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Venlafaxine and Lamotrigine

University Health Network, Toronto · FDA-approved active Small molecule

Venlafaxine inhibits reuptake of serotonin and norepinephrine while lamotrigine stabilizes neuronal membranes by blocking sodium channels and modulating glutamate release, together providing antidepressant and mood-stabilizing effects.

Venlafaxine inhibits reuptake of serotonin and norepinephrine while lamotrigine stabilizes neuronal membranes by blocking sodium channels and modulating glutamate release, together providing antidepressant and mood-stabilizing effects. Used for Major depressive disorder (treatment-resistant or augmentation), Bipolar depression, Anxiety disorders.

At a glance

Generic nameVenlafaxine and Lamotrigine
SponsorUniversity Health Network, Toronto
Drug classSNRI + anticonvulsant combination
TargetSerotonin transporter, norepinephrine transporter, voltage-gated sodium channels, glutamate modulation
ModalitySmall molecule
Therapeutic areaPsychiatry / Neurology
PhaseFDA-approved

Mechanism of action

Venlafaxine is a serotonin-norepinephrine reuptake inhibitor (SNRI) that increases synaptic concentrations of both neurotransmitters to alleviate depression and anxiety. Lamotrigine is an anticonvulsant that reduces excitatory glutamate transmission and stabilizes neuronal firing, providing additional mood-stabilizing and neuroprotective benefits. This combination is used off-label or in clinical practice to enhance efficacy in treatment-resistant depression and bipolar disorder.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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