Trintellix
Vortioxetine
Treats major depressive disorder
Miscellaneous antidepressant, atypical antidepressant, selective serotonin reuptake inhibitor (SSRI), serotonin modulator
Tablet
By mouth
Trintellix is a medication approved for adults to manage major depressive disorder (MDD), a specific type of depression characterized by persistent depressive symptoms. As an antidepressant, Trintellix may help improve mood, appetite, and energy levels in those who experience major depressive episodes. Trintellix is classified as an atypical or miscellaneous antidepressant, although it may sometimes be referred to as a selective serotonin reuptake inhibitor (SSRI) or serotonin modulator.
Tablet
5 mg
10 mg
20 mg
Typically, doctors and healthcare providers recommend starting with 10 mg once daily by mouth with or without food.
Depending on how well the medication is tolerated, the dosage may be increased to 20 mg once daily or decreased to 5 mg once daily.
For people who have a specific genetic variation that causes their body to break down drugs slowly (CYP2D6 poor metabolizers), the recommended dosage is no more than 10 mg per day.
Trintellix
2430 tablets bottle
Trintellix
2520 tablets bottle
Trintellix
10mg tablet
Trintellix
20mg tablet
Trintellix
5mg tablet
Take your medicine as directed. Your dosage may need to be changed several times to find what works best for you.
Take this medicine at the same time each day.
This medicine should come with a medication guide. Ask your pharmacist for a copy if you do not have one.
Do not exceed the dosage prescribed by your healthcare provider.
Consult your doctor or healthcare provider before stopping this medication. The dosage may need to be gradually reduced to prevent withdrawal symptoms.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.
This medicine is not right for everyone. Do not use it if you have had an allergic reaction to vortioxetine.
Trintellix should not be used within 14 days of stopping a monoamine oxidase inhibitor (MAOI). In addition, MAOIs should not be used with Trintellix or within 21 days of stopping Trintellix. MAOIs include linezolid and methylene blue.
Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dosage before you stop it completely.
Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.
Tell your doctor if you are pregnant or breastfeeding
Tell your doctor if you have any medical conditions, including bleeding problems, bipolar disorder, glaucoma, or low levels of salt or sodium in your blood.
Trintellix carries a boxed warning for children, teenagers, and young adults, as it may lead to an increased risk of suicidal thoughts or behavior. Trintellix is not recommended for children under 18.
Taking Trintellix may raise the risk of developing serotonin syndrome, a potentially life-threatening condition characterized by rapid heart rate, high blood pressure, and increased body temperature.
Trintellix may increase the risk of bleeding events, particularly when taken with other medications known to affect blood clotting, such as NSAIDs, aspirin, or blood thinners.
In patients with bipolar disorder, Trintellix may trigger episodes of mania or hypomania.
Trintellix, like other antidepressants, may cause sexual side effects, which may include decreased libido, delayed ejaculation, or difficulty achieving orgasm.
This medicine may make you dizzy. Do not drive or do anything that could be dangerous until you know how this medicine affects you.
Taking an MAOI with Trintellix can increase the risk of serotonin syndrome. Do not take Trintellix within 14 days of stopping an MAOI. Do not take an MAOI within 21 days of stopping Trintellix.
Combining Trintellix with other serotonergic drugs or supplements, such as SSRIs, tricyclic antidepressants, and St. John’s wort, may increase the risk of serotonin syndrome. Other serotonergic drugs include opioids, amphetamines, tryptophan, lithium, buspirone, and certain migraine medications called triptans.
Taking Trintellix with anticoagulants or blood thinners, such as warfarin, may increase the risk of bleeding. In addition, it’s recommended to use caution with nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin and ibuprofen because of their blood-thinning effects.
Some medicines can affect how Trintellix is processed in the body. Tell your doctor if you are using the following: Carbamazepine, phenytoin, quinidine, rifampin, bupropion, fluoxetine, or paroxetine.
Trintellix can cause various side effects, though not everyone may experience them. The severity and nature of side effects can range from common and less serious to rare but serious conditions.
Less serious side effects
Nausea
Vomiting
Constipation
Dry mouth
Gas
Dizziness
Abnormal dreams
Serious side effects
Suicidal thoughts or behaviors
Signs of serotonin syndrome, such as agitation, hallucinations, fever, or fast heart rate
Serious allergic reactions, such as rash, hives, swelling, or difficulty breathing
Increased risk of bleeding
Manic episodes with symptoms such as racing thoughts, trouble sleeping, and unusual behavior
Withdrawal symptoms after stopping the medication, such as anxiety, irritability, sweating, confusion, and headache
Low sodium levels in the blood, with symptoms like headache, confusion, and weakness
Sexual dysfunction, with symptoms like decreased sex drive, delayed ejaculation, or inability to orgasm
Highlights of prescribing information, U.S. Food and Drug Administration (2023)
Withdrawal symptoms following discontinuation of vortioxetine—Retrospective chart review, Pharmaceuticals (2021)
Vortioxetine: Clinical pharmacokinetics and drug interactions, Clinical Pharmacokinetics (2018)
Gerardo Sison, Pharm.D., graduated from the University of Florida. He has worked in both community and hospital settings, providing drug information and medication therapy management services. As a medical writer, he hopes to educate and empower patients to better manage their health and navigate their treatment plans.
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