Vortioxetine is an antidepressant medication indicated for the treatment of major depressive disorder (MDD). It is classified as a serotonin modulator and stimulator (SMS) as it has a multimodal mechanism of action towards the serotonin neurotransmitter system whereby it simultaneously modulates one or more serotonin receptors and inhibits the reuptake of serotonin. More specifically, vortioxetine acts via the following biological mechanisms: as a serotonin reuptake inhibitor (SRI) through inhibition of the serotonin transporter, as a partial agonist of the 5-HT1B receptor, an agonist of 5-HT1A, and an antagonist of the 5-HT3, 5-HT1D, and 5-HT7 receptors. SMSs were developed because there are many different subtypes of serotonin receptors, however, not all of these receptors appear to be involved in the antidepressant effects of SRIs. Some serotonin receptors seem to play a relatively neutral or insignificant role in the regulation of mood, but others, such as 5-HT1A autoreceptors and 5-HT7 receptors, appear to play an oppositional role in the efficacy of SRIs in treating depression.
用于治疗重度抑郁症成人患者。
IRCCS San Raffaele, Roma, Italy
IRCCS San Raffaele Roma, Rome, Italy
Centre de Recherche-Hopital Geriatrique de Charpennes, Villeurbanne, France
Marienthali Kliinik, Tallinn, Estonia
Azienda Ospedaliera di Perugia - Policlinico Monteluce, Perugia, Umbria, Italy
Vinaya Hospital & Research Centre (IN1007), Mangalore, Karnataka, India
BJ Medical College and Civil Hospital (IN028), Ahmedabad, Gujarat, India
Mangala Hospital & Mangala Kidney Foundation (IN1006), Mangalore, Karnataka, India
University Malaya Medical Centre, Kuala Lumpur, Malaysia
Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
Hospital Raja Permaisuri Bainun, Ipoh, Ipoh, Perak, Malaysia
Niepubliczny Zaklad Opieki Psychiatrycznej Mentis (PL0004), Leszno, Poland
Centrum Medyczne Luxmed Sp.Z O.O. (PL0006), Lublin, Poland
Clinical Research Center Spolka z ograniczona odpowiedzialnoscia Medic-R Sp.k. (PL0007), Poznan, Poland
St Joseph Healthcare, Hamilton, Ontario, Canada
Quotient Sciences Ltd, Nottingham, United Kingdom
Cabinet Psyche (FR0012), Douai, France
JSC Romuvos Klinika (LT0002), Kaunas, Lithuania
University of Oviedo (ES0011), Oviedo, Spain
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