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。
Azienda Ospedaliera Universitaria Mater Domini, Università Magna Grecia, Catanzaro, Italy
Sapienza Università di Roma, Dipartimento di Neurologia e Psichiatria, Roma, Italy
Azienda Ospedaliera Universitaria Verona, Verona, Italy
MHAT "Dr. Hristo Stambolski", EOOD (BG1001), Kazanlak, Bulgaria
State Psychiatric Hospital "Sv. Ivan Rilski" (BG1009), Novi Iskar, Bulgaria
Mental Health Centre 'Prof. Dr. Ivan Temkov', EOOD (BG1004), Burgas, Bulgaria
Inha University Hospital, Incheon, Korea, Republic of
Seoul National University Hospital, Seoul, Korea, Republic of
Loyola University Medical Center, Maywood, Illinois, United States
Pharmacology Research Institute (US0045), Newport Beach, California, United States
Maxblue Institute (US0038), Hialeah, Florida, United States
Northwest Behavioral Research Center (US0007), Marietta, Georgia, United States
Queen Mary Hospital, Hong Kong, Hong Kong
Nishi Kumamoto Hospital, Kumamoto, Japan
Washington University School of Medicine, Saint Louis, Missouri, United States
State Institution "Zaporizhzhia Medical Academy of Postgraduate Education Ministry of Health of Ukraine", Zaporizhzhia, Ukraine
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