contains the active ingredient venlafaxine (as hydrochloride)
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about ENLAFAX-XR capsule.
It does not contain all the available information. It does not take the place of talking
to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you taking
ENLAFAX-XR against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
What ENLAFAX-XR is used for
Enlafax-XR capsules contain an active ingredient called "venlafaxine hydrochloride".
This medicine is used in the treatment and prevention of relapse of depression and
in the treatment of social phobia (social anxiety disorder).
It belongs to a class of medications for depression and anxiety, called Serotonin-Noradrenaline
Reuptake Inhibitors (SNRIs).
Serotonin and noradrenaline are chemical messengers that allow certain nerves in brain
to work. Enlafax-XR capsules increase the level of these two messengers. Experts think
this is how it helps to restore your feeling of wellness.
Depression is longer lasting or more severe than the 'low moods' that everyone has
from time to time. It is thought to be caused by a chemical imbalance in parts of
the brain. This imbalance affects your whole body and can cause emotional and physical
symptoms such as feeling low in spirit, lose interest in usual activities, be unable
to enjoy life, have poor appetite or over eat, have disturbed sleep, often waking
up early, loss of sex drive, low energy and feel guilty over nothing.
Social phobia is a fear of being embarrassed, judged or evaluated negatively in social
situations, which can result in substantial impairment in the person's social emotional,
interpersonal and occupational life.
Depression and anxiety are treatable illnesses. Anxiety and tension associated with
the normal stress of daily life usually does not require treatment with medicines.
There is no evidence that Enlafax-XR is addictive.
Ask your doctor if you have any questions about why Enlafax-XR has been prescribed
Your doctor may have prescribed Enlafax-XR capsules for another purpose.
Before you take ENLAFAX-XR
When you must not take it
Do not take Enlafax-XR if you are taking other medications for depression known as
monoamine oxidase inhibitors, even if you have stopped taking them now, but have taken
them within the last 14 days.
Do not take Enlafax-XR if you are allergic to it or to any of the ingredients listed
at the end of this leaflet.
Some of the symptoms of an allergic reaction may include:
Itching or hives on the skin
Swelling of the face, lips, tongue or other parts of the body
Shortness of breath, wheezing or troubled breathing; difficulty swallowing
Do not give Enlafax-XR to children or adolescents under 18 years of age.
The safety and effectiveness of Enlafax-XR in this age group have not been established.
Do not take Enlafax-XR after the expiry date printed on the pack.
If you take this medicine after the expiry date has passed, it may not work as well
as it should.
Do not take Enlafax-XR if the packaging is torn or show signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it
Tell your doctor or pharmacist if you are allergic to the active ingredient or any
of the other ingredients listed at the end of this leaflet.
Tell your doctor if you have allergies to any other medicines, foods, preservatives
Tell your doctor or pharmacist if you are pregnant or intend to become pregnant.
Enlafax-XR is not recommended for use during pregnancy. Your doctor will discuss the
risks and benefits of using Enlafax-XR if you are pregnant. One of these risks is
that newborn babies whose mothers have been taking Enlafax-XR in the last few months
of pregnancy, may experience problems soon after delivery, including breathing difficulties,
seizures and lack of oxygen in their blood.
Tell your doctor or pharmacist if you are breast-feeding or planning to breast-feed.
Enlafax-XR passes into breast milk and there is a possibility that the breast-fed
baby may be affected. For this reason, the use of Enlafax-XR is not recommended in
Tell your doctor if you have or have had any, medical conditions, especially the following:
A history of fits (seizures or convulsions)
A personal history or family history of bipolar disorder
A history of aggression
Blood pressure problems
Glaucoma (increased pressure in the eye)
A tendency to bleed more than normal or you are taking medicines to prevent blood
A history of restlessness or difficulty sitting still
Raised cholesterol levels or you are taking medicines to lower cholesterol
Problems with your kidneys or liver
Problems with your heart, especially conditions causing irregular heartbeats.
Your doctor may wish to do some heart tests such as an electrocardiogram (ECG) or
blood tests during treatment with Enlafax-XR.
Tell your doctor if you plan to have surgery.
If you have not told your doctor about any of the above, tell them before you take
Taking other medicines
Tell your doctor or pharmacist if you take any other medicines, including any that
you buy without a prescription from a pharmacy, supermarket or health food shop, such
as St John's Wort or tryptophan supplements.
Do not start to take any other medicine while you are taking Enlafax-XR, unless it
is prescribed or approved by your doctor.
Some medicines and Enlafax-XR may interfere with each other. These include:
Medications for depression known as monoamine oxidase inhibitors (such as moclobemide,
linezolid, phenelzine and tranylcypromine), even if you have stopped taking them now,
but have taken them within the last 14 days. Your doctor or pharmacist can tell you
what to do if you are taking any of these medicines.
Any other medications for depression, anxiety, obsessive-compulsive disorder or premenstrual
dysphoric disorder, including St. John's Wort.
Haloperidol, risperidone, lithium or clozapine (used to treat mental disorders).
Triptans (used to treat migraine).
Cimetidine (used to treat reflux and stomach ulcers)
Amiodarone or quinidine (used to treat irregular heartbeats)
Tramadol, fentanyl, tapentadol, pethidine, methadone and pentazocine (a pain killer).
Amphetamines (used to treat attention deficit hyperactivity disorder or ADHD)
Your doctor may wish to do some heart tests such as an electrocardiogram (ECG) or
blood tests if you are using either of these medicines whilst taking Enlafax-XR.
Medicines used to prevent blood clotting such as anti-coagulants and platelet inhibitors
Indinavir (an antiviral)
Medications for weight loss, including sibutramine
Erythromycin and linezolid (used to treat infections)
Ketoconazole or fluconazole (used as antifungal medicines)
Metoprolol (used to treat high blood pressure or angina).
These medicines may be affected by Enlafax-XR or may affect how well it works. You
may need different amounts of your medicines, or you may need to take different medicines.
Your doctor will advise you.
You doctor or pharmacist has more information on medicines to be careful with or to
avoid while taking Enlafax-XR.
How to take ENLAFAX-XR
DO NOT DIVIDE, CRUSH, CHEW OR DISSOLVE.
Enlafax-XR capsules are to be swallowed whole and are not be divided, chewed or crushed.
Taking divided, chewed or crushed Enlafax-XR capsules, in theory, could lead to the
rapid release and absorption of venlafaxine.
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the box, ask your doctor or pharmacist
How much to take
The usual starting dose is 75mg taken once daily. If necessary, after two weeks, your
doctor may increase your dose.
Do not change dose unless your doctor tells you to.
If you have kidney or liver problems, you may need a lower dose of Enlafax-XR.
If you have heart problems and your doctor wishes to increase your dose of Enlafax-XR,
your doctor may first do some blood tests or heart tests such as an electrocardiogram
When to take it
Enlafax-XR should be taken once daily with food, at approximately the same time each
This could be either in the morning of in the evening.
Taking it at the same time each day will have the best effect. It will also help you
remember when to take it.
Avoid drinking alcohol while you are using Enlafax-XR.
Your doctor may have switched your treatment from Venlafaxine Hydrochloride tablets
to Enlafax-XR capsules. If this happens, your doctor will normally prescribe a dose
that is equivalent to your total daily dose of tablets. The dose of Enlafax-XR capsules
should be taken only once daily.
If you forget to take it
If it is less than 12 hours until your next dose, skip the dose you missed and then
take your next dose when you are meant to. Otherwise, take it as soon as you remember,
and then go back to taking as you would normally.
Do not take a double dose to make up for the dose you missed. Contact your doctor
if you have missed more than two doses in a row.
Always finish the capsules you are taking in the current pack before you start a new
If you have trouble remembering when to take your medicine, ask your pharmacist for
How long to take it for
The length of treatment will depend on how quickly your symptoms improve. Most antidepressants
take time to work, so don't be discouraged if you don't feel better right away. Some
of your symptoms may improve in 1 or 2 weeks but it can take up to another few weeks
to feel any real improvement.
Even when you feel well, you will usually have to take Enlafax-XR for several months
or even longer to make sure the benefits will last. Discuss this with your doctor
and don't stop taking Enlafax-XR until gaining your doctor's agreement.
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13
11 26) for advice, or go to Accident and Emergency at your nearest hospital, if you
think that you or anyone else may have taken too much ENLAFAX-XR. Do this even if
there are no signs of discomfort or poisoning.
You may need urgent medical attention. Keep telephone numbers for these places handy.
Take the pack of capsules/tablets with you to the doctor or hospital.
If you take too many Enlafax-XR capsules you may:
Have an increased heart rate or changes in heart rhythm
Have a seizure (fits)
Have breathing difficulties
Have dilated pupils.
While you are taking ENLAFAX-XR
Things you must do
Visit your doctor regularly for a check up so that your progress can be checked.
Your doctor may do some tests (such as an electrocardiogram (ECG) or blood tests)
from time to time to make sure the medicine is working and to prevent unwanted side
Always discuss any questions you have about Enlafax-XR capsules with your doctor.
If you are going to have a surgery, tell your doctor that you are taking this medicine.
Some agents used to assist your doctor during surgery may interact with Enlafax-XR
leading to unwanted side effects.
If you are about to have any urine tests, tell your doctor that you are taking this
Enlafax-XR may interfere with the results of some tests.
Take Enlafax-XR capsules as your doctor has prescribed.
Keep enough Enlafax-XR capsules to last weekends and holidays. You need a prescription
from your doctor to get more Enlafax-XR capsules.
Watch carefully for signs that your depression or anxiety is getting worse, especially
in the first few weeks of treatment, or if your dose has changed.
Sometimes people with depression can experience a worsening of their depressive symptoms.
This can happen even when taking an antidepressant.
Information from clinical trials has suggested that children, adolescents and young
adults (18-24 years), particularly those with depression, may be at increased risk
of suicidal behaviour (including suicide attempts) when treated with ENLAFAX-XR, especially
during initial treatment.
Tell your doctor immediately if you experience any of the following symptoms, especially
if they are severe, you have not had these symptoms before or they happen very suddenly.
Anxiety or agitation
Hostility or impulsiveness
Overactivity or uninhibited behaviour
Other unusual changes in behaviour
Thoughts of suicide.
Tell your doctor immediately if you have any thoughts about suicide or doing harm
Warning signs of suicide
All thoughts or talk about suicide or violence are to be taken seriously. If you or
someone you know is showing the following warning signs, either contact your doctor
or a mental health advisor right away or go to the nearest hospital for treatment:
Thoughts or talk about death or suicide
Thoughts or talk about self-harm or doing harm to others
Any recent attempts of self-harm
An increase in aggressive behaviour, irritability or agitation.
Things you must not do
Do not suddenly stop taking Enlafax-XR or lower the dose suddenly, without first checking
with your doctor.
Check with your doctor for the best way to slowly reduce the amount of Enlafax-XR
you are taking before stopping completely.
Side effects from stopping treatment with Enlafax-XR may include:
Nausea and vomiting
Confusion and agitation
Loss of appetite
Impaired coordination and balance
Tingling or numbness of the hands and feet.
Slowly reducing the amount of Enlafax-XR being taken reduces the possibility of these
Some of these symptoms may impair driving, or the operation of dangerous machinery.
These activities should be avoided if you experience these symptoms.
Do not take Enlafax-XR to treat any other complaints unless your doctor tells you
Do not give this medicine to anyone else, even if they have the same condition as
Things to be careful of
Be careful driving or operating dangerous machinery until you know how it affects
Enlafax-XR capsules may make you feel drowsy.
If you are feeling drowsy or are uncoordinated, be careful that you do not fall over.
Enlafax-XR, like other medicines in this class, may increase your risk of bone fracture.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are taking Enlafax-XR.
This medicine helps most people with depression, but it may have unwanted side effects
in some people.
All medicines can have side effects. Sometimes they are serious, most of the time
they are not. You may need medical attention if you get some of the side effects.
It can be difficult to tell whether side effects are the result of taking this medicine,
effects of your condition, or side effects of other medicines you may be taking. For
this reason it is important to tell your doctor of any change in your condition.
Do not be alarmed by the list of side effects. You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or pharmacist if you notice any of the following side effects and
they worry you:
Stomach, bowel or urinary tract problems such as:
Nausea or vomiting
Loss of appetite
Difficulty passing urine. Passing urine more frequently or urinary incontinence.
Changes in your behaviour such as:
Difficulty sleeping or abnormal dreams
Sexual function problems such as delayed ejaculation, problems with erection, decreased
sex drive or difficulties achieving orgasm.
Impaired coordination and balance
Difficulty thinking or working because of:
Feeling sedated or drowsy
Fainting or dizziness after standing up
Restlessness or difficulty sitting still
Rapid heart beat
Heavy or irregular menstrual periods.
Changes in your appearance such as:
Sweating (including night sweats)
Weight loss or weight gain
Flow of milk in women who are not breastfeeding
Ringing in the ears
Altered taste, dry mouth.
Tell your doctor as soon as possible if you notice any of the following:
Muscle tremors, spasms, twitching, jerky movements or sustained muscle contractions
Abnormal facial movements such as tongue thrusting, repetitive chewing, jaw swinging
A feeling of apathy or not caring about things
Changes in muscle tone, muscle weakness or fatigue
Numbness or pins and needles
Problems with breathing, shortness of breath
Bleeding abnormalities or bruising more easily than normal
Sensitivity to sunlight.
Tell your doctor immediately, or go to Accident and Emergency at your nearest hospital
if you notice any of the following:
Fits or seizures, which may be accompanied by a sudden fever
Signs of allergy such as rash or hives, swelling of the face, lips, tongue or throat,
wheezing, difficulty breathing or swallowing
Symptoms of sudden fever with sweating, rapid heartbeat and muscle stiffness, which
may lead to loss of consciousness
Palpitations, fainting, shortness of breath, chest pain or irregular heartbeats
Dark, red or cola coloured urine, muscle weakness and tenderness, stiffness or aching
Stomach pain, yellowing of the skin, nausea, fever, clammy skin and sweating
Yellowing of the skin or eyeballs, fever, fatigue, loss of appetite, dark coloured
urine or light coloured bowel movements
A severe skin reactions with painful red areas and large blisters, accompanied by
fever and chills, aching muscles and generally feeling unwell
Symptoms of a high fever, agitation, confusion, trembling and abrupt contractions
Signs of an infection such as mouth ulcers, severe chills, fever and sore throat
Black sticky bowel motions or bloody diarrhoea.
These symptoms are usually rare but may be serious and need urgent medical attention.
This is not a complete list of all possible side effects. Others may occur in some
people and there may be some side effects not yet known.
Tell your doctor or pharmacist if you notice anything else that is making you feel
unwell, even if it is not on this list.
After taking ENLAFAX-XR
Keep your Enlafax-XR capsules in their blister pack until it is time to take them.
The capsules may not last as well if you take them out of the blister pack.
Keep Enlafax-XR capsules in a cool dry place where the temperature stays below 25°C.
Do not store Enlafax-XR capsules or any other medicine in the bathroom or near a sink.
Do not leave Enlafax-XR capsules in the car or on windowsills.
Heat and dampness can destroy some medicines.
Keep Enlafax-XR capsules and all medication where young children cannot reach it.
A locked cupboard, at least one-and-a-half metres above the ground, is a good place
to store medicines.
If your doctor tells you to stop taking this medicine or the expiry date has passed,
ask your pharmacist what to do with any medicine that is left over.
What it looks like
There are two strengths of Enlafax-XR capsules, containing 75 mg or 150 mg of venlafaxine
(as hydrochloride) in an extended release formulation, which allows for once-a-day
The 75 mg capsules are flesh opaque-flesh opaque, No 0, capsules printed on cap with
VEN, and on the body with 75, containing two white, round, biconvex 37.5 mg film coated
tablets and the 150 mg capsules are Scarlet opaque scarlet-opaque, No 00, printed
on cap with VEN, and on the body with 150, containing three white, round, biconvex
50 mg film coated tablets.
Enlafax-XR 75 mg and 150 mg are available in blister packs containing 28 capsules.
Enlafax-XR capsules contain venlafaxine (as hydrochloride) as the active ingredient.
Enlafax-XR 75 mg and 150 mg capsules contain the following inactive ingredients:
Ammonio methacrylate copolymer
Sodium lauryl sulphate
Basic butylated methacrylate copolymer
In addition to these, Enlafax-XR 75 mg capsules contain iron oxide red and TekPrint
SW-1102 Red Ink. Enlafax-XR 150mg capsules contain Indigo carmine, Erythrosine and
TekPrint SB-0007P White Ink.
Enlafax-XR does not contain gluten, sucrose, tartrazine or any other azo dyes.
ENLAFAX-XR is supplied in Australia by:
Alphapharm Pty Limited
(ABN 93 002 359 739)
Level 1, 30 The Bond
30-34 Hickson Road
Millers Point NSW 2000
Phone: (02) 9298 3999
Australian Registration Numbers:
Enlafax-XR venlafaxine (as hydrochloride) 75mg modified release capsules - AUST R
Enlafax-XR venlafaxine (as hydrochloride) 150mg modified release capsules - AUST R
This leaflet was prepared on
09 February 2018
Enlafax XR_cmi\Feb 18/00