Multimodal SERT Blocker + 5-HT3/5-HT7 Antagonist + 5-HT1A Agonist • Rx

Vortioxetine Hydrobromide

Brand Reference: Trintellix

Medically Reviewed by Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
86.20%
Patient “Worth It”
21 verified logs
$125.00
Lowest Monthly Cash

Vortioxetine Hydrobromide Clinical & Real-World Cost Fact Matrix

Metric Verified Benchmark Source
Vortioxetine Hydrobromide RxNorm Concept ID 1455099 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $15.4000 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $518.00 / mo CMS NADAC + U.S. Retail Markup Index
Mark Cuban Cost Plus Wholesale Price $99.00 / mo (Direct TeleMed) Direct Telehealth Formulary
Community Mean Out-of-Pocket Paid $125.00 / mo 21 Zero-PHI Verified Patient Logs
INSTANT PRESCRIPTION & CASH ROUTING

Verified Online Prescribers & Wholesale Pharmacies for Vortioxetine Hydrobromide

DotMD Club Members get $29 flat-rate script renewals →
Hims & Hers Direct Cash Pharmacy (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~2 days • Rx included in monthly tier
$ 49.00
All-In Monthly
Start Online Visit →
Sesame Direct Cash-Pay Prescriber Network (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~1 days
$ 29.00
Consult / Starting Tier
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Virtual Psychiatric Medication Management (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~1 days
$ 39.00
Consult / Starting Tier
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Vortioxetine Hydrobromide Clinical Pharmacology & DailyMed Monograph

RxCUI 1455099 • NDC 64764-0730-30

Combines SERT inhibition with full 5-HT1A agonism, 5-HT1B partial agonism, and potent 5-HT3/5-HT7/5-HT1D antagonism—disinhibiting hippocampal glutamate, acetylcholine, and histamine neurotransmission to improve processing speed (DSST cognitive tests) with low sexual dysfunction.

Out-of-pocket price dispersion on Vortioxetine Hydrobromide spans $125.00 to $518.00 per 30-day fill: pharmacy acquisition benchmarks sit near $15.4000/unit, allowing cash buyers bypassing PBM spread pricing to retain $393.00 each month (76% reduction).

With 66 hours (smooth natural self-taper) residence kinetics and 75% oral (food-independent) bioavailability, Vortioxetine Hydrobromide undergoes cyp2d6 (double check poor metabolizer max 10 mg) plus cyp3a4/2c9 and establishes therapeutic activity over 2–4 weeks cognitive clarity & mood response.

Standard adult regimens span 5 mg PO daily, 10 mg PO once daily, 20 mg PO once daily. Prescribers screen specifically against maoi within 14–21 days, while community micro-logs most frequently note dose-related transient nausea (take at bedtime) (29% of reports), pruritus (7% of reports).

Half-Life
66 hours (smooth natural self-taper)
Bioavailability
75% oral (food-independent)
Metabolism & Clearance
CYP2D6 (double check poor metabolizer max 10 mg) plus CYP3A4/2C9
Clinical Onset
2–4 weeks cognitive clarity & mood response

Standard Adult Titration & Dosages

5 mg PO daily 10 mg PO once daily 20 mg PO once daily

Absolute & Relative Contraindications

  • MAOI within 14–21 days

Logged Side-Effect Incidence (21 Reports)

Dose-related transient nausea (take at bedtime) 29%
Pruritus 7%

Vortioxetine Hydrobromide Patient Dosage Logs & Out-of-Pocket Cost Ledger

Across 21 verified cash-pay logs, Vortioxetine Hydrobromide achieves a 86.20% Worth-It rating with out-of-pocket spend averaging $125.00/mo versus $518.00/mo walk-in retail.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

Effectiveness: 5/5 • Worth It Dosage: 5 mg PO daily • Paid: $110.00/mo via TeleMed
Dose-related transient nausea (take at bedtime)

Switched to TeleMed at 5 mg PO daily for Vortioxetine Hydrobromide; monthly out-of-pocket dropped to $110.00 compared with $518.00 retail.

Effectiveness: 5/5 • Worth It Dosage: 10 mg PO once daily • Paid: $127.50/mo via Compounding

Completed 10 weeks on Vortioxetine Hydrobromide (10 mg PO once daily). Zero notable side effects on steady dosing.

Effectiveness: 4/5 • Worth It Dosage: 20 mg PO once daily • Paid: $145.00/mo via Cash Clinic
Dose-related transient nausea (take at bedtime)

Consistent biomarker response on 20 mg PO once daily Vortioxetine Hydrobromide sourced via Cash Clinic ($145.00/mo cash pay without insurance prior authorization).