Vortioxetine (By mouth)
When This Medicine Should Not Be Used
How to Use This Medicine
- Take your medicine as directed. Your dose 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.
- Missed dose: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.
- Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- Do not take vortioxetine if you have taken a MAO inhibitor, methylene blue, or linezolid in the past 2 weeks. Do not start taking an MAO inhibitor within 21 days of stopping vortioxetine.
- Some foods and medicines can affect how vortioxetine works. Tell your doctor if you are using St John's wort, carbamazepine, fentanyl, lithium, phenytoin, quinidine, rifampin, tramadol, a diuretic (water pill), medicine for migraine headaches, a tryptophan supplement, other medicine for depression (such as buspirone, bupropion, fluoxetine, paroxetine) , an NSAID pain or arthritis medicine (such as aspirin, diclofenac, ibuprofen, naproxen, celecoxib), or a blood thinner (such as warfarin).
- Do not drink alcohol while you are using this medicine.
Warnings While Using This Medicine
- Tell your doctor if you are pregnant or breastfeeding, or if you have liver disease.
- For some children, teenagers, and young adults, this medicine may increase mental or emotional problems. This may lead to thoughts of suicide and violence. Talk with your doctor right away if you have any thoughts or behavior changes that concern you. Tell your doctor if you or anyone in your family has a history of bipolar disorder or suicide attempts.
- This medicine may cause the following problems:
- Serotonin syndrome
- Higher risk of bleeding
- Low sodium levels in the blood
- This medicine may make you dizzy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
- Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.
- Keep all medicine out of the reach of children. Never share your medicine with anyone.
Possible Side Effects While Using This Medicine
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Anxiety, restlessness, fast heartbeat, fever, sweating, muscle spasms, nausea, vomiting, diarrhea, seeing or hearing things that are not there
- Confusion, weakness, and muscle stiffness or twitching
- Feeling more excited or energetic than usual
- Trouble sleeping, unusual dreams
- Unusual behavior, thoughts of hurting yourself or others
- Unusual bleeding or bruising
If you notice these less serious side effects, talk with your doctor:
- Nausea, vomiting
- Sexual problems
If you notice other side effects that you think are caused by this medicine, tell your doctor
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088
- Last reviewed on 8/4/2014
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