<prompt> which is a SNRI used in the management of fibromyalgiaseralinevenlafaxinedesvenlefexinemilnacipran  <response>: SNRI IMPOANCE Dual antidepressant like TCA but better than TCA has it has no dryness of mouth, hypotension, sedation MECHANISM Inhibits the reuptake of both serotonin and dopamine DRUGS VENLEFEXINE DESVENLEFEXINE DULOXETINE USE DuloxetinePAIN ASSOSIATED WITH DIABTIC NEUROPATHY and STRESS URINARY INCONTINENCE MilnacipranFibromyalgia SIDE EFFECTS DIASTOLIC HYPEENSION DELAYED ORGASM WITHDRAWL SYNDROME ON DISCONTINUATION, hence should not be abruptly stopped. To try slow tapering Ref. kaplon and sadock, synopsis of psychiatry, 11 th edition, pg no. 955 