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Effexor XR vs. Lyrica

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Venlafaxine (Effexor) and pregabalin (Lyrica) are both prescription medications, but they are used for different conditions and belong to different drug classes. Venlafaxine is a serotonin and norepinephrine reuptake inhibitor (SNRI) used to treat depression, anxiety, social anxiety disorder, and panic disorder. It works by increasing serotonin and norepinephrine levels in the brain. Pregabalin, on the other hand, is an anticonvulsant used to treat nerve pain from diabetes, shingles, spinal cord injury, fibromyalgia, and partial-onset seizures. It is thought to lower certain chemicals in the brain to relieve pain and prevent seizures. Venlafaxine is available as a lower-cost generic, while pregabalin is also available in a generic form. Venlafaxine can cause withdrawal symptoms if stopped suddenly, while pregabalin can lead to dizziness, drowsiness, and weight gain. Additionally, pregabalin is a Schedule V controlled substance due to its potential for addiction and dependence, whereas venlafaxine is not a controlled medication.

Venlafaxine

 

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Pregabalin

(Lyrica)

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Summary for Effexor XR

Prescription only

Venlafaxine is an antidepressant used to treat mental health conditions like depression, generalized anxiety disorder, social anxiety disorder, and panic disorder. It comes in two forms: extended-release, which is taken once a day, and immediate-release, which is taken in split doses throughout the day. This medication can interact with many things, including other medications and alcohol. Possible side effects can include nausea, weight changes, and sexual problems. It can also cause withdrawal symptoms if you stop taking it suddenly.

Indications for Effexor XR

Pros and Cons for Effexor XR

Pros

  • Can treat multiple mental health conditions
  • Affects two chemicals in the brain that impact your mood
  • Lower risk of weight gain compared to other antidepressants
  • Comes in both immediate-release and extended-release versions

Cons

  • Might raise your blood pressure, especially at higher doses
  • Interacts with many medications
  • Can take up to 4 to 8 weeks before you feel the full effect
  • High risk of causing withdrawal symptoms if suddenly stopped

Common Side Effects for Effexor XR

Extended-release:

  • Nausea (29-31%)
  • Trouble sleeping (17-23%)
  • Dizziness (16-20%)
  • Loss of appetite (10-20%)
  • Drowsiness (15-17%)
  • Dry mouth (12-17%)
  • Abnormal ejaculation (10-16%)
  • Sweating (11-14%)
  • Weakness (8-13%)

Immediate-release:

  • Nausea (37%)
  • Headache (25%)
  • Drowsiness (23%)
  • Dry mouth (22%)
  • Dizziness (19%)
  • Trouble sleeping (18%)
  • Constipation (15%)
  • Nervousness (13%)
  • Weakness (12%)
  • Sweating (12%)
  • Abnormal ejaculation (12%)
  • Loss of appetite (11%)

Warnings for Effexor XR

  • Suicidal thoughts and behavior
  • Serotonin syndrome
  • High blood pressure
  • Higher bleeding risk
  • Mania
  • Glaucoma
  • Withdrawal
  • Seizures
  • Low sodium levels
  • Lung problems and pneumonia
  • Sexual problems

Summary for Lyrica

Prescription only

Pregabalin (Lyrica) helps treat nerve pain and fibromyalgia in adults. It can also be taken with other medications to help treat certain seizures in people 1 month and older. Pregabalin (Lyrica) comes as a capsule and oral solution in both brand-name and generic versions. The dosage depends on what condition you're treating, but it's usually taken by mouth 2 or 3 times a day. Common side effects include feeling dizzy and drowsy. This medication is a controlled substance and has interactions, like with alcohol and benzodiazepines.

Indications for Lyrica

Pros and Cons for Lyrica

Pros

  • An option for relieving nerve pain caused by diabetes, shingles, and spinal cord injuries
  • Can take with other anti-seizure medications for partial-onset seizures in people as young as 1 month of age
  • Available in a capsule and liquid

Cons

  • Can cause dizziness and drowsiness
  • Can cause weight gain
  • Is a controlled substance, so there are some rules to follow to get it filled

Common Side Effects for Lyrica

  • Dizziness
  • Drowsiness
  • Headache
  • Weight gain

Warnings for Lyrica

  • Allergic reactions and severe swelling
  • Risk of suicidal thoughts and behavior
  • Higher risk of side effects if you stop taking the medication too suddenly or too fast
  • Slowed breathing
  • Dizziness, sleepiness, and trouble concentrating
  • Swelling of the arms or legs
  • Weight gain
  • Lower platelet levels
  • Possible risk of muscle breakdown

Prices with our coupons for Effexor XR vs. Lyrica

Price Card Drug Icon
Venlafaxine90 tablets / 75mg
$21.31$196.62
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Pregabalin60 capsules / 75mg
$13.43$40.85
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