Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Vortioxetine
Drug ID BADD_D02371
Description Vortioxetine is an atypical antipsychotic and antidepressant indicated for the treatment of major depressive disorder (MDD). It is classified as a serotonin modulator and simulator (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.
Indications and Usage Vortioxetine is indicated for the treatment of major depressive disorder (MDD).
Marketing Status Prescription; Discontinued
ATC Code N06AX26
DrugBank ID DB09068
KEGG ID D10184
MeSH ID D000078784
PubChem ID 9966051
TTD Drug ID D03WEX
NDC Product Code 47234-4105; 70518-2642; 47234-4110; 64764-750; 64764-720; 64764-730; 55154-0257; 55154-0256; 47234-4120
Synonyms Vortioxetine | 1-(2-(2,4-Dimethylphenylsulfanyl)phenyl)piperazine | Lu AA21004 | LuAA21004 | Lu-AA21004 | Brintellix | Vortioxetine Hydrobromide
Chemical Information
Molecular Formula C18H22N2S
CAS Registry Number 508233-74-7
SMILES CC1=CC(=C(C=C1)SC2=CC=CC=C2N3CCNCC3)C
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Dyspepsia07.01.02.001--
Dysphagia07.01.06.003--
Dyspnoea22.02.01.004; 02.01.03.002--
Ear disorder04.03.01.001--Not Available
Electrocardiogram QT prolonged13.14.05.0040.006283%
Emotional disorder19.04.02.0050.001396%Not Available
Epilepsy17.12.03.002--Not Available
Eye pain06.08.03.0020.004188%
Eye swelling06.08.03.0030.001396%Not Available
Eyelid oedema23.04.01.003; 10.01.05.001; 06.04.04.0040.001396%Not Available
Fatigue08.01.01.002--
Feeling abnormal08.01.09.0140.013263%Not Available
Feeling jittery08.01.09.0160.002094%Not Available
Flatulence07.01.04.0020.005584%
Flushing24.03.01.002; 23.06.05.003; 08.01.03.025--
Gastrooesophageal reflux disease07.02.02.003--
Gastrointestinal disorder07.11.01.0010.003490%Not Available
Gastrointestinal haemorrhage24.07.02.009; 07.12.02.001--Not Available
Glaucoma06.03.01.0020.001396%
Haemarthrosis24.07.01.046; 15.01.01.004; 12.04.03.0010.001396%Not Available
Haematochezia24.07.02.012; 07.12.02.0030.002094%Not Available
Haemorrhagic disorder01.01.03.004; 24.07.01.021--Not Available
Hallucination19.10.02.002--
Hallucination, auditory19.10.02.0030.002094%Not Available
Hallucinations, mixed19.10.02.0070.001396%Not Available
Head discomfort17.02.05.0270.002094%Not Available
Headache17.14.01.0010.031413%
Heart rate increased13.14.04.0020.006283%Not Available
Hepatitis09.01.07.0040.002094%Not Available
Hunger14.03.02.012; 08.01.09.0030.002094%Not Available
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