Levomilnacipran (Fetzima)

  • Its mechanism of action is slightly different from that of other SNRIs, because it has a noradrenergic effect even at the lower doses, plus a serotonergic effect. Levomilnacipran is in fact the most adrenergic of all the SNRIs.
  • It is available in an extended-release formulation for once a day administration.
  • Starting dose: 40mg