TRINTELLIX (vortioxetine) Tablets Medication Guide

2024年10月25日发(作者：)

MEDICATION GUIDE

TRINTELLIX (trin’-TELL-ix)

(vortioxetine) Tablets

What is the most important information I should know about TRINTELLIX?

TRINTELLIX and other antidepressant medicines may cause serious side effects.

1. Antidepressant medicines may increase suicidal thoughts or actions in some children, teenagers, or

young adults within the first few months of treatment.

2. Depression or other serious mental illnesses are the most important causes of suicidal thoughts or

actions. Some people may have a particularly high risk of having suicidal thoughts or actions. These

include people who have (or have a family history of) bipolar illness (also called manic-depressive illness) or

suicidal thoughts or actions.

3. How can I watch for and try to prevent suicidal thoughts and actions?

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Pay close attention to any changes, especially sudden changes in mood, behavior, thoughts, or feelings.

This is very important when an antidepressant medicine is started or when the dose is changed.

Call your healthcare provider right away to report new or sudden changes in mood, behavior, thoughts, or

feelings.

Keep all follow-up visits with your healthcare provider as scheduled. Call your healthcare provider between

visits as needed, especially if you have concerns about symptoms.

Call your healthcare provider right away if you have any of the following symptoms, especially if they are

new, worse, or worry you:

• acting on dangerous

• acting aggressive, being

• attempts to commit suicide

impulses angry or violent

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thoughts about suicide or

dying

feeling agitated, restless,

angry or irritable

other unusual changes in

behavior or mood

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new or worse depression

trouble sleeping

panic attacks

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new or worse anxiety

an extreme increase in

activity or talking (mania)

new or worse irritability

What is TRINTELLIX?

TRINTELLIX is a prescription medicine used to treat a certain type of depression called Major Depressive Disorder

(MDD).

It is important to talk with your healthcare provider about the risks of treating depression and also the risk of not

treating it. You should discuss all treatment choices with your healthcare provider.

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Talk to your healthcare provider if you do not think that your condition is getting better with TRINTELLIX

treatment.

Do not take TRINTELLIX if you:

• are allergic to vortioxetine, or any of the ingredients in TRINTELLIX. See the end of this Medication Guide

for a complete list of ingredients in TRINTELLIX.

• take a Monoamine Oxidase Inhibitor (MAOI). Ask your healthcare provider or pharmacist if you are not sure

if you take an MAOI, including the antibiotic linezolid.

• Do not take an MAOI within 21 days of stopping TRINTELLIX.

• Do not start TRINTELLIX if you stopped taking an MAOI in the last 14 days.

Before taking TRINTELLIX, tell your healthcare provider about all of your medical conditions, including if

you:

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have liver problems

have or had seizures or convulsions

have mania or bipolar disorder (manic depression)

have low salt (sodium) levels in your blood

have or had bleeding problems

drink alcohol

have any other medical conditions

are pregnant or plan to become pregnant. It is not known if TRINTELLIX will harm your unborn baby.

Taking TRINTELLIX while pregnant in your third trimester may cause your newborn baby to have

withdrawal symptoms that causes a certain type of breathing problem called Persistent Pulmonary

Hypertension of the Newborn (PPHN).

• are breastfeeding or plan to breastfeed. It is not known if TRINTELLIX passes into breast milk. Talk to your

healthcare provider about the best way to feed your baby if you take TRINTELLIX.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter

medicines, vitamins, and herbal supplements. TRINTELLIX and some medicines may interact with each other, may

not work as well, or may cause serious side effects when taken together.

Especially tell your healthcare provider if you take:

• medicines used to treat migraine headache (e.g., triptans)

• medicines used to treat mood, anxiety, psychotic or thought disorders, including tricyclics, lithium, selective

serotonin reuptake inhibitors (SSRIs), serotonin norepinephrine reuptake inhibitors (SNRIs), buspirone, or

antipsychotics

• MAOIs (including linezolid, an antibiotic)

• Tramadol or fentanyl

• over-the-counter supplements such as tryptophan or St. John’s Wort

• nonsteroidal anti-inflammatory drugs (NSAIDs)

• aspirin

• warfarin (Coumadin, Jantoven)

• diuretics

• rifampin

• carbamazepine

• phenytoin

• quinidine

Ask your healthcare provider if you are not sure if you are taking any of these medicines.

Before you take TRINTELLIX with any of these medicines, talk to your healthcare provider about serotonin

syndrome. See “What are the possible side effects of TRINTELLIX?”.

How should I take TRINTELLIX?

• Take TRINTELLIX exactly as your healthcare provider tells you to take it.

• Take TRINTELLIX at about the same time each day.

• Your healthcare provider may need to change the dose of TRINTELLIX until it is the right dose for you.

• Do not start or stop taking TRINTELLIX without talking to your healthcare provider first. Suddenly stopping

TRINTELLIX when you take higher doses may cause you to have side effects

o Headache

o Stiff muscles

o mood swings

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o sudden outburst of anger

o dizziness or feeling lightheaded

o runny nose

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TRINTELLIX may be taken with or without food.

If you take too much TRINTELLIX, call the Poison Control Center at 1-800-222-1222 or go to the nearest

hospital emergency room right away.

What are the possible side effects of TRINTELLIX?

TRINTELLIX may cause serious side effects, including:

• See “What is the most important information I should know about TRINTELLIX?”.

• serotonin syndrome. A potentially life-threatening problem called serotonin syndrome can happen when

medicines such as TRINTELLIX are taken with certain other medicines. Symptoms of serotonin syndrome

may include:

o agitation, hallucinations, coma or other changes in mental status

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o problems controlling your movements or muscle twitching

o fast heartbeat

o high or low blood pressure

o sweating or fever

o nausea or vomiting

o diarrhea

o muscle stiffness or tightness

abnormal bleeding or bruising. TRINTELLIX may increase your risk of bleeding or bruising, especially if

you take the blood thinner warfarin (Coumadin®, Jantoven®), a nonsteroidal anti-inflammatory drug

(NSAID), or aspirin.

hypomania (manic episodes). Symptoms of manic episodes include:

o greatly increased

energy

o severe problems

sleeping

o racing thoughts

o talking more or faster

than usual

o unusually grand

ideas

o excessive happiness

or irritability

o reckless behavior

• visual problems

o eye pain

o changes in vision

o swelling or redness in or around the eye

Only some people are at risk for these problems. You may want to undergo an eye examination to see if

you are at risk and receive preventative treatment if you are.

• low levels of salt (sodium) in your blood. Symptoms of this may include: headache, difficulty

concentrating, memory changes, confusion, weakness and unsteadiness on your feet. Symptoms of severe

or sudden cases of low salt levels in your blood may include: hallucinations (seeing or hearing things that

are not real), fainting, seizures and coma. If not treated, severe low sodium levels can cause death.

Common side effects in people who take TRINTELLIX include:

• nausea

• constipation

• vomiting

These are not all the possible side effects of TRINTELLIX. Call your doctor for medical advice about side

effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store TRINTELLIX?

Store TRINTELLIX at room temperature between 59°F to 86°F (15°C to 30°C).

Keep TRINTELLIX and all medicines out of the reach of children.

General information about the safe and effective use of TRINTELLIX.

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use

TRINTELLIX for a condition for which it was not prescribed. Do not give TRINTELLIX to other people, even if they

have the same symptoms that you have. It may harm them.

You can ask your pharmacist or healthcare provider for information about TRINTELLIX that is written for healthcare

professionals.

What are the ingredients in TRINTELLIX?

Active ingredient: vortioxetine hydrobromide

Inactive ingredients: mannitol, microcrystalline cellulose, hydroxypropyl cellulose, sodium starch glycolate,

magnesium stearate and film coating consisting of hypromellose, titanium dioxide, polyethylene glycol 400, iron

oxide red (5 mg and 20 mg) and iron oxide yellow (10 mg)

Distributed and Marketed by:

Takeda Pharmaceuticals America, Inc. Deerfield, IL 60015

Marketed by:

Lundbeck, Deerfield, IL 60015

TRINTELLIX is a trademark of H. Lundbeck A/S registered with the U.S. Patent and Trademark Office and used under license by Takeda Pharmaceuticals America,

Inc.

All other trademarks are the property of their respective owners.

©2013-2017 Takeda Pharmaceuticals America, Inc.

For more information, go to or call 1-877-TAKEDA-7 (1-877-825-3327).

This Medication Guide has been approved by the U.S. Food and Drug Administration LUN205 R18 Revised: April 2017