(Levomilnacipran Hydrochloride ER)
  • All Strengths

  • 20mg

  • 40mg

  • 80mg

  • 120mg

Brand Choices

Fetzima 20mg

Extended Release Capsules
Fetzima 20mg
Fetzima 20mg

Fetzima 20mg

Extended Release Capsules
Prescription required. Manufactured by Allergan Product of Canada. Shipped from Canada.

Fetzima 40mg

Extended Release Capsules
Fetzima 40mg
Fetzima 40mg

Fetzima 40mg

Extended Release Capsules
Prescription required. Manufactured by Allergan Product of Canada. Shipped from Canada.

Fetzima 80mg

Extended Release Capsules
Fetzima 80mg
Fetzima 80mg

Fetzima 80mg

Extended Release Capsules
Prescription required. Manufactured by Allergan Product of Canada. Shipped from Canada.

Fetzima 120mg

Extended Release Capsules
Fetzima 120mg
Fetzima 120mg

Fetzima 120mg

Extended Release Capsules
Prescription required. Manufactured by Allergan Product of Canada. Shipped from Canada.

Fetzima Drug Information

Are you paying too much for Fetzima? Save up to 80% when purchasing your prescription drugs from Universal Drugstore. Our prescription service aspires to conveniently provide you with affordable medications at the lowest prices in Canada and internationally.

We’re working with a number of Canadian and international pharmacy partners, all licensed by their qualified governmental regulatory bodies. By collaborating with our partners, we are able to offer a wide range of brand and generic medications at very competitive prices. You can obtain discount prescription drugs through our online pharmacy. Our prices are already up to 80% lower than your local pharmacy. We are committed to providing you with the best service and prices. This is why we’ll match the price of any of our online pharmacy competitors who require a valid prescription.

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Why Buy Fetzima from Universal Drugstore?

We are the global leader in online prescription drug savings with almost 20 years of experience supplying prescription and over the counter drugs to our international customers. More than 300,000 international patients have used our service to receive their prescription and over-the-counter medications.

In the past two decades together with our international pharmacy partners we have shipped over 2 million prescription medication orders to our satisfied customers.

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How Long Does It Take to Receive My Fetzima Order?

You can easily place an order on our website in under 5 minutes. First you need to set up an account with us, create a payment method, and send us your prescriptions. Alternatively, you can order by downloading our order form or by placing an order over the phone. Delivery can take approximately 2 weeks to North America, and 4 weeks to other countries.

  • Fetzima Overview

    Levomilnacipran is used to treat depression. It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. Levomilnacipran belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It may improve your mood, sleep, and appetite and may help restore your interest in daily living.

  • Fetzima Warnings

    Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially people younger than 25) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for people younger than 25), even if treatment is not for a mental/mood condition. Tell the doctor right away if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.

  • How to Use Fetzima

    Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start taking levomilnacipran and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Take Fetzima by mouth with or without food as directed by your doctor, usually once daily. Swallow the capsules whole. Do not open, crush or chew the capsules. Doing so can release all of the drug at once, increasing the risk of side effects. The Dosage of Fetzima is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). To reduce your risk of side effects, your doctor may direct you to start Fetzima at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Use Fetzima regularly to get the most benefit from it. To help you remember, take it at the same time each day. Do not increase your dose or use Fetzima more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. It may take several months before you get the full benefit of Fetzima. Keep taking Fetzima even if you feel well. Do not stop taking Fetzima without consulting your doctor. Some conditions may become worse when Fetzima is suddenly stopped. Also, you may experience symptoms such as mood swings, headache, tiredness, sleep changes, and brief feelings similar to electric shock. To prevent these symptoms while you are stopping treatment with Fetzima, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more details. Report any new or worsening symptoms right away. Tell your doctor if your condition persists or worsens.

  • Fetzima Precautions

    Before taking levomilnacipran, tell your doctor or pharmacist if you are allergic to it; or to milnacipran; or if you have any other allergies. Fetzima may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using Fetzima, tell your doctor or pharmacist your medical history,kidney problems, personal or family history of glaucoma (angle-closure type), personal or family history of a certain mental/mood disorder (bipolar disorder), personal or family history of suicide attempts, high blood pressure, heart problems (such as chest pain, heart attack, fast/irregular heartbeat), poor blood flow to the brain, urinary retention or problems urinating (such as enlarged prostate), seizures, mineral imbalance (low level of sodium in the blood). Fetzima may make you dizzy or blur your vision. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis). Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Older adults may be at greater risk for a certain mineral imbalance (low level of sodium in the blood) while using Fetzima, especially if they are taking "water pills" (diuretics). During pregnancy, Fetzima should be used only when clearly needed. It may harm an unborn baby. Also, babies born to mothers who have used Fetzima during the last 3 months of pregnancy may rarely develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell the doctor promptly. Since untreated mental/mood problems (such as depression) can be a serious condition, do not stop taking Fetzima unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss with your doctor the benefits and risks of using Fetzima during pregnancy. It is unknown if Fetzima passes into breast milk. However, similar drugs pass into breast milk. Consult your doctor before breast-feeding.

  • Fetzima Misdose

    If you miss a dose of Fetzima, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

  • Fetzima Interactions

    Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.diuretics/"water pills" (such as furosemide), other drugs that can cause bleeding/bruising (including antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen/naproxen, "blood thinners" such as warfarin/dabigatran). Aspirin can increase the risk of bleeding when used with Fetzima. However, if your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Ask your doctor or pharmacist for more details. The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotonin. Examples include street drugs such as MDMA/"ecstasy," St. John's wort, certain antidepressants (including SSRIs such as fluoxetine/paroxetine, SNRIs such as duloxetine/venlafaxine), among others. The risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs. Taking MAO inhibitors with Fetzima may cause a serious (possibly fatal) drug interaction. Do not take any MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with Fetzima. Most MAO inhibitors should also not be taken for two weeks before and 7 days after treatment with Fetzima. Ask your doctor when to start or stop taking Fetzima. Levomilnacipran is very similar to milnacipran. Do not use medications containing milnacipran while using levomilnacipran.

  • Fetzima Side Effects

    What are Fetzima side effects?

    Side effects are physical, mental or emotional symptoms which occur in addition to or outside of the desired effect of a therapeutic treatment such as an over-the-counter or prescribed drug or medication. Side effects from Fetzima may occur at the beginning or at the end of treatment and may also depend on the length of time an individual remains on the treatment. Side effects, also known as adverse effects, are generally more likely to occur when starting treatment. Individuals may also experience side effects from Fetzima as a result of an interaction with other medications.

    Side Effects of Fetzima

    The side effects of Fetzima may vary in number and intensity for many different reasons. Factors such as age, weight, gender and ethnicity may influence the side effects of Fetzima. Also, an individual’s state of general physical health and seriousness of the disease or illness as well as an increase or decrease in dosage may lead to side effects. Further, side effects from Fetzima may also occur as a result of an interaction with certain herbal supplements, foods or drinks.

    Prescription drug side effects can be serious and may cause patients to stop the treatment. However, when side effects from the use of a prescription drug, such as Fetzima, do occur a patient should consult their physician. A physician may prescribe an additional treatment in order to control the symptoms or an adjustment in the dosage may be made. In addition, changes to diet, exercise or other lifestyle activities may help to lessen the side effects of Fetzima.

    By understanding side effects and the factors which may influence the occurrence of side effects patients are empowered to take an active role in their care. Patients who have specific questions about the side effects of Fetzima, or any other medication, should contact their physician. General information about Fetzima and the side effects associated with Fetzima are described in the following:

    Common Fetzima Side Effects


    Less Severe

    • flushing
    • hypertension
    • xerostomia
    • nausea
    • hyperhidrosis
    • constipation
    • headache disorder
    • palpitations
    • tachycardia
    • dizziness
    • insomnia

    Less Frequent Fetzima Side Effects


    Less Severe

    • acute abdominal pain
    • disorder of ejaculation
    • blurred vision
    • tremor
    • chills
    • anorexia
    • vomiting
    • migraine
    • weight loss
    • skin rash
    • dysuria
    • testicular pain
    • urinary hesitancy

    Rare or Very Rare Fetzima Side Effects


    • SIADH syndrome
    • thrombocytopenic disorder
    • leukopenia
    • rhabdomyolysis
    • suicidal ideation
    • ataxia
    • serotonin syndrome
    • abnormal hepatic function tests
    • hemorrhage
    • ecchymosis
    • hypertensive crisis
    • hepatitis
    • seizure disorder
    • Stevens-Johnson syndrome
    • peripheral edema
    • hyponatremia
    • hallucinations
    • homicidal ideation
    • acute renal failure
    • parkinsonism
    • erythema multiforme
    • neutropenic disorder
    • secondary angle-closure glaucoma
    • prostatitis
    • cystitis
    • acute pancreatitis
    • hyperreflexia
    • myoclonus
    • supraventricular tachycardia
    • Takotsubo cardiomyopathy
    • manic disorder
    • angina
    • supraventricular premature beats
    • ventricular premature beats
    • extrapyramidal disease
    • panic disorder

    Less Severe

    • urinary retention
    • fever
    • diarrhea
    • mydriasis
    • libido changes
    • night sweats
    • hyperprolactinemia
    • dyspepsia
    • dysgeusia
    • erectile dysfunction
    • delirium
    • irritability
    • dyspnea
    • epistaxis
    • drowsy
    • fatigue
    • aggressive behavior
    • galactorrhea not associated with childbirth
    • depression
    • urinary tract infection
    • flatulence
    • abdominal distension
    • gastroesophageal reflux disease
    • hypomania
    • dry eye
    • conjunctival hemorrhage
    • chest pain
    • polydipsia
    • hypercholesterolemia
    • paresthesia
    • syncope
    • yawning
    • bruxism
    • dry skin
    • pruritus of skin
    • urticaria
    • proteinuria
    • hematuria
    • increased urinary frequency
  • Fetzima Storage

    Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard Fetzima when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

IMPORTANT DISCLAIMER: All medical content is supplied by a third party company who is independent from this web site. As such, this web site can not guarantee the reliability, accuracy, and /or medical efficacy of the information provided. In all circumstances, you should seek the advice of a health professional pertaining to drug, treatment and/or medical condition advice. Note that not all products are shipped by our contracted Canadian pharmacy. This website contracts with dispensaries around the world that ship products directly to our customers. Some of the jurisdiction include but are not limited to United Kingdom, Europe, Turkey, India, Canada, Vanuatu, Mauritius, and USA. The items within your order may be shipped from any one of these jurisdiction depending on the availability and cost of the products at the time you place your order. The products are sourced from these countries as well as others. Please note that the product appearance may vary from actual product received depending on availability.