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Venlafaxine was developed as the first selective serotonin–norepinephrine reuptake inhibitor (SNRI) in the late 1980s and early 1990s (Bolden-Watson and Richelson 1993; Muth et al. 1986). Several early randomized controlled trials (RCTs) confirmed that venlafaxine had antidepressant effects comparable to those of tricyclic antidepressants (TCAs), with fewer side effects attributable to anticholinergic and antihistaminergic activity (see, e.g., Einarson et al. 1999). An immediate-release (IR) form of venlafaxine was approved by the U.S. Food and Drug Administration (FDA) for the treatment of major depressive disorder (MDD) in 1994, and the extended-release (XR) formulation was introduced in 1997. Made available after several widely prescribed newer-generation antidepressants (e.g., fluoxetine, sertraline, paroxetine), venlafaxine became one of the leading alternatives for patients who do not respond to selective serotonin reuptake inhibitors (SSRIs).
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