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Changing the SAR in milnacipran changes the stereochemistry of the compound and affects the norepinephrine and serotonin concentration. Milnacipran is marketed as a racemic mixture.57-68. 17.
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Patients should be given the opportunity to discuss the contents of the Medication Guide and to obtain answers to any questions they may have.mbulatory patients should be counseled to avoid effexor name activities requiring effexor name mental alertness and motor coordination until they know how these agents affect them, and to notify their physician if they experience excessive or prolonged CNS effects that interfere with their normal activities.
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After reading this and all the comments, I'm concerned. I've been on Effexor 300mg for over 15 years.Visser SN, Danielson ML, Bitsko RH, Holbrook JR, Kogan MD, Ghandour RM, et al.
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