75 mg prolonged-release hard capsulesEFG
Venlafaxine Retard Sandoz150 mg prolonged-release hard capsulesEFG
Venlafaxine Retard Sandoz225 mg prolonged-release hard capsulesEFG
venlafaxine
Venlafaxine Retard Sandoz contains the active substance venlafaxine.
Venlafaxine Retard Sandoz is an antidepressant that belongs to a group of medicines called serotonin and norepinephrine reuptake inhibitors (SNRIs). This group of medicines is used to treat depression and other conditions such as anxiety disorders. It is not fully understood how antidepressants work, but they may help to increase the levels of serotonin and noradrenaline in the brain.
Venlafaxine Retard Sandoz is a treatment for adults with depression. It is also a treatment for adults with the following anxiety disorders: generalized anxiety disorder, social anxiety disorder (fear or avoidance of social situations), panic disorder (panic attacks). Properly treating depressive and anxiety disorders is important to help you feel better. If left untreated, your condition may not improve or may worsen and become more difficult to treat.
Consult your doctor or pharmacist beforestarting treatment with Venlafaxine Retard Sandoz:
Venlafaxine may cause a feeling of restlessness or difficulty sitting or standing still during the first few weeks of treatment. You should consult your doctor if this happens to you.
Do not drink alcohol during treatment with venlafaxine, as it may cause extreme tiredness and unconsciousness. Taking it with certain medicines and/or alcohol may worsen symptoms of depression and other conditions, such as anxiety disorders.
If you are depressed and/or have an anxiety disorder, you may sometimes have thoughts of harming or killing yourself. These may increase when you first start taking antidepressants, because all these medicines take time to work, usually around 2 weeks, but sometimes longer. These thoughts may also occur when your dose is reduced or when you stop taking Venlafaxine Retard Sandoz.
This is more likely to happen:
If you have thoughts of harming or killing yourself at any time, contact your doctor or go to hospital straight away.
You may find it helpful to tell a relative or close friend that you are depressed or have an anxiety disorder and ask them to read this package leaflet. You might ask them to tell you if they think your depression or anxiety is getting worse, or if they are worried about changes in your behavior.
Dry mouth
Dry mouth has been reported in 10% of patients treated with venlafaxine. This may increase the risk of tooth decay (caries). Therefore, you should be careful with your dental hygiene.
Diabetes
Sexual problems
Some medicines of the same group as venlafaxine (called SSRIs/SNRIs) may cause symptoms of sexual dysfunction (see section 4). In some cases, these symptoms have persisted after stopping treatment.
Venlafaxine should not normally be used in the treatment of children and adolescents under 18 years. In addition, you should know that in patients under 18 years, there is an increased risk of side effects such as suicide attempt, suicidal thoughts, and hostility (predominantly aggression, confrontation, and irritability) when they take this class of medicines. Despite this, your doctor may prescribe this medicine to patients under 18 years when he/she decides that it is the best option for the patient. If your doctor has prescribed this medicine to a patient under 18 years and you want to discuss this, please go back to your doctor. You should inform your doctor if any of the above symptoms occur or worsen when these patients under 18 years are taking venlafaxine. Additionally, the long-term safety of venlafaxine in relation to growth, maturation, and cognitive and behavioral development has not been demonstrated.
Other medicines and Venlafaxine Retard Sandoz
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.
Your doctor will decide whether you can take Venlafaxine Retard Sandoz with other medicines.
Do not start or stop taking any medicines, including those bought without a prescription, herbal or plant-based remedies, before checking with your doctor or pharmacist.
A potentially life-threatening condition, or reactions similar to Neuroleptic Malignant Syndrome (NMS) (see section “Possible side effects”) may occur with venlafaxine treatment, particularly when taken with other medicines. Examples of these medicines include:
The signs and symptoms of serotonin syndrome may include a combination of the following: restlessness, hallucinations, loss of coordination, rapid heartbeat, increased body temperature, rapid changes in blood pressure, overactive reflexes, diarrhea, coma, nausea, vomiting.
In its most severe form, serotonin syndrome can resemble Neuroleptic Malignant Syndrome (NMS). The signs and symptoms of NMS may include a combination of fever, rapid heartbeat, sweating, severe muscle stiffness, confusion, increased muscle enzymes (determined by a blood test).
Tell your doctor immediately or go to the hospital emergency department if you think you are experiencing serotonin syndrome.
Tell your doctor if you are taking medicines that may alter your heart rhythm.
Examples of these medicines include:
The following medicines may also interact with Venlafaxine Retard Sandoz and should be used with caution. It is especially important to mention to your doctor or pharmacist if you are taking medicines containing:
Venlafaxine Retard Sandoz should be taken with food (see section 3 “How to take Venlafaxine Retard Sandoz”).
Do not drink alcohol during treatment with venlafaxine. Taking it with alcohol may cause extreme tiredness and unconsciousness, and worsen symptoms of depression and other conditions, such as anxiety disorders.
If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. You should only take Venlafaxine Retard Sandoz after discussing the potential benefits and risks with your doctor.
Make sure your midwife and/or doctor know you are taking Venlafaxine Retard Sandoz. When similar medicines (SSRIs) are taken during pregnancy, they can increase the risk of a serious condition in babies called persistent pulmonary hypertension of the newborn (PPHN), which makes the baby breathe faster and turn blue. These symptoms usually start during the first 24 hours after the baby is born. If this happens to your baby, you must contact your midwife and/or doctor immediately.
If you are taking this medicine during pregnancy, in addition to breathing problems, another symptom your baby may have when born is feeding problems. If your baby has these symptoms when born and you are concerned, contact your doctor and/or midwife who can advise you.
If you take venlafaxine in the late stage of pregnancy, there may be an increased risk of heavy vaginal bleeding shortly after giving birth, especially if you have a history of bleeding disorders. Your doctor or midwife should know that you are taking venlafaxine so they can advise you.
Venlafaxine Retard Sandoz passes into breast milk. There is a risk of an effect on the baby. Therefore, you should discuss this with your doctor, and he/she will decide whether you should stop breastfeeding or stop taking this medicine.
Do not drive or operate tools or machines until you know how this medicine affects you.
Venlafaxine Retard Sandoz 150 mg and 225 mg contains sodium and azo colorants
This medicine contains less than 1 mmol (23 mg) of sodium per prolonged-release hard capsule; this is essentially “sodium-free”.
150 mg prolonged-release hard capsules:
This medicine may cause allergic reactions because it contains orange yellow S (E 110) and allura red AC (E 129).
225 mg prolonged-release hard capsules:
This medicine may cause allergic reactions because it contains carmoisine (E 122).
Take this medicine exactly as your doctor has told you. If you are not sure, check with your doctor or pharmacist.
The usual recommended starting dose for the treatment of depression, generalized anxiety disorder, and social anxiety disorder is 75 mg per day. Your doctor may gradually increase the dose and, if necessary, up to a maximum of 375 mg per day for depression. If you are being treated for panic disorder, your doctor will start you on a lower dose (37.5 mg) and then gradually increase the dose. The maximum dose for generalized anxiety disorder, social anxiety disorder, and panic disorder is 225 mg/day.
Take Venlafaxine Retard Sandoz at approximately the same time each day, either in the morning or in the evening. The capsules should be swallowed whole with liquid and should not be opened, crushed, chewed, or dissolved.
Venlafaxine Retard Sandoz should be taken with food.
If you have liver or kidney problems, talk to your doctor, as you may need a different dose of this medicine.
Do not stop taking this medicine without talking to your doctor (see section “If you stop taking Venlafaxine Retard Sandoz”).
In case of overdose or accidental ingestion, contact your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medicine and the amount taken.
Overdose can put your life in danger, especially when taken with certain medicines and/or alcohol (see “Other medicines and Venlafaxine Retard Sandoz”)
The symptoms of a possible overdose may include palpitations, changes in the level of consciousness (ranging from drowsiness to coma), blurred vision, seizures or fits, and vomiting.
If you miss a dose, take it as soon as you remember. However, if it is already time for your next dose, skip the missed dose and take only a single dose as usual. Do not take a double dose to make up for forgotten doses. Do not take more than the daily dose of Venlafaxine Retard Sandoz that has been prescribed for you in one day.
Do not stop taking your treatment or reduce the dose without your doctor's advice, even if you feel better. If your doctor believes you no longer need Venlafaxine Retard Sandoz, they may ask you to gradually reduce the dose before completely stopping treatment. It is known that adverse effects occur when people stop using this medication, especially when stopped suddenly or if the dose is reduced too quickly. Some patients may experience symptoms such as suicidal thoughts, aggression, fatigue, dizziness, instability, headache, insomnia, nightmares, dry mouth, loss of appetite, nausea, diarrhea, nervousness, agitation, confusion, ringing in the ears, tingling, or, in rare cases, sensations of electric shock, weakness, sweating, seizures, or flu-like symptoms, vision problems, and increased blood pressure (which can cause headache, dizziness, ringing in the ears, sweating, etc.).
Your doctor will advise you on how to gradually stop treatment with Venlafaxine Retard Sandoz. This may take several weeks or months. In some patients, the discontinuation may need to be very gradual over months or more. If you experience any of these or other symptoms that bother you, consult your doctor for advice.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If any of the following effects occur, do not take more Venlafaxine Retard Sandoz. Tell your doctor immediately, or go to the emergency room of the nearest hospital:
Uncommon (may affect up to 1 in 100 people)
Rare (may affect up to 1 in 1,000 people)
In its most severe form, serotonin syndrome can resemble neuroleptic malignant syndrome (NMS). The signs and symptoms of NMS may include a combination of fever, rapid heartbeat, sweating, severe muscle stiffness, confusion, increased muscle enzyme levels (determined by a blood test),
Frequency not known (cannot be estimated from the available data)
Signs and symptoms of a condition called "stress cardiomyopathy" that may include chest pain, difficulty breathing, dizziness, fainting, irregular heartbeats.
Other side effects that you should tell your doctor aboutare (the frequency of these side effects is included in the following list "other side effects that may occur"):
Very common (may affect more than 1 in 10 people)
Common (may affect up to 1 in 10 people)
Uncommon (may affect up to 1 in 100 people)
Rare (may affect up to 1 in 1,000 people)
Very rare (may affect up to 1 in 10,000 people)
Frequency not known (cannot be estimated from the available data)
Venlafaxine Retard Sandoz sometimes produces unwanted effects that you may not be aware of, such as increased blood pressure or abnormal heartbeat; mild changes in blood liver enzyme levels, sodium, or cholesterol. Less frequently, Venlafaxine Retard Sandoz may reduce the function of blood platelets, leading to an increased risk of bruising or bleeding. Therefore, your doctor may want to perform occasional blood tests, especially if you have been taking Venlafaxine Retard Sandoz for a long time.
Reporting of side effects
If you experience any side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medicines and Health Products Agency's website: http://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiration date stated on the packaging and blister after CAD/EXP. The expiration date is the last day of the month indicated.
This medicine does not require special storage conditions.
Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicine in the pharmacy's SIGRE collection point. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.
Composition of Venlafaxine Retard Sandoz
The active ingredient is venlafaxine.
Capsule content: microcrystalline cellulose, povidone (K90 D), talc, colloidal anhydrous silica, magnesium stearate, ethylcellulose, and copovidone.
Capsule shell: iron oxide black (E 172), iron oxide red (E 172), titanium dioxide (E 171), gelatin, purified water.
Capsule printing ink: shellac, dehydrated alcohol, isopropyl alcohol, butyl alcohol, propylene glycol, concentrated ammonia solution, iron oxide red (E 172).
Capsule content: microcrystalline cellulose, povidone (K90 D), talc, colloidal anhydrous silica, magnesium stearate, ethylcellulose, and copovidone.
Capsule shell: brilliant blue FCF (E 133) (contains sodium), Allura red AC (E 129) (contains sodium), sunset yellow FCF (E 110) (contains sodium), titanium dioxide (E 171), gelatin, purified water.
Capsule printing ink: shellac, dehydrated alcohol, isopropyl alcohol, butyl alcohol, propylene glycol, sodium hydroxide, povidone, titanium dioxide (E 171).
Capsule content: microcrystalline cellulose, povidone (K90 D), talc, colloidal silica, anhydrous, magnesium stearate, ethylcellulose, and copovidone.
Capsule shell: carmoisine (E 122) (contains sodium), titanium dioxide (E 171), gelatin, purified water.
Capsule printing ink: shellac, dehydrated alcohol, isopropyl alcohol, butyl alcohol, propylene glycol, concentrated ammonia solution, indigo carmine (E 132).
Venlafaxine Retard Sandoz 75 mg prolonged-release hard capsules
Hard gelatin capsules, opaque, peach-colored, approximately 19 mm in length, with a thick and thin radial circular band printed in red on the body and cap.
The capsule is filled with 6 film-coated mini-tablets, white to off-white, round, biconvex, 12.5 mg each.
Venlafaxine Retard Sandoz 150 mg hard capsulesof prolonged release
Hard gelatin capsules, opaque, dark orange, approximately 21 mm in length, with a thick and thin radial circular band printed in white on the body and cap.
The capsule is filled with 12 film-coated mini-tablets, white to off-white, round, biconvex, 12.5 mg each.
Venlafaxine Retard Sandoz 225 mg hard capsulesof prolonged release
Hard gelatin capsules, opaque, pink, approximately 23 mm in length, with a thick and thin radial circular band printed in blue on the body and cap.
The capsule is filled with 18 film-coated mini-tablets, white to off-white, round, biconvex, 12.5 mg each.
They are presented in aluminum-PVC/PVDC, aluminum-PVC/ACLAR, or aluminum-OPA/Alu/PVC (only for 225 mg) blister packs.
Package sizes
Blisters containing 7, 10, 12, 14, 20, 28, 30, 50, 56, 60, 90, 98, 100, and 112 (only for 75 and 150 mg) prolonged-release hard capsules.
Single-dose blisters containing 100x1 prolonged-release hard capsules.
Not all pack sizes may be marketed.
Marketing authorization holder:
Sandoz Farmacéutica, S.A.
Centro Empresarial Parque Norte
Edificio Roble
C/ Serrano Galvache, 56
28033 Madrid
Spain
Manufacturer:
Lek Pharmaceuticals d.d.
Verov?kova ulica, 57
1526 Ljubljana
Slovenia
or
Salutas Pharma GmbH
Otto-von-Guericke-Allee 1, Sachsen-Anhalt
39179 Barleben
Germany
Date of last revision of this leaflet:August 2023
Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/
The average price of VENLAFAXINE RETARD SANDOZ 75 mg PROLONGED-RELEASE HARD CAPSULES in November, 2025 is around 9.59 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.
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