Prescription Icon Prescription Required
IMPORTANT NOTE: A valid Prescription is required to be mailed or faxed to complete this order. I acknowledge that I will need to be contacted to complete a health profile before my order is shipped.


What is Fetzima?

Fetzima is an oral capsule made up of levomilnacipran, a selective serotonin and norepinephrine reuptake inhibitor antidepressant (SNRI). We have the brand name Fetzima in 20mg, 40mg, 80mg, and 120mg!

What is Fetzima used for?

Fetzima (levomilnacipran) is a treatment for major depressive disorder (depression). Depression can happen to anybody regardless of age, race, or gender as it is most commonly caused from having too low of serotonin levels in the brain. This can happen due to grief, abuse (past or present), genetics, illnesses, certain medications and more. Depression can become fatal, as suicidal thoughts are usually a result of depression and one could decide to take their own life. Depression is commonly described as consistent and constant feelings of sadness and hopelessness.

How does Fetzima work?

This medication is used for this condition as it is able to affect the serotonin levels in the brain and balance them back out to normal.

Ensure you are following the directions given to you by your doctor.

Take Fetzima by mouth, with or without food, once a day.

Do not crush, chew, or open the capsules. Take this medication at the same time every day to ensure a routine is created and doses are not missed.


Tell your doctor about all drug allergies you may have. Go over the inactive ingredients found in this product with your doctor.

It is important to tell your doctor about past and present medical conditions to find out if this product is safe for you. Before taking Fetzima, make sure to tell your doctor about any of the following if they apply to you; 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).

A pregnant woman should only use this product if absolutely necessary as this drug could harm an unborn baby. It is not known if this product passes through breast milk; consult your doctor before nursing an infant.

Do not stop taking this medication unless told to by your doctor.

Side Effects

Common side effects of Fetzima include:

nausea, vomiting, constipation; irregular heartbeats; sweating; or decreased sex drive, impotence, or difficulty having an orgasm.

You do not need to contact your doctor unless the above side effects become unmanagable or concerning.

Serious side effects of Fetzima include:

blurred vision, tunnel vision, eye pain or swelling, eye redness; painful or difficult urination; easy bruising, unusual bleeding, purple or red spots under your skin; pounding heartbeats or fluttering in your chest; or seizure (convulsions);

Contact your doctor if you have any of the above side effects

Conditions to watch for while using Fetzima

Manic episodes - racing thoughts, increased energy, decreased need for sleep, risk-taking behavior, being agitated or talkative.

Low sodium level - headache, confusion, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady.

Worsening depression - mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), or suicidal thoughts.


What happens if I miss a dose?

Take the miss dose as soon as you remember or skip it if your next dose is approaching soon. Never double up on dosages.

What is the best way to store this medication?

Fetzima should be stored at room temperature. Protect Fetzima from heat and moisture. For safety measures, keep out of reach of children and pets.

Can I drink alcohol while on this medication?

It is recommended that you avoid alcohol consumption during the duration of treatment as the ethanol (alcohol) can cause the levels of levomilnacipran to rise.

What is the average dose for an adult with depression?

The first initial dose for an adult with depression would be 20mg once a day for 2 days. The maintenance dose would be decided by your doctor based off the response to the initial dose.

Is this medication safe for kids?

No. Do not give Fetzima to a child under 18 years old.

Call To Complete

Need Help?
Call Our CareTeam


Our CareTeam Member will guide you to complete your order