Does Pristiq need to be taken with food? (3+ tips)

In this article, we will answer the question “Does Pristiq need to be taken with food?”. We will discuss the benefits and side effects of taking Pristiq with or without food. We will also discuss what foods should be avoided while on Pristiq therapy.

Does Pristiq need to be taken with food?

Pristiq (also known as desvenlafaxine) can be taken with or without food. The dosage and administration recommendations by the FDA state that this medication can be taken with or without a meal (1).

Pristiq contains desvenlafaxine, a medication belonging to the class of serotonin and norepinephrine reuptake inhibitors (SNRIs). This is recommended by the FDA in the treatment of adults with a diagnosis of major depressive disorder (MDD). This medication has found an off-label use in the treatment of hot flashes in women undergoing menopause (1,2).

Pristiq can sometimes cause gastrointestinal (GI) symptoms like nausea, vomiting, diarrhoea or constipation when taken on an empty stomach. If you experience these symptoms then you can try taking the medication with food to provide some relief. Pristiq can be taken at any time during the day, but you should keep in mind to take Pristiq at almost the same time each day.

The GI side effects may vary from person to person. If you experience any side effects for more than a few weeks, make sure you talk to your healthcare provider about your symptoms. Your doctor will assess the problem and come up with a plan to help manage your symptoms.

What foods should be avoided while taking Pristiq?

There are a few foods that should be avoided while taking Pristiq therapy. These are as follows (3):

Alcohol – Drinking alcohol while taking Pristiq can increase the risk of side effects like dizziness or sleepiness. It can affect your thinking ability and can also exacerbate your depressive symptoms.

Spicy or greasy foods – Spicy and greasy food is not good for GI health. It tends to increase GI side effects and trigger symptoms like heartburn or indigestion.

Caffeine – Caffeine is a stimulant and can cause sleep disturbances, It can also sometimes cause GI side effects in individuals. It is better to limit caffeine intake while using Pristiq so such side effects can be avoided.

Grapefruit – Consuming grapefruit or grapefruit juice is found to inhibit enzymes responsible for the metabolism of antidepressants. It is also known to increase GI side effects like nausea and diarrhoea when used with Pristiq.

Potential benefits and risks of taking Pristiq with food

Taking Pristiq with or without food can have its advantages and disadvantages as well. Pristiq can cause GI side effects like nausea, constipation, decreased appetite (resulting in weight loss) and abdominal pain. Sometimes if you take Pristiq with food these side effects can subside (1,2).

Taking Pristiq can be a problem for individuals who do not have a healthy diet or a proper eating schedule. If a person takes trigger foods, like spicy and greasy foods or has a high caffeine intake, it can cause a problem in the absorption of the medication.

Keep in mind that the side effects of Pristiq on the GI tract normally resolve after a few days. But if the symptoms are causing discomfort then taking the medication with food can help. Make sure you keep a consistent routine of taking your medication whether it is with a meal or not, and that you take the medicine as a whole and do not cut or break it.

Tips for taking Pristiq with food for maximum benefits

There are a few tips that you can follow if you are taking Pristiq with food to help manage any GI side effects:

Dietary changes

You can make healthy dietary choices and include such foods in your diet that are easy on your stomach. Avoid trigger foods like spicy or greasy meals. Use foods like whole grains, fruits and vegetables that are rich in fibre. This can help you if you have constipation. Take small meals at regular intervals of the day to help your stomach digest the food faster.

Stress management

Stress management techniques like yoga, meditation and deep breathing techniques can help you relax your mind and body. Reduced stress will improve the efficacy of Pristiq as well as your overall health.

Stay hydrated

Dehydration can cause worsening of GI symptoms. Keeping yourself hydrated and taking an adequate amount of water and fluids can help reduce any such problem.

Exercise

Doing light exercise daily can increase your energy and improve your mood. Make a routine and try following it. After a few days, you will start seeing improvement in your condition.

Conclusion

In this brief article, we discussed the effect of taking Pristiq with or without food. We also discussed some tips to achieve maximum benefits while taking Pristiq with food. In my opinion, Pristiq can be taken with or without food but if it disturbs normal GI functioning, then it is advised to take it with food to help alleviate these symptoms.

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References

1.-

The Food and Drug Administration (FDA). HIGHLIGHTS OF PRESCRIBING INFORMATION. PRISTIQ® (desvenlafaxine) Extended-Release tablets, for oral use. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/021992s042lbl.pdf 

2.-

Naseeruddin R, Rosani A, Marwaha R. Desvenlafaxine. [Updated 2023 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK534829/

3.-

Menkes DB, Herxheimer A. Interaction between antidepressants and alcohol: signal amplification by multiple case reports. International Journal of Risk & Safety in Medicine. 2014 Jan 1;26(3):163-70. https://content.iospress.com/articles/international-journal-of-risk-and-safety-in-medicine/jrs632

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