Medicine & USMLE

Vortioxetine

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Psych Drugs (New)
  1. Mirtazapine
  2. Vortioxetine
  3. Bupropion
  4. Trazodone
  5. Vilazodone
  6. Buspirone
  7. Buprenorphine
  8. Serotonin Syndrome
  9. Neuroleptic Malignant Syndrome (NMS)
  10. Typical Antipsychotics
  11. Atypical Antipsychotics
  12. Nicotine Replacement Therapies
  13. SSRIs
  14. Varenicline
  15. Alcohol Use Disorder Treatments
  16. Naloxone
  17. Naltrexone
  18. CNS Stimulants

Summary

Vortioxetine is a medication that works through several mechanisms: It is a 5-HT1A receptor agonist, an inhibitor of 5-HT reuptake, and a 5-HT3 receptor antagonist.

Clinically, vortioxetine is used as an atypical antidepressant to treat major depressive disorder.

Common side effects of vortioxetine include anticholinergic effects, sexual dysfunction, nausea and vomiting, as well as sleep disturbances like insomnia. A rare but serious potential side effect is serotonin syndrome.

Key Points

  • Vortioxetine
    • Mechanism
      • Inhibits 5-HT reuptake
      • 5-HT1A serotonin agonist
      • 5-HT3 serotonin antagonist
    • Clinical Use
      • Treats depression (atypical antidepressant)
    • Side Effects
      • Causes Serotonin Syndrome
        • Especially when used with other serotonin-modulating drugs (i.e. SSRIs, MAOIs, TCA’s)
      • Sleep disturbance
      • Anticholinergic effects
      • Nausea
      • Sexual dysfunction