Warning Signs
Kidney disease usually progresses silently, often destroying most of the kidney function before causing any symptoms. Therefore, people at risk of developing kidney disease should be evaluated regularly. These people include those with diabetes, high blood pressure or blood vessel diseases, and close relatives of people with hereditary kidney disease.Sometimes even people with serious kidney disease may not have any symptoms. That is why a blood or urine test may be necessary to check for kidney problems. However, the signs and symptoms listed below may indicate kidney disease and if they are present, a medical assessment to check out the kidneys would be advisable.
- High blood pressure (hypertension)
- Puffiness of the eyes, hands and feet
- Passage of bloody, cloudy or tea-coloured urine
- Presence of protein in the urine (uremia)
- Excessive foaming of the urine
- Frequent passing of urine during the night
- Passing less urine or difficulty passing urine
- Fatigue
- Loss of appetite or weight
- Persistent generalized itching
Important Safety Information for EFFEXOR XR
Suicidality and Antidepressant Drugs
Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, teens, and young adults. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. EFFEXOR XR® (venlafaxine HCl) is not approved for use in children and teens.- People taking MAOIs should not take EFFEXOR XR.
- All patients taking antidepressants should be watched closely for signs that their condition is getting worse or that they are becoming suicidal, especially when they first start therapy, or when their dose is increased or decreased. Patients should also be watched for becoming agitated, irritable, hostile, aggressive, impulsive, or restless. Such symptoms should be reported to the patient's doctor right away.
- Before starting EFFEXOR XR, tell your doctor if you're taking or plan to take any prescription or over-the-counter drugs, including migraine headache medication, herbal preparations, and nutritional supplements, to avoid a potentially life-threatening condition.
- EFFEXOR XR may raise blood pressure in some patients. Your blood pressure should be controlled before starting treatment and should be monitored regularly.
- Taking EFFEXOR XR with aspirin, nonsteroidal anti-inflammatory drugs, warfarin, or other drugs that affect coagulation may increase the risk of bleeding events.
- Mydriasis (prolonged dilation of the pupil of the eye) has been reported with EFFEXOR XR. You should notify your physician if you have a history of glaucoma or increased eye pressure.
- When people suddenly stop using or quickly lower their daily dose of EFFEXOR XR, discontinuation symptoms may occur. Talk to your doctor before discontinuing or reducing your dose of EFFEXOR XR.
- Pregnant or nursing women shouldn't take any antidepressant without consulting their doctor.
- Until you see how EFFEXOR XR affects you, be careful doing such activities as driving a car or operating machinery. Avoid drinking alcohol while taking EFFEXOR XR.
- In clinical studies, the most common side effects with EFFEXOR XR (reported in at least 10% of patients and at least twice as often as with placebo) were constipation, dizziness, dry mouth, insomnia, loss of appetite, nausea, nervousness, sexual side effects, sleepiness, sweating, and weakness.
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