Online prescription for levomilnacipran (Fetzima)

Meet with a psychiatrist or psychiatric nurse practitioner to see if levomilnacipran (Fetzima) is right for you. Insurance is accepted, and same-week appointments are often available.

Treatment for:
depression

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How prescribing works

1

Find the right provider

Browse providers online or call us and we’ll help you find someone who accepts your insurance and fits your needs. Pick a time that works for you and choose how you’d like to pay.

2

Get started with treatment

At your first session, share what you’re experiencing and what you’re hoping to get out of treatment. Together, you’ll discuss your options—including whether medication might be a good fit. If so, your provider can send a prescription directly to your local pharmacy.

3

Track your progress

Your provider will check in regularly to make sure your treatment plan is working for you and adjust as needed.

What is an SNRI?

Serotonin-norepinephrine reuptake inhibitors (SNRIs) are antidepressants. They treat depression, and some are also approved for other conditions, such as generalized anxiety disorder and certain types of nerve or muscle pain. Which conditions an SNRI treats depends on the medication. Examples include duloxetine (Cymbalta), venlafaxine (Effexor XR), and levomilnacipran (Fetzima).

How does an SNRI work?

Nerve cells in your brain pass signals to each other by releasing chemicals, like serotonin and norepinephrine. Normally, the nerve cell that released these chemicals pulls them back in. SNRIs slow down that reabsorption, so more serotonin and norepinephrine stay active between nerve cells. Researchers think this change is one part of how SNRIs help ease depression, but exactly how it leads to feeling better is still being studied.

levomilnacipran (Fetzima)
levomilnacipran (Fetzima)

FAQs about levomilnacipran (Fetzima)

What is levomilnacipran (Fetzima) used for?

Levomilnacipran (Fetzima) is a serotonin-norepinephrine reuptake inhibitor (SNRI) that’s FDA-approved to treat depression (major depressive disorder) in adults.

What are the side effects of levomilnacipran (Fetzima)?

The most common levomilnacipran (Fetzima) side effects are nausea, constipation, sweating more than usual, and a faster heart rate.

Like other SNRIs, it can also cause sexual side effects, such as lower sex drive, erection problems, or delayed ejaculation or orgasm. If side effects bother you, talk to your provider about your options.

Don’t stop taking Fetzima suddenly. It can cause discontinuation symptoms, so your provider can lower your dose gradually when it’s time to stop.

Does levomilnacipran (Fetzima) cause weight gain or loss?

Levomilnacipran (Fetzima) doesn’t seem to cause meaningful changes in weight. In short-term trials and a 48-week follow-up study, people taking it didn’t have meaningful changes in weight. If you notice changes in your weight or appetite, talk to your provider.

Is levomilnacipran (Fetzima) a stimulant?

No. Levomilnacipran (Fetzima) is an antidepressant (an SNRI), not a stimulant. Unlike ADHD stimulants, it’s not a controlled substance. Like other SNRIs, though, it can raise your heart rate and blood pressure. If you notice a racing or pounding heartbeat, tell your provider.

Does levomilnacipran (Fetzima) help with anxiety?

Levomilnacipran (Fetzima) isn’t FDA-approved to treat anxiety. It’s approved only for depression in adults. Some other SNRIs, like duloxetine (Cymbalta), are approved for generalized anxiety disorder. If you have anxiety along with depression, talk with your provider about which medication might fit best. And tell them if you notice new or worsening anxiety while taking Fetzima.

Can I get a prescription for levomilnacipran (Fetzima) online?

Yes, you can often get a prescription online if your provider decides it’s clinically appropriate. If levomilnacipran (Fetzima) is a good fit, your provider can send the prescription straight to your local pharmacy.

Does insurance cover levomilnacipran (Fetzima) consultations at Thriveworks?

Yes, Thriveworks accepts most major insurance plans, and you can check your coverage before booking.

Medication costs are separate from the cost of your sessions, so we recommend checking with your insurance company directly about whether your plan covers levomilnacipran (Fetzima) if prescribed. Ask about any copays or deductibles that may apply to psychiatric medications, as well as any restrictions or prior authorization requirements.

How do I get a prescription at Thriveworks?

Book a session with a licensed psychiatric provider at Thriveworks online or by calling (855) 204-2767. At your first appointment, you’ll discuss your symptoms, treatment history, and goals. If medication is a good clinical fit, your provider may send a prescription to your local pharmacy.

Is Thriveworks LegitScript certified?

Yes, Thriveworks is LegitScript certified. Our services have been independently reviewed and verified by a leading compliance organization, confirming high standards for legality, safety, and transparency in prescribing medication like stimulants.

This information has been reviewed for accuracy and approved by our licensed psychiatric team. Published December 10, 2024

We offer psychiatry in these select states

Our psychiatry services are primarily offered online, with in-person availability in select states.

Dr. Scott Gordon

Accepting medication as part of your mental health care plan is an individual and often deeply personal decision. At Thriveworks, we’re here to help you understand your care options and support you on the path toward wellness. We prioritize treating the whole patient, whether through medication, therapy, or a combination of both — guided by clinical best practices and rigorously developed treatment strategies to help clients safely and efficiently resolve their symptoms.

Dr. Scott Gordon Chief Medical Officer

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