Vilazodone
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Molecule Summary
| Uses | Major Depressive Disorder (MDD) in adults |
| Therapy | Anti-Depressant |
| Side Effects | Dry Mouth, Nausea, Vomiting, Diarrhoea, Tiredness, Weakness, Strange Dreams, Headache, Difficulty Urinating, Blurred Vision, Burning Sensations or Tingling in the Hands or Feet, Excessive Perspiration, Changes in Sex Desire, Delayed Ejaculation, Changes in Appetite or Weight, Disorientation, Unsteadiness |
Medicines
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Molecule Description
Vilazodone is a prescription medicine used to treat Major Depressive Disorder (MDD) or clinical depression in adults. Vilazodone belongs to a class of medicines called selective serotonin reuptake inhibitors (SSRI). The mode of action of Vilazodone is by maintaining the levels of a neurotransmitter called serotonin. Vilazodone limits the reuptake of serotonin by the nerve cells, increasing serotonin activity. Serotonin regulates mood and promotes positive thinking as well aiding in sleep and digestion.
Uses
- As per CDSCO, Vilazodone is used to treat clinical depression/major depressive disorder in adults.
Contraindications
When should one not use Vilazodone
- If you have an allergic reaction to Vilazodone
- If you have uncontrolled angle-closure glaucoma (an eye condition causing high fluid pressure inside the eye)
- If you have severe liver disease/liver failure
- If you are on treatment (or have taken in the last 14 days) with monoamine oxidase inhibitors (MAOIs) like linezolid or intravenous methylene blue; this can result in serotonin syndrome
Side effects
Common side effects of this drug are:
- Dry mouth
- Nausea
- Vomiting
- Diarrhoea
- Tiredness
- Strange dreams
- Headache
- Difficulty urinating
- Blurred vision
- Burning sensations or tingling in the hands or feet
- Excessive perspiration
- Changes in sexual desire
- Delayed ejaculation
- Changes in appetite or weight
- Disorientation
- Change in gait or unsteadiness while walking
Precautions and Warnings
Pregnancy
Breast Feeding
Driving
Alcohol
Other General Warnings
Talk to your doctor if
- You have liver-related issues.
- You have kidney-related issues.
- You develop an irregular heartbeat after starting treatment with Vilazodone.
- You recently had a heart attack or stroke.
- You develop chest pain after starting treatment with Vilazodone.
- You develop low blood sodium levels.
- You have lung failure or have been diagnosed with respiratory or lung disease.
- You have planned surgery or a dental procedure.
- You need to take medication that might interact with Vilazodone.
- You are an older adult over 65. The effects of this medicine are exaggerated in this age group.
- You develop abnormal limb movements after starting Vilazodone.
- You experience changes in sexual desires after taking Vilazodone.
- You are on treatment with a blood thinner or have an episode of blood vomiting.
- You use other anti-anxiety medicines or sedatives, as they can interfere with Vilazodone and cause adverse reactions.
Mode of Action
How Does It Work?
Vilazodone belongs to a class of medicines called selective serotonin reuptake inhibitors (SSRI). It exerts its action by maintaining the levels of a neurotransmitter called serotonin. Vilazodone limits the reuptake of serotonin by the nerve cells, increasing serotonin activity. Serotonin is a neurotransmitter (chemical messenger) that regulates mood and promotes positive thinking. Other functions such as sleeping, eating, and digestion also benefit from this medicine.
Interactions
Interactions with other medicines
- Concomitant use of monoamine oxidase inhibitors (MAOIs) like selegiline and linezolid increases the risk of Serotonin Syndrome, which can be life-threatening.
- Blood thinners/antiplatelet agents (aspirin) and anticoagulants (warfarin) increase the risk of bleeding.
- Strong CYP3A4 enzyme inhibitors like antifungal medicines (itraconazole and voriconazole) and antibiotics (clarithromycin) increase the blood levels of Vilazodone leading to an increased risk of side effects.
- Strong CYP3A4 enzyme inducers like anti-epileptic medication (carbamazepine and phenytoin) and anti-tuberculosis medication (rifampin) decrease the blood levels of Vilazodone leading to low efficacy of the medicine.
- Medication used to treat heart failure (digoxin) increases digoxin blood levels leading to fatal arrhythmias (changes in heart rhythm).
- Medicines that cause drowsiness like allergy medication (cetirizine), cold and cough medicine (codeine), opiates (tramadol), or narcotic pain relievers (fentanyl) with Vilazodone can increase the side effects of Vilazodone and cause extreme drowsiness.
Interactions with food items
- Avoid grapefruit and its juice and other citrus fruits while on treatment with Vilazodone, as it can increase the potency of Vilazodone and worsen its side effects.
Dosage
Overdose
Vilazodone overdose may cause weakness, headache, difficulty urinating, blurred vision, burning sensations or tingling in the hands or feet, excessive perspiration, disorientation, unsteadiness or shakiness, sudden muscle movements, agitation, convulsion, confusion, hypotension, increased heart rate, diminished reflexes, and loss of consciousness. In case of a suspected overdose, immediately rush the affected person to the nearest hospital for emergency management.
Missed a Dose
If you have missed a Vilazodone dose, try to take the missed dose immediately. But if it is already time to take the next dose, skip the missed dose and take the next one. Do not take both doses together or within a few hours as it can cause an overdose.
Frequently Asked Questions (FAQs)
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References:
- Vilazodone hydrochloride tablets, for oral use. Initial U.S. Approval: 2011. accessdata.fda.gov. [cited 8 Jun 2026]
- MedlinePlus. Vilazodone. National Library of Medicine [Internet]. [cited 8 Jun 2026]
- Vilazodone [Internet]. Drugs and Lactation Database (LactMed) [Internet]. U.S. National Library of Medicine. 2021. ncbi.nlm.nih.gov [cited 8 Jun 2026]
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