Emergence of adverse events following discontinuation of treatment with extended-release venlafaxine.

Fava, M; Mulroy, R; Alpert, J; Nierenberg, A A; Rosenbaum, J F · Am J Psychiatry · 1997

rct · Level II

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Abstract

The rate of adverse events following discontinuation of treatment with extended-release venlafaxine was compared with the rate associated with discontinuation of placebo administration. The subjects were 20 outpatients with major depressive disorder who had participated in a multicenter, double-blind, placebo-controlled study of the efficacy of the new extended-release formulation of venlafaxine. During the 3 days after discontinuation of treatment with the study drug, seven (78%) of the nine venlafaxine-treated subjects and two (22%) of the nine placebo-treated patients reported the emergence of adverse events, a statistically significant difference. These results suggest that clinicians discontinuing venlafaxine treatment should consider tapering the medication dose gradually.

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