Can You Take Buspar And Effexor Together?

In our latest question and answer, the pharmacist discusses whether or not it is safe to take Buspar and Effexor Together.

Question

I’m taking Buspar 10 mg and venlafaxine ER 37.5mg. Is it ok to take the 2 together? I stopped venlafaxine ER and my depression and anxiety came back. My doctor prescribed me Buspar to help my anxiety a little more.

Asked by Otterpops On Nov 30, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Nov 30, 2022
Last updated Apr 18, 2025

Key points

  • Taking Buspar with Effexor increases the risk of a rare, but serious condition known as serotonin syndrome. They can also increase the risk of bleeding episodes.
  • These drugs are sometimes used together if you and your doctor determine they represent the best course of therapy for you. It is important, however, to be aware of the risks and benefits.

Answer

While Buspar and Effexor are sometimes prescribed together, they do have an interaction that is important to be aware of.

In fact, there are essentially two different types of interactions between these drugs. They can:

  • Increase the risk of a rare, but serious condition known as serotonin syndrome
  • Increase the risk of bleeding as both have mild antiplatelet effects

Like all prescription drugs, it is important to weigh the risks and benefits of therapy.

Interaction Details

There are a number of drugs that affect the neurotransmitter serotonin, and both of these drugs do just that.

Effexor (venlafaxine) is classified as an SNRI (serotonin-norepinephrine reuptake inhibitor) and increases serotonin concentration in the brain. Buspar (buspirone) has activity at several different serotonin receptors, and is thought to affect some dopamine and GABA receptors as well.

Serotonin has wide-ranging effects on the body, and side effects with drugs that affect serotonin are well-documented. These risks increase if you take more than one drug that affects serotonin. These side effects include the rare but serious 'serotonin syndrome', and an increased bleeding risk.

How To Manage The Interaction

Even though there is an interaction between Effexor and Buspar, they are oftentimes prescribed together for those suffering from several mental health conditions, such as depression and anxiety.

The risk of side effects is important to be aware of so you can take appropriate action if they occur.

In regard to serotonin syndrome, it is important to look for the following symptoms:

  • Muscle rigidity
  • Increased body temperature
  • Sweating
  • Mental status changes
  • Confusion
  • Flu-like symptoms

It is important to be aware of these symptoms and seek medical attention should they occur.

I also mentioned there is an increased bleeding risk. Serotonin has complex effects on blood coagulation, and taking multiple serotonergic drugs can have an antiplatelet effect.

You want to be on the lookout for any unusual bruising or bleeding while taking Effexor and Buspar together. Generally, the increased risk of bleeding is predominately stomach bleeds, so look for black or tarry-looking stools.

These side effects (serotonin syndrome and bleeding risk) are relatively uncommon, but again, good to know about. Ideally, you should start at the lowest dose of each drug and increase slowly until you reach the desired clinical effects.

Final Words

I hope you found this answer helpful.

I want to emphasize that these drugs are sometimes used together. Even though the side effects I discussed sound serious (and they certainly can be), they are relatively uncommon.

It is always good to know what could happen, and what to look out for, so you and your doctor can make an informed decision about your therapy.

References

  • Serotonin syndrome induced by venlafaxine and fluoxetine: a case study in polypharmacy and potential pharmacodynamic and pharmacokinetic mechanisms, PubMed
  • Serotonin Syndrome: Analysis of Cases Registered in the French Pharmacovigilance Database, PubMed
  • A case study of delayed serotonin syndrome: lessons learned, PubMed
  • A case report of serotonin syndrome associated with combined nefazodone and fluoxetine, PubMed
  • Serotonin syndrome with mirtazapine-fluoxetine combination, PubMed
  • Buspar Prescribing Information, AccessFDA
  • Effexor XR Prescribing Information, AccessFDA

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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