Antidepressants · Pharmacology

Vortioxetine is classified as a 'serotonin modulator and stimulator' because it inhibits SERT and also acts as a:

  1. Reversible inhibitor of monoamine oxidase A
  2. Selective antagonist at dopamine D2 and D3 receptors
  3. 5-HT1A receptor agonist and 5-HT3 antagonist
  4. Antagonist at alpha-2 adrenergic receptors
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Correct answer: 5-HT1A receptor agonist and 5-HT3 antagonist

Vortioxetine has a multimodal mechanism. In addition to SERT inhibition, it acts on several serotonin receptor subtypes (agonist at 5-HT1A, partial agonist at 5-HT1B, and antagonist at 5-HT3, 5-HT1D, and 5-HT7), which may improve cognitive symptoms of depression.

Difficulty: Medium Question 12 of 20

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