Vilano
✅ Forbedrer humør
✅ Reduces anxiety
✅ Enhances well-being
✅ Manages depression symptoms
✅ Increases serotonin levels
Vilano contains Vilazodone.
✓ Medicinsk gennemgået af Morgan Ellis — Apoteksforsker · 8 års erfaring · Sidst gennemgået: maj 2026
⚡ Quick Answer — What is Vilano?
Vilano indeholder vilazodone 40 mg from a WHO-GMP certified manufacturer (Lupin Pharmaceuticals) — a dual-mechanism antidepressant: SERT inhibition (SSRI) plus 5-HT1A partial agonism. FDA-approved 2011 for MDD only (no anxiety or other indications). Standard target dose: 40 mg once daily with food (must be taken with at least 500 calories — bioavailability halves on an empty stomach). Titrate from 10 mg over 2 weeks to reduce GI side effects. Sexual side-effect rate is lower than other SSRIs — the 5-HT1A partial agonism is the proposed reason. Diarrhoea is the most common bothersome side effect. Onset 2–4 weeks; full response by 8 weeks.
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What Is Vilano?
Vilano is an oral tablet of vilazodone hydrochloride 40 mg manufactured by Lupin Pharmaceuticals. Vilazodone (US brand Viibryd) was FDA-approved in 2011 as a dual-mechanism antidepressant: it combines selective serotonin reuptake inhibition (SSRI) with 5-HT1A partial agonism, similar to the partial agonism of buspirone. The 5-HT1A partial agonism is proposed to reduce the sexual side-effect burden seen with classical SSRIs.
Godkendte indikationer
- Major depressive disorder (MDD) in adults — only on-label indication
- Off-label: GAD, social anxiety (small evidence base)
Dosering
| Trin | Dosis | Varighed | Noter |
|---|---|---|---|
| Uge 1 | 10 mg once daily with food | 7 dage | Start low to limit GI side effects |
| Uge 2 | 20 mg once daily with food | 7 dage | Move up if tolerated |
| Week 3 onward | 40 mg once daily with food | Vedligeholdelse | Target dose — full effect by week 8 |
| Hepatic impairment (moderate-severe) | Maximum 20 mg/day | — | Reduced clearance |
Why Vilazodone Must Be Taken with Food
Vilazodone bioavailability is 72% with a 500-calorie meal but only 40% on an empty stomach. Taking the dose without food roughly halves the active drug exposure, blunting both efficacy and dose-response. Patients counselled to take vilazodone with a substantive meal — not a small snack — will have a far better treatment trajectory.
Bivirkninger
Side-effect profile
| Hyppighed | Effekt | Noter |
|---|---|---|
| Common (>10%) | Diarrhoea, nausea | Most common reason for discontinuation; usually subsides over 1–2 weeks |
| Almindelige | Hovedpine | Transient |
| Almindelige | Tør mund | Mild |
| Almindelige | Søvnløshed | Take in the morning if activating; or with breakfast |
| Less common (vs other SSRIs) | Sexual dysfunction | 5-HT1A partial agonism reduces but does not eliminate sexual side effects |
| Less common | Weight changes | Modest |
| Less common | Bleeding risk | Caution with NSAIDs / anticoagulants |
| Meget sjælden | Hyponatraemia (SIADH) | Older adults at risk |
| Meget sjælden | Serotonin syndrome | See interactions |
| Meget sjælden | Activation of mania in undiagnosed bipolar | Screen before starting |
Lægemiddelinteraktioner
Absolute contraindications: MAOIs (14-day washout), linezolid, methylene blue.
CYP3A4 substrate: maximum 20 mg/day with strong CYP3A4 inhibitors (ketoconazole, ritonavir, clarithromycin); avoid combination with strong CYP3A4 inducers (rifampin, phenytoin, carbamazepine) — loss of efficacy.
Serotonergic interactions: triptans, tramadol, dextromethorphan, St John’s wort, lithium — serotonin syndrome risk.
Bleeding risk: NSAIDs, aspirin, warfarin, DOACs.
Ofte stillede spørgsmål
How long does Vilano take to work?
Onset 2–4 weeks; full effect by 8 weeks at the 40 mg target dose. Patients on incomplete titration (still at 10–20 mg) may see less benefit.
Why is taking Vilano with food so important?
Vilazodone bioavailability roughly halves on an empty stomach (40% vs 72% with a 500-calorie meal). Taking it without food dramatically reduces both efficacy and dose-response — a common reason for treatment failure.
Will Vilano cause sexual side effects?
Less than other SSRIs — the 5-HT1A partial agonism reduces but does not eliminate sexual dysfunction. Patients sensitive to SSRI-induced sexual side effects often try vilazodone for this reason.
Why is diarrhoea such a common Vilano side effect?
The 5-HT1A partial agonism activates GI serotonin pathways. Slow up-titration over 2 weeks, dosing with food, and dietary fibre adjustments help — if persistent and bothersome, switch is reasonable.
Can I drink alcohol on Vilano?
Light occasional alcohol is generally tolerated. Heavy use worsens depression and increases bleeding risk.
Is Vilano safe in pregnancy?
Limited safety data — sertraline is preferred when antidepressant treatment is needed in pregnancy.
Does Vilano cause weight gain?
Modest changes — less than paroxetine or mirtazapine. Some patients see no change at all.
Can I stop Vilano abruptly?
Better to taper. Vilazodone has a moderate half-life (~25 h) and the discontinuation syndrome is milder than paroxetine or venlafaxine but still real.
How is Vilano different from sertraline or escitalopram?
All are SSRIs at the molecular level. Vilazodone adds 5-HT1A partial agonism (similar to buspirone), proposed to reduce sexual side-effects. Trade-off: more diarrhoea, food-dependent absorption, and only one approved indication (MDD).
How should Vilano be stored?
Store at 15–30 °C in the original blister packaging, away from moisture and sunlight. Keep out of reach of children.
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| Styrke | 40 mg |
|---|---|
| Antal | 10 Tablet/s, 30 Tablet/s, 60 Tablet/s, 90 Tablet/s, 180 Tablet/s |
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