Savella: Understanding Its Uses, Side Effects, and Safety

Author: Yu Chiu

Savella (milnacipran) is a medication primarily used to treat fibromyalgia, a condition characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. Savella is classified as a serotonin-norepinephrine reuptake inhibitor (SNRI), which works by affecting the levels of certain neurotransmitters in the brain that play a role in pain and mood regulation. By altering the balance of these neurotransmitters, Savella helps alleviate pain and improve function in individuals suffering from fibromyalgia.

How Savella Works:

Savella works by increasing the levels of serotonin and norepinephrine, which are chemicals in the brain that are involved in controlling pain, mood, and other bodily functions. These neurotransmitters are important in reducing the intensity of pain signals in the nervous system. By inhibiting their reuptake, Savella helps balance the neurotransmitters, leading to a reduction in fibromyalgia-related pain and improvements in mood and sleep patterns.

Common Uses of Savella:

  • Treatment of fibromyalgia, a chronic condition causing widespread musculoskeletal pain.
  • Management of depression, although Savella is not primarily prescribed for this purpose.
  • Improvement in mood and physical function in people with fibromyalgia.

Possible Side Effects:

  • Nausea and Vomiting: These are common side effects, especially during the first few weeks of treatment. Taking the medication with food may help alleviate these symptoms.
  • Headaches: Mild to moderate headaches are commonly reported by patients using Savella.
  • Increased Blood Pressure: Savella may increase blood pressure, so patients with high blood pressure or heart conditions should be monitored regularly.
  • Fatigue: Some individuals may experience drowsiness or fatigue, which can affect daily activities.
  • Dry Mouth: Dry mouth is another side effect that can occur, leading to discomfort and difficulty swallowing.

Serious Side Effects:

  • Serotonin Syndrome: A rare but potentially life-threatening condition caused by an excess of serotonin in the brain. Symptoms include confusion, agitation, fever, sweating, and rapid heart rate. If any of these symptoms occur, immediate medical attention is required.
  • Liver Damage: Savella may cause liver problems, which are rare but serious. Symptoms include yellowing of the skin or eyes, dark urine, or severe abdominal pain.

Precautions:

Before taking Savella, patients should inform their healthcare provider if they have a history of high blood pressure, liver problems, or cardiovascular disease. Additionally, Savella is not recommended for individuals who are pregnant or breastfeeding unless the benefits outweigh the risks. As with any medication that affects neurotransmitter levels, it is important to taper the dose under medical supervision to avoid withdrawal symptoms.

Conclusion:

Savella offers an effective treatment option for managing fibromyalgia and improving the quality of life for individuals affected by this condition. It works by regulating neurotransmitters to help reduce pain and improve mood. However, it is important for patients to be aware of the potential side effects, including nausea, headaches, and increased blood pressure, and to use the medication under the guidance of a healthcare provider. For more information on Savella, consult your doctor to ensure it is the right choice for managing your condition.