Drug Warnings: Before taking Venetek-ER, inform your doctor if you have high blood pressure, heart problems or arrhythmias, thyroid issues, glaucoma (especially narrow-angle), a history of bipolar disorder or mania, seizures, low sodium or use of diuretics, liver or kidney disease, bleeding problems, or if you are pregnant, planning pregnancy or breastfeeding. Avoid taking this medicine with other sedating medications unless advised, as it may increase drowsiness and impair alertness.
Drug–drug interactions: Do not use Venetek-ER with MAO inhibitors (including linezolid or methylene blue) or within 14 days of stopping one. Combining with other serotonergic medicines such as SSRIs/SNRIs, triptans, tramadol, lithium or St John’s wort increases the risk of serotonin syndrome and requires medical supervision. Strong CYP2D6 inhibitors (for example bupropion, fluoxetine, paroxetine, quinidine) can raise venlafaxine levels; enzyme inducers (such as carbamazepine, phenytoin, rifampicin) may reduce effect. NSAIDs, aspirin and anticoagulants can increase bleeding risk. Decongestants and stimulants may amplify blood-pressure or heart-rate increases.
Drug–food interactions: The tablets can be taken with or without food; taking Venetek-ER with a light meal often reduces nausea. Alcohol should be limited, as it can worsen dizziness and judgment.
Drug–disease interactions: Extra caution and monitoring are advised in patients with hypertension, glaucoma, seizure disorders, a history of mania/hypomania, hyponatremia/SIADH risk, and hepatic or renal impairment. Share your full medical history and medication list so your clinician can select the most appropriate Venetek-ER strength 37.5 mg, 75 mg or 150 mg and monitor therapy safely.