{"id":61261,"date":"2024-02-28T07:32:49","date_gmt":"2024-02-28T07:32:49","guid":{"rendered":"https:\/\/medsname.com\/vilano\/"},"modified":"2026-05-01T10:49:16","modified_gmt":"2026-05-01T10:49:16","slug":"vilano","status":"publish","type":"product","link":"https:\/\/medsbase.com\/nl\/vilano\/","title":{"rendered":"Vilano"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Vilano?<\/h3>\n<div style=\"margin:0;\">\n<p style=\"margin:0;\"><strong>Vilano<\/strong> bevat <strong>vilazodone 40 mg<\/strong> van een WHO-GMP gecertificeerde fabrikant (Lupin Pharmaceuticals) \u2014 een <strong>dual-mechanism antidepressant<\/strong>: SERT inhibition (SSRI) <em>plus<\/em> 5-HT<sub>1A<\/sub> partial agonism. FDA-approved 2011 for <strong>MDD only<\/strong> (no anxiety or other indications). Standard target dose: <strong>40 mg once daily with food<\/strong> (must be taken with at least 500 calories &mdash; bioavailability halves on an empty stomach). Titrate from 10 mg over 2 weeks to reduce GI side effects. <strong>Sexual side-effect rate is lower than other SSRIs<\/strong> &mdash; the 5-HT<sub>1A<\/sub> partial agonism is the proposed reason. Diarrhoea is the most common bothersome side effect. Onset 2&ndash;4 weeks; full response by 8 weeks.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Wat u krijgt bij MedsBase:<\/strong> WHO-GMP gecertificeerde fabrikant \u00b7 Discrete verpakking \u00b7 Wereldwijde verzending \u00b7 1.400+ geverifieerde <a href=\"https:\/\/medsbase.com\/nl\/reviews\/\">klantbeoordelingen<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Elke bestelling is gedekt door onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.<\/p>\n<h3>Waarom bestellen bij MedsBase<\/h3>\n<p>Onze generieke medicijnen zijn afkomstig van WHO-GMP gecertificeerde fabrikanten en worden wereldwijd verzonden in discrete, eenvoudige verpakkingen \u2014 geen medicijnnaam op de buitenkant van het pakket. Betalingen met kaart worden verwerkt via een gereguleerde processor (betalingsoverzichten vermelden een gereguleerde kaartbetalingprocessor \u2014 nooit \u201cMedsBase\u201d of een medicijnnaam). Crypto en SEPA bankoverschrijvingen worden ook geaccepteerd. Elke bestelling wordt ondersteund door ons Reshipment Assurance Policy.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 22px 0;border-radius:4px;font-size:14px;\"><strong>Belangrijk \u2014 dit is geen medicijn voor situationele angst.<\/strong> Vilano is a <strong>SSRI plus 5-HT1A partial agonist<\/strong>, geneesmiddel dat wekenlang wordt voorgeschreven en getitreerd voor <strong>ernstige depressieve stoornis (MDD)<\/strong>. Het is <strong>niet<\/strong> niet het juiste medicijn voor acute, prestatiegerelateerde angst (vliegen, spreken in het openbaar, examens) \u2014 voor die gevallen zijn b\u00e8tablokkers (propranolol), benzodiazepinen of hydroxyzine klinisch geschikter. Als u geen gediagnosticeerde stemmings-, angst- of psychiatrische stoornis heeft, begin dan niet met dit medicijn.<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 22px 0;border-radius:4px;font-size:14px;\"><strong>FDA black-box waarschuwing \u2014 su\u00efcidaliteit.<\/strong> Alle antidepressiva dragen een FDA black-box waarschuwing voor een verhoogd risico op su\u00efcidale gedachten en gedrag bij kinderen, adolescenten en jongvolwassenen onder de 25 jaar, met name tijdens de eerste weken van de behandeling of na doseringsaanpassingen. Familieleden en voorschrijvers moeten in deze leeftijdsgroep goed letten op verslechterende stemming, agitatie of su\u00efcidale ideatie.<\/div>\n<h2 class=\"wp-block-heading\">What Is Vilano?<\/h2>\n<p>Vilano is an oral tablet of <strong>vilazodone hydrochloride 40 mg<\/strong> manufactured by Lupin Pharmaceuticals. Vilazodone (US brand <strong>Viibryd<\/strong>) was FDA-approved in 2011 as a dual-mechanism antidepressant: it combines selective serotonin reuptake inhibition (SSRI) with <strong>5-HT<sub>1A<\/sub> partial agonism<\/strong>, similar to the partial agonism of buspirone. The 5-HT<sub>1A<\/sub> partial agonism is proposed to reduce the sexual side-effect burden seen with classical SSRIs.<\/p>\n<h2 class=\"wp-block-heading\">Goedgekeurde indicaties<\/h2>\n<ul>\n<li><strong>Major depressive disorder (MDD) in adults<\/strong> &mdash; only on-label indication<\/li>\n<li>Off-label: GAD, social anxiety (small evidence base)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Dosering<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:0 0 22px 0;font-size:14px;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Stap<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Dosering<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Duur<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Opmerkingen<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Week 1<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">10 mg once daily with food<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">7 dagen<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Start low to limit GI side effects<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Week 2<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">20 mg once daily with food<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">7 dagen<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Move up if tolerated<\/td>\n<\/tr>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Week 3 onward<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">40 mg once daily with food<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Onderhoudsdosis<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Target dose &mdash; full effect by week 8<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Hepatic impairment (moderate-severe)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Maximum 20 mg\/day<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">\u2014<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Reduced clearance<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Why Vilazodone Must Be Taken with Food<\/h2>\n<p>Vilazodone bioavailability is <strong>72% with a 500-calorie meal but only 40% on an empty stomach<\/strong>. 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 &mdash; not a small snack &mdash; will have a far better treatment trajectory.<\/p>\n<h2 class=\"wp-block-heading\">Bijwerkingen<\/h2>\n<h2 class=\"wp-block-heading\">Side-effect profile<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:0 0 22px 0;font-size:14px;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Frequentie<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Effect<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Opmerkingen<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Vaak (&gt;10%)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Diarree, misselijkheid<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Most common reason for discontinuation; usually subsides over 1&ndash;2 weeks<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Vaak voorkomend<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Hoofdpijn<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Transient<\/td>\n<\/tr>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Vaak voorkomend<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Droge mond<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Mild<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Vaak voorkomend<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Slapeloosheid<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Take in the morning if activating; or with breakfast<\/td>\n<\/tr>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Less common (vs other SSRIs)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Seksuele disfunctie<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">5-HT<sub>1A<\/sub> partial agonism reduces but does not eliminate sexual side effects<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Minder vaak voorkomend<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Gewichtsveranderingen<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Modest<\/td>\n<\/tr>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Minder vaak voorkomend<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Bleeding risk<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Caution with NSAIDs \/ anticoagulants<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Zeldzaam<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Hyponatri\u00ebmie (SIADH)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Older adults at risk<\/td>\n<\/tr>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Zeldzaam<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Serotoninesyndroom<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">See interactions<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Zeldzaam<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Activation of mania in undiagnosed bipolar<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Screen before starting<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Geneesmiddelinteracties<\/h2>\n<p><strong>Absolute contra-indicaties<\/strong>: MAOIs (14-day washout), linezolid, methylene blue.<\/p>\n<p><strong>CYP3A4-substraat<\/strong>: maximum 20 mg\/day with strong CYP3A4 inhibitors (ketoconazole, ritonavir, clarithromycin); avoid combination with strong CYP3A4 inducers (rifampin, phenytoin, carbamazepine) &mdash; loss of efficacy.<\/p>\n<p><strong>Serotonergic interactions<\/strong>: triptans, tramadol, dextromethorphan, St John&#8217;s wort, lithium &mdash; serotonin syndrome risk.<\/p>\n<p><strong>Bleeding risk<\/strong>: NSAIDs, aspirin, warfarin, DOACs.<\/p>\n<h2 id=\"faqs\">Veelgestelde vragen<\/h2>\n<h3 class=\"wp-block-heading\">How long does Vilano take to work?<\/h3>\n<p>Onset 2&ndash;4 weeks; full effect by 8 weeks at the 40 mg target dose. Patients on incomplete titration (still at 10&ndash;20 mg) may see less benefit.<\/p>\n<h3 class=\"wp-block-heading\">Why is taking Vilano with food so important?<\/h3>\n<p>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 &mdash; a common reason for treatment failure.<\/p>\n<h3 class=\"wp-block-heading\">Will Vilano cause sexual side effects?<\/h3>\n<p>Less than other SSRIs &mdash; the 5-HT<sub>1A<\/sub> partial agonism reduces but does not eliminate sexual dysfunction. Patients sensitive to SSRI-induced sexual side effects often try vilazodone for this reason.<\/p>\n<h3 class=\"wp-block-heading\">Why is diarrhoea such a common Vilano side effect?<\/h3>\n<p>The 5-HT<sub>1A<\/sub> partial agonism activates GI serotonin pathways. Slow up-titration over 2 weeks, dosing with food, and dietary fibre adjustments help &mdash; if persistent and bothersome, switch is reasonable.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol on Vilano?<\/h3>\n<p>Light occasional alcohol is generally tolerated. Heavy use worsens depression and increases bleeding risk.<\/p>\n<h3 class=\"wp-block-heading\">Is Vilano safe in pregnancy?<\/h3>\n<p>Limited safety data &mdash; sertraline is preferred when antidepressant treatment is needed in pregnancy.<\/p>\n<h3 class=\"wp-block-heading\">Does Vilano cause weight gain?<\/h3>\n<p>Modest changes &mdash; less than paroxetine or mirtazapine. Some patients see no change at all.<\/p>\n<h3 class=\"wp-block-heading\">Can I stop Vilano abruptly?<\/h3>\n<p>Better to taper. Vilazodone has a moderate half-life (~25 h) and the discontinuation syndrome is milder than paroxetine or venlafaxine but still real.<\/p>\n<h3 class=\"wp-block-heading\">How is Vilano different from sertraline or escitalopram?<\/h3>\n<p>All are SSRIs at the molecular level. Vilazodone adds 5-HT<sub>1A<\/sub> partial agonism (similar to buspirone), proposed to reduce sexual side-effects. Trade-off: more diarrhoea, food-dependent absorption, and only one approved indication (MDD).<\/p>\n<h3 class=\"wp-block-heading\">How should Vilano be stored?<\/h3>\n<p>Store at 15&ndash;30 &deg;C in the original blister packaging, away from moisture and sunlight. Keep out of reach of children.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0 0 0;border-radius:4px;font-size:13.5px;line-height:1.55;\"><strong>Medische disclaimer:<\/strong> De informatie op deze pagina is bedoeld voor volwassenen die voorgeschreven psychiatrische medicatie gebruiken en is geen vervanging voor individuele medische zorg. Antidepressiva, antipsychotica en aanverwante medicijnen kunnen interacteren met andere medicijnen, alcohol en bestaande aandoeningen. Bespreek elk nieuw medicijn, doseringswijziging of geplande stopzetting met een gekwalificeerde voorschrijver. Als u su\u00efcidale gedachten, manie, ernstige akathisie, tekenen van serotoninesyndroom (hoge koorts, verwardheid, spierstijfheid, snelle hartslag) of neuroleptisch maligne syndroom ervaart, zoek dan onmiddellijk spoedeisende hulp.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Gerelateerde alternatieven<\/h3>\n<p>Andere producten in <strong>Chronische aandoeningen<\/strong> die klanten ook bekijken:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/trinicalm-plus\/\">Trinicalm Plus<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/rioci-1\/\">Rioci 1<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/olmeheal\/\">Olmeheal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/opiprol\/\">Opiprol<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/glynase\/\">Glynase<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Verbeterd de stemming<br \/>\n\u2705 Vermindert angst<br \/>\n\u2705 Verbetert het welzijn<br \/>\n\u2705 Manages depression symptoms<br \/>\n\u2705 Increases serotonin levels<\/p>\n<p>Vilano contains Vilazodone.<\/p>","protected":false},"featured_media":61262,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,4647],"product_tag":[5004,5005],"class_list":{"0":"post-61261","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-situational-anxiety-treatment","9":"product_tag-vilano","10":"product_tag-vilazodone","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product\/61261","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/comments?post=61261"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media\/61262"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media?parent=61261"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_brand?post=61261"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat?post=61261"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_tag?post=61261"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}