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Vortioxetine: A review of the pharmacology and clinical profile of the novel antidepressant
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The aim of this paper was to review the up-to-date evidence base on pharmacology and clinical properties of vortioxetine. Vortioxetine is a novel antidepressant, approved by the US Food and Drug Administration (FDA) for the treatment of major depressive disorder (MDD). Because vortioxetine exhibits both an antidepressant and anxiolytic effect, it may be effective in treating both depressive and anxiety disorders, such as generalized anxiety disorder (GAD). Based on its pharmacodynamics profile and preclinical studies, it is believe that the drug's clinical action is mediated mainly by selective blockade of serotonin reuptake (by inhibiting the serotonin transporter [SERT]) and direct modulation of 5-HT receptors activity (such as 5-HT 3 , 5-HT 7 , 5-HT 1D and 5-HT 1B ). In patients with MDD the recommended doses range is 5-20mg/day. Vortioxetine was shown to be more effective than placebo both in MDD and GAD. In terms of side effects, nausea, vomiting, diarrhea, and dry mouth were most commonly observed in individuals receiving vortioxetine. In direct comparison to duloxetine, vortioxetine is found to have a smaller efficacy but had a lower risk of developing the common antidepressant-induced adverse effects.
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Vortioxetine's clinical action is mediated mainly by selective blockade of serotonin reuptake and direct modulation of serotonergic receptor activity, including 5-HT3, 5-HT7, 5-HT1D, and 5-HT1B.
“Effects on sleep has recently been also reported for a vortioxetine, with clinical action mediated mainly by selective blockade of serotonin reuptake and direct modulation of serotonergic receptors activity (such as 5-HT3, 5-HT7, 5-HT1D, and 5-HT1B) [27].”
From Effects of Antidepressants on Sleep (2017) · cites this paper as [27]
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Cited by
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Effects of Antidepressants on Sleep
Wichniak, A., Wierzbicka, A., Walęcka, M., & Jernajczyk, W. (2017) · Current Psychiatry Reports · doi:10.1007/s11920-017-0816-4 · Cited by 557
Vortioxetine for cognitive enhancement in major depression: From animal models to clinical research
Bennabi, D., Haffen, E., & Van Waes, V. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00771 · Cited by 75
“, partial agonism at 5-HT1B receptors, agonism at 5-HT1A, and antagonist properties at 5-HT1D, 5-HT3, and 5-HT7 receptors) (10).”
Background
Metadata
- Authors
- Sowa-Kućma, M., Pańczyszyn-Trzewik, P., Misztak, P., Jaeschke, R. R., Sendek, K., Styczeń, K., Datka, W., & Koperny, M.
- Affiliations
- Maj Institute of Pharmacology (PL)
- Jagiellonian University (PL)
- Corresponding author
- Sowa-Kućma, Magdalena
- ORCID
- Venue
- Pharmacological Reports
- Published
- 2017-08
- Volume
- 69
- Issue
- 4
- Pages
- 595-601
- ISSN
- 1734-1140 (ISSN-L)
- OpenAlex
- W2585390649
- Cited by
- 86
- References
- 9
- Citations by year
- 2026: 12 · 2025: 13 · 2024: 7 · 2023: 6 · 2022: 7 · 2021: 12 · 2020: 12 · 2019: 10 · 2018: 4 · 2017: 3
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- green
- ruj.uj.edu.pl
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Pharmacological Reports (publishedVersion)
- PubMed (publishedVersion)
- Homo Politicus (Academy of Humanities and Economics in Lodz) (submittedVersion, cc-by-nc-nd)
- Jagiellonian University Repository (Jagiellonian University) (submittedVersion, other-oa)
- BOA (University of Milano-Bicocca) (submittedVersion)
- Funders
- Uniwersytet Jagielloński Collegium Medicum
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- vortioxetine, antidepressants, major depressive disorder, generalized anxiety disorder, serotonin reuptake inhibition, serotonin transporter, pharmacodynamics, pharmacokinetics, adverse effects
- MeSH terms
- Vortioxetine, Animals, Antidepressive Agents, Depressive Disorder, Humans, Piperazines, Sulfides
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