Agomelatine, sold under the brand names Valdoxan and Thymanax, among others, is an atypical antidepressant most commonly used to treat major depressive disorder and generalized anxiety disorder.[7] One review found that it is as effective as other antidepressants with similar discontinuation rates overall but fewer discontinuations due to side effects.[7][8] Another review also found it was similarly effective to many other antidepressants.[9]
Common side effects include weight gain, fatigue, liver problems, nausea, headaches, and anxiety.[10][11] Due to potential liver problems ongoing blood tests are recommended.[12] Its use is not recommended in people with dementia or over the age of 75.[10] There is tentative evidence that it may have fewer side effects than some other antidepressants.[7] It acts by blocking certain serotonin receptors and activating melatonin receptors.[12]
Agomelatine was approved for medical use in Europe in 2009 and Australia in 2010.[12] Its use is not approved in the United States and efforts to get approval were ended in 2011.[12] It was developed by the pharmaceutical company Servier.[12]
^Kim HK, Yang KI (December 2022). "Melatonin and melatonergic drugs in sleep disorders". Translational and Clinical Pharmacology. 30 (4): 163–171. doi:10.12793/tcp.2022.30.e21. PMC 9810491. PMID 36632077.
^ abcdef"Valdoxan Product Information" (PDF). TGA eBusiness Services. Servier Laboratories Pty Ltd. 2013-09-23. Archived from the original on 2017-03-24. Retrieved 2013-10-14.
^Anvisa (2023-03-31). "RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial" [Collegiate Board Resolution No. 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control] (in Brazilian Portuguese). Diário Oficial da União (published 2023-04-04). Archived from the original on 2023-08-03. Retrieved 2023-08-03.
^"Valdoxan 25 mg film-coated tablets - Summary of Product Characteristics (SmPC)". (emc). 13 July 2020. Archived from the original on 17 January 2021. Retrieved 14 January 2021.
^"Thymanax EPAR". European Medicines Agency (EMA). 17 September 2018. Archived from the original on 26 February 2021. Retrieved 14 January 2021.
^"Valdoxan EPAR". European Medicines Agency (EMA). 17 September 2018. Archived from the original on 28 February 2021. Retrieved 14 January 2021.
^ abcGuaiana G, Gupta S, Chiodo D, Davies SJ, Haederle K, Koesters M (December 2013). "Agomelatine versus other antidepressive agents for major depression". The Cochrane Database of Systematic Reviews (12): CD008851. doi:10.1002/14651858.CD008851.pub2. PMID 24343836.
^Taylor D, Sparshatt A, Varma S, Olofinjana O (March 2014). "Antidepressant efficacy of agomelatine: meta-analysis of published and unpublished studies". BMJ. 348: g1888. doi:10.1136/bmj.g1888. PMC 3959623. PMID 24647162.
^Cipriani A, Furukawa TA, Salanti G, Chaimani A, Atkinson LZ, Ogawa Y, et al. (April 2018). "Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis". Lancet. 391 (10128): 1357–1366. doi:10.1016/S0140-6736(17)32802-7. PMC 5889788. PMID 29477251.
^ abBritish national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. pp. 357–358. ISBN 9780857113382.
^"Product Information: Valdoxan, INN-agomelatine" (PDF). www.ema.europa.eu. European Medicines Agency. 13 November 2013. Archived (PDF) from the original on 29 October 2014. Retrieved 27 February 2016.
^ abcdeNorman TR, Olver JS (April 2019). "Agomelatine for depression: expanding the horizons?". Expert Opinion on Pharmacotherapy. 20 (6): 647–656. doi:10.1080/14656566.2019.1574747. PMID 30759026. S2CID 73421269.
Agomelatine, sold under the brand names Valdoxan and Thymanax, among others, is an atypical antidepressant most commonly used to treat major depressive...
mixed evidence that agomelatine, a 5-HT2C antagonist, is an effective antidepressant. Antagonism of 5-HT2C receptors by agomelatine results in an increase...
that of most other antidepressants. Atypical antidepressants include agomelatine, bupropion, iprindole, mianserin, mirtazapine, nefazodone, opipramol...
supplement in the United States[citation needed] and Canada. In 2009 agomelatine (Valdoxan, Melitor, Thymanax) was also[clarification needed] approved...
Quetiapine (Seroquel) – approved as a monotherapy for bipolar depression Agomelatine (Valdoxan) – 5-HT2C receptor antagonist and MT1 and MT2 receptor agonist...
profile of ramelteon distinguishes it from melatonin, tasimelteon, and agomelatine. Remelteon has a clinically irrelevant affinity for the serotonin 5-HT1A...
amount of sleeping time in people with both depression and insomnia. Agomelatine, a melatonergic antidepressant with claimed sleep-improving qualities...
with sexual side effects (such as bupropion, mirtazapine, tianeptine, agomelatine, tranylcypromine and moclobemide). Several studies have suggested that...
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