Summary
Commonly reported side effects of vortioxetine include: diarrhea, male sexual disorder, and nausea. Other side effects include: constipation, dizziness, and vomiting. Continue reading for a comprehensive list of adverse effects.
Applies to vortioxetine: oral tablet.
Warning
Oral route (Tablet)
Warning: Suicidal Thoughts and BehaviorsIncreased risk of suicidal thinking and behavior in pediatric and young adult patients taking antidepressants.Closely monitor for clinical worsening and emergence of suicidal thoughts and behaviors.Vortioxetine hydrobromide is not approved for use in pediatric patients.
Serious side effects of Vortioxetine
Along with its needed effects, vortioxetine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking vortioxetine:
More common
- Decreased interest in sexual intercourse
- delayed or inability to have an orgasm
- inability to have or keep an erection
- loss in sexual ability, desire, drive, or performance
Incidence not known
- Agitation
- blood in the stool or urine
- chest tightness
- confusion
- cough
- decreased urine output
- diarrhea
- difficulty swallowing
- dizziness
- fast or irregular heartbeat
- fever
- headache
- hives, itching
- hostility
- increased sweating
- increased thirst
- irritability
- large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
- muscle pain or cramps
- nausea or vomiting
- nose bleeds
- overactive reflexes
- poor coordination
- puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
- red or purple spots on the skin
- restlessness
- seizures
- shivering
- sweating
- swelling of the breasts or unusual milk production
- swelling of the face, ankles, or hands
- talking or acting with excitement you cannot control
- trembling or shaking
- trouble breathing
- twitching
- unusual bleeding or bruising
- unusual tiredness or weakness
- vomiting blood
Other side effects of Vortioxetine
Some side effects of vortioxetine may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common
- Difficulty having a bowel movement (stool)
- dry mouth
Less common
- Abnormal ejaculation
- bloated or full feeling
- excess air or gas in the stomach or intestines
- itching skin
- passing gas
- unusual dreams
Incidence not known
- Acid or sour stomach
- belching
- blurred vision
- change in taste
- dizziness or lightheadedness
- eye pain
- feeling of constant movement of self or surroundings
- feeling of warmth
- heartburn
- indigestion
- loss of taste
- redness of the face, neck, arms, and occasionally, upper chest
- sensation of spinning
- stomach discomfort, upset, or pain
For Healthcare Professionals
Applies to vortioxetine: oral tablet.
General
The most commonly reported side effects included nausea, sexual dysfunction, headache, diarrhea, and dry mouth.[Ref]
Gastrointestinal
Nausea usually occurred during the first week of treatment, with up to 20% of patients reporting nausea within 1 to 2 days of starting treatment. Nausea occurred more frequently in female patients, and in patients 65 years and older.[Ref]
Very common (10% or more): Nausea (up to 42%), constipation (up to 15%)
Common (1% to 10%): Abdominal discomfort, diarrhea, dry mouth, dyspepsia, flatulence, gastroenteritis, upper abdominal pain, vomiting
Uncommon (0.1% to 1%): Abdominal distention, epigastric discomfort, gastritis, salivary hypersecretion
Frequency not reported: Gastrointestinal bleeding
Postmarketing reports: Acute pancreatitis[Ref]
Genitourinary
Very common (10% or more): Sexual dysfunction (up to 34%)
Uncommon (0.1% to 1%): Micturition urgency, nocturia
Frequency not reported: Sexual desire, performance, and satisfaction, vaginal bleeding[Ref]
Nervous system
Very common (10% or more): Headache (up to 14.7%)
Common (1% to 10%): Dizziness, sedation, somnolence
Uncommon (0.1% to 1%): Dysgeusia, formication, lethargy, myoclonus, tremor, vertigo
Frequency not reported: Serotonin syndrome
Postmarketing reports: Seizure
Psychiatric
Common (1% to 10%): Abnormal dreams, insomnia
Uncommon (0.1% to 1%): Bruxism, derealization, initial insomnia, middle insomnia, restlessness, sleep disorder, tension
Frequency not reported: Anger/sudden outbursts of anger, dyssomnia, mood swings, poor quality sleep, terminal insomnia, withdrawal symptoms
Postmarketing reports: Aggression, agitation, hostility, irritation[Ref]
Other
Common (1% to 10%): Accidental overdose, asthenia, fatigue
Uncommon (0.1% to 1%): Malaise[Ref]
Dermatologic
Common (1% to 10%): Generalized pruritus/pruritus, hyperhidrosis
Uncommon (0.1% to 1%): Flushing, night sweats, rash
Frequency not reported: Contusion, ecchymosis
Postmarketing reports: Generalized rash, urticaria[Ref]
Musculoskeletal
Common (1% to 10%): Arthralgia, back pain
Frequency not reported: Bone fractures, muscle tension[Ref]
Metabolic
Common (1% to 10%): Decreased appetite
Uncommon (0.1% to 1%): Increased low density lipoprotein/blood cholesterol/blood triglycerides, weight gain
Frequency not reported: Hyponatremia[Ref]
Respiratory
Common (1% to 10%): Nasopharyngitis
Frequency not reported: Epistaxis[Ref]
Immunologic
Common (1% to 10%): Influenza[Ref]
Cardiovascular
Uncommon (0.1% to 1%): Chest discomfort, hypotension, increased heart rate, prolonged electrocardiogram QT
Frequency not reported: Hemorrhage[Ref]
Ocular
Uncommon (0.1% to 1%): Dry eye
Rare (0.01% to 0.1%): Mydriasis[Ref]
Hypersensitivity
Frequency not reported: Anaphylactic reaction, angioedema
Postmarketing reports: Anaphylaxis, hypersensitivity reactions
Endocrine
Postmarketing reports: Hyperprolactinemia