Last update May 14, 2024

Vortioxetine Hydrobromide

Compatible

Safe substance and/or breastfeeding is the best option.

Antidepressant effects similar to other selective serotonin-reuptake inhibitors. Oral administration once daily.

Its pharmacokinetic data (high percentage of plasma protein binding and high volume of distribution) explain the negligible passage into milk observed. (Kiribayashi 2024, Marshall 2021, Monfort 2021)

No problems have been observed in infants whose mothers have taken it. (Kiribayashi​​​​​​​ 2024, Marshall 2021, Monfort 2021)

It can cause hyperprolactinemia and galactorrhea. (Verma 2017)


See below the information of this related product:

  • Maternal Depression (Fairly safe. Mild or unlikely adverse effects. Compatible under certain circumstances. Follow-up recommended. Read Commentary.)

Alternatives

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

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Other names

Vortioxetine Hydrobromide in other languages or writings:

Groups

Vortioxetine Hydrobromide belongs to these groups or families:

Tradenames

Main tradenames from several countries containing Vortioxetine Hydrobromide in its composition:

Pharmacokinetics

Variable Value Unit
Oral Bioavail. 75 %
Molecular weight 379 daltons
Protein Binding 98 - 99 %
VD 36 l/Kg
Tmax 7 - 11 hours
T½ 66 hours
M/P ratio 0.81 -
Theoretical Dose 0.002 - 0.008 mg/Kg/d
Relative Dose 0.32 - 1.7 %

References

  1. Kiribayashi M, Suda T, Takahashi M, Ishikawa M, Watanabe R, Ishioka K, Nakamura S, Kushiyama A. Vortioxetine Exposure During Pregnancy and Lactation: A Japanese Case Study of Neonatal Implications and Quantitative Milk and Plasma Analyses. Breastfeed Med. 2024 May 10. Consulted on May 14, 2024 Abstract
  2. Verma A, Kumar A. Risks Associated with Vortioxetine in the Established Therapeutic Indication. Curr Neuropharmacol. 2021;19(5):711-717. Abstract Full text (link to original source)
  3. Marshall K, Datta P, Rewers-Felkins K, Krutsch K, Baker T, Hale TW. Transfer of the Serotonin Modulator Vortioxetine into Human Milk: A Case Series. Breastfeed Med. 2021 Apr 16. Abstract
  4. Monfort A, Jutras M, Martin B, Boucoiran I, Ferreira E, Leclair G. Simultaneous quantification of 19 analytes in breast milk by liquid chromatography-tandem mass spectrometry (LC-MS/MS). J Pharm Biomed Anal. 2021 Sep 10;204:114236. Abstract
  5. EMA. Vortioxetina. Ficha técnica. 2016 Full text (in our servers)
  6. EMA. Vortioxetine. Drug Summary. 2016 Full text (in our servers)
  7. Areberg J, Petersen KB, Chen G, Naik H. Population pharmacokinetic meta-analysis of vortioxetine in healthy individuals. Basic Clin Pharmacol Toxicol. 2014 Abstract Full text (link to original source)

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