levomilnacipran (Fetzima)

Levomilnacipran (Fetzima) is used to treat major depressive disorder (MDD) or depression. It works as a serotonin-norepinephrine reuptake inhibitor (SNRI) to increase levels of the brain chemicals serotonin and norepinephrine.

Levomilnacipran may be taken in the morning or at night. The time of day you take the medication depends on your response to the medication, other medications you may be taking, and what works best for you. Try to take levomilnacipran at the same time daily—it's important to stick with a regular dosing schedule when taking the medication.

No, levomilnacipran is not a stimulant medication. However, the medication works by increasing levels of serotonin and norepinephrine in the brain, which can improve your mood and give you energy.

No, weight gain or loss weren't commonly reported side effects of levomilnacipran. However, you may experience nausea and/or vomiting with the medication, which could cause some temporary weight loss. Taking levomilnacipran may also cause increased appetite, possibly leading to some weight gain. If you have concerns about weight gain or loss with levomilnacipran, talk with your provider.

Levomilnacipran is approved to treat depression. However, it may sometimes also be used off-label to treat anxiety since, in studies of the medication, some people with anxiety experienced improvements in their symptoms while taking it. If you're interested in learning more about using levomilnacipran for anxiety, talk with your provider.

No, sleepiness isn't a side effect of levomilnacipran. If you experience sleepiness while on the medication, talk with your provider. In some cases, your symptoms may be related to other causes, such as other medications or conditions you may have.

Typically, mild side effects of levomilnacipran are temporary and go away as you keep taking the medication. However, levomilnacipran may also cause some serious side effects that can last or even be dangerous, such as some sexual side effects, seizures, high blood pressure, increased heart rate, suicidal thoughts or behavior, or bleeding. If you experience side effects that are bothersome or don't go away, talk with your provider right away to discuss your options. If you feel you're having a medical crisis, call 911 or go to your nearest emergency medical center right away.

You can meet with a licensed provider at Thriveworks, in person or online depending on your state. If it’s clinically appropriate, they may prescribe medication for a diagnosed mental health condition. Your provider will send your prescription to a local pharmacy to be filled.

Thriveworks accepts most major insurance plans for psychiatry and therapy services. Your insurance may also cover the cost of any medication your provider prescribes, which can be filled at a local pharmacy. Check with your plan to confirm your medical and prescription coverage.

Schedule a session with a licensed psychiatric provider at Thriveworks. After discussing your symptoms and treatment goals, your provider may recommend medication and/or additional services to help you get where you want to be.

Yes. Thriveworks is LegitScript-certified, meaning we’ve been reviewed and verified by one of the most trusted compliance organizations in healthcare. This certification confirms that our services meet high standards for legality, safety, and transparency.