Methylnaltrexone oral/injection and Vortioxetine Hydrobromide

• Generic Name: methylnaltrexone
• Dosage Forms: n.a.
• Other Brand Names: Relistor

Methylnaltrexone blocks the effects of opioid medication. An opioid is sometimes called a narcotic.

Methylnaltrexone reduces constipation caused by using narcotic medicine for 4 weeks or longer. Methylnaltrexone works by preventing constipation without reducing the pain-relieving effects of the narcotic.

Methylnaltrexone is given to adults who use narcotic medicine to treat severe chronic pain that is not caused by cancer. Methylnaltrexone injection is also for use in adults who have advanced illness and are receiving palliative care (treatment to relieve suffering and improve quality of life during a serious illness).

Methylnaltrexone is usually given after laxatives have been tried without successful treatment of constipation.

Methylnaltrexone may also be used for purposes not listed in this medication guide.

• Generic Name: vortioxetine
• Dosage Forms: n.a.
• Other Brand Names: Trintellix, Brintellix

Treatment of major depressive disorder in adults.

APA states that effectiveness of antidepressants is generally comparable between and within classes of medications, including SSRIs, SNRIs, tricyclic antidepressants (TCAs), MAO inhibitors, and other antidepressants (e.g., bupropion, mirtazapine, trazodone). Choose antidepressant based mainly on the following factors: patient preference; nature of prior response to medication; safety, tolerability, and anticipated adverse effects; concurrent psychiatric and medical conditions; specific properties of the medication (e.g., half-life, actions on CYP isoenzymes, other drug interactions); and cost. For most patients, an SSRI, SNRI, mirtazapine, or bupropion is considered optimal.