- Approval Id
- 78485c83edc7cad6
- Drug Name
- VORTIOSON FILM-COATED TABLET 5MG
- Product Name
- VORTIOSON FILM-COATED TABLET 5MG
- Approval Number
- SIN16557P
- Approval Date
- 2022-07-20
- Registrant
- ZUELLIG PHARMA PTE. LTD.
- Licence Holder
- ZUELLIG PHARMA PTE. LTD.
- Drug Type
- Therapeutic
- Forensic Classification
- PRESCRIPTION ONLY MEDICINES
- Dosage Form
- TABLET, FILM COATED
- Dosage
- <p><strong>4.2 Posology and method of administration</strong></p>
<p><u>Posology</u></p>
<p>The starting and recommended dose of Vortioson is 10 mg vortioxetine once daily in adults less than 65 years of age.</p>
<p>Depending on individual patient response, the dose may be increased to a maximum of 20 mg vortioxetine once daily or decreased to a minimum of 5 mg vortioxetine once daily.</p>
<p>After the depressive symptoms resolve, treatment for at least 6 months is recommended for consolidation of the antidepressive response.</p>
<p><u>Treatment discontinuation</u></p>
<p>A gradual reduction in dosage may be considered to avoid the occurrence of discontinuation symptoms (see section 4.8 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>). However, there is insufficient data to provide specific recommendations for a tapering schedule for patients treated with Vortioson.</p>
<p><u>Special populations</u></p>
<p><em>Elderly patients</em><br>
The lowest effective dose of 5 mg vortioxetine once daily should always be used as the starting dose in patients ≥ 65 years of age. Caution is advised when treating patients ≥ 65 years of age with doses higher than 10 mg vortioxetine once daily for which data are limited (see section 4.4 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><em>Cytochrome P450 inhibitors</em><br>
Depending on individual patient response, a lower dose of vortioxetine may be considered if a strong CYP2D6 inhibitor (e.g. bupropion, quinidine, fluoxetine, paroxetine) is added to vortioxetine treatment (see section 4.5 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><em>Cytochrome P450 inducers</em><br>
Depending on individual patient response, a dose adjustment of vortioxetine may be considered if a broad cytochrome P450 inducer (e.g., rifampicin, carbamazepine, phenytoin) is added to vortioxetine treatment (see section 4.5 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><em>Paediatric population</em></p>
<p>Vortioson should not be used in paediatric patients (under 18 years of age) with major depressive disorder (MDD) because efficacy has not been demonstrated (see section 5.1 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>). The safety of Vortioson in paediatric patients is described in section 4.4, 4.8 and 5.1 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>.</p>
<p><em>Renal or hepatic impairment</em><br>
No dose adjustment is needed based on renal or hepatic function (see section 4.4 and 5.2 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><u>Method of administration</u></p>
<p>Vortioson is for oral use.<br>
The film-coated tablets can be taken with or without food.</p>
- Route Of Administration
- ORAL
- Indication Info
- <p><strong>4.1 Therapeutic indications</strong></p>
<p>Vortioson is indicated for the treatment of major depressive episodes in adults.</p>
- Contraindications
- <p><strong>4.3 Contraindications</strong></p>
<p>Hypersensitivity to the active substance or to any of the excipients listed in section 6.1 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>.<br>
Concomitant use with nonselective monoamine oxidase inhibitors (MAOIs) or selective MAO-A inhibitors (see section 4.5 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
- Atc Code
- N06AX26
- Atc Item Name
- vortioxetine
- Pharma Manufacturer Name
- LUNDBECK SINGAPORE PTE. LTD.