Table 1.
Approved Indication(s): | Major Depressive Disorder in Adults |
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Main pharmacological effect(s): | Inhibition of serotonin reuptake and partial agonist effects at serotonin 5HT1A receptors |
Formulation(s): | Solid oral tablets [10 mg, 20 mg, 40 mg] |
Starting dose: | 10 mg daily, with food |
Dose-titration: | Increase to 20 mg daily after 7 days; further adjust dose to 40 mg daily as necessary |
Effective dose range: | 20–40 mg daily |
Maximum dose: | 40 mg daily |
Key pharmacokinetic parameters: | Absorption is affected by food. Extensive hepatic metabolism, mainly by CYP3A4 Elimination half-life = 25 hours |
Potential pharmacogenetic factors: | Unknown; dose adjustments may be necessary for known pharmacogenetic poor metabolizers or ultra-rapid metabolizers at CYP3A4 |
Interactions and dosing effects: | Maximum dose is 20 mg daily when given with strong CYP3A4 inhibitors; dose may need to be increased when given with strong CYP3A4 inducers |