-
Serotonin and Norepinephrine reuptake inhibitor
- Levomilnacipran (Fetzima) is the active L-isomer of Milnacipran (Savella)
- Trade name only (no generics as of 2022)
- Unknown safety in Lactation
- Pregnancy category C
- Levomilnacipran (Fetzima) 20 mg, 40 mg, 80 mg, 120 mg capsules
- Start: 20 mg orally daily
- May increase dose as early as 2 days later to 40 mg orally daily
- May increase dose by up to 40 mg every 2 days (80 mg, 120 mg) to maximum of 120 mg daily
- Maximum
- Normal Renal Function: 120 mg/day
- Moderate renal Impairment: 80 mg/day
- Severe renal Impairment: 40 mg/day
- (2023) Med Lett Drugs Ther 62(1592): 25-32
- Olson (2020) Clinical Pharmacology, Medmaster Miami, p. 38-9
- Hamilton (2020) Tarascon Pocket Pharmacopoeia
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