Vilazodone HCl (EMD 68843; SB659746A)

别名: EMD68843; SB659746A; SB659746-A;EMD-68843; EMD68843; SB659746 A; Vilazodone HCl; Vilazodone (Hydrochloride); EMD 68 843; UNII-U8HTX2GK8J; Vilazodone hydrochloride; Viibryd 盐酸维拉唑酮
目录号: V0972 纯度: ≥98%
Vilazodone HCl (SB659746A; SB659746-A;EMD-68843; EMD68843; Viibryd) 是维拉佐酮的盐酸盐,是一种选择性血清素再摄取抑制剂 (SSRI) 和 5-HT1A 受体的部分激动剂,具有抗抑郁作用。
Vilazodone HCl (EMD 68843; SB659746A) CAS号: 163521-08-2
产品类别: 5-HT Receptor
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
5mg
10mg
25mg
50mg
100mg
250mg
500mg
1g
Other Sizes

Other Forms of Vilazodone HCl (EMD 68843; SB659746A):

  • Vilazodone-d8 hydrochloride
  • 维拉佐酮D8
  • 维拉佐酮
  • 维拉佐酮羧基酸
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InvivoChem产品被CNS等顶刊论文引用
纯度/质量控制文件

纯度: =99.41%

产品描述
Vilazodone HCl (SB659746A; SB659746-A; EMD-68843; EMD68843; Viibryd) 是 Vilazodone 的盐酸盐,是一种选择性血清素再摄取抑制剂 (SSRI) 和 5-HT1A 受体的部分激动剂,具有抗抑郁作用。截至2011年,维拉佐酮被FDA批准用于治疗重度抑郁症。 Vilazodone 对人类 5-HT1A 受体的 IC50 为 0.2 nM,对 SERT 的 IC50 为 0.5 nM。 Vilazodone 对人类重组体以及大鼠、豚鼠、小鼠和狨猴天然组织 5-HT1A 受体表现出高亲和力 (pKi ≥ 9.3)。
生物活性&实验参考方法
靶点
sPLA2; 5-HT1A Receptor
体外研究 (In Vitro)
体外活性:Vilazodone 对人 5-HT1A 受体的 IC50 为 0.2 nM,对 SERT 的 IC50 为 0.5 nM。 Vilazodone 对人类重组体以及大鼠、豚鼠、小鼠和狨猴天然组织 5-HT1A 受体表现出高亲和力 (pKi ≥ 9.3)。细胞测定:施用 5-HT1A 受体激动剂会产生一种特征性行为综合征,包括姿势变化、后肢缩小、头部摆动、震颤、前爪踩踏和拉尾。在大鼠超声发声测试中,给药后 120 和 210 分钟,维拉佐酮(55 mg/kg po)抑制应激诱导的发声。维拉佐酮(20-40 mg/kg ip),急性或预防性给药(行为测试前 1 周),减弱的压力会诱发增强的惊吓,但对高架十字迷宫中的压力增强的焦虑反应没有影响。有趣的是,10 mg/kg 的较低剂量的维拉佐酮在惊吓反应中具有相反的作用,表明存在某种无法解释的双向效应,并且所有剂量都会产生惊吓引起的应激反应的增强,可能提示类似焦虑的反应。 1]。维拉佐酮也是治疗重度抑郁症的另一种选择。
体内研究 (In Vivo)
Vilazodone 选择性增强大鼠前额皮质的血清素输出。通过对大鼠焦虑超声发声模型的行为评估,维拉佐酮证明了抗焦虑功效。维拉佐酮也显示出疗效,但仅在强迫游泳测试(假定的抑郁模型)中使用单剂量。 Vilazodone (1-10 mg/kg po) 剂量依赖性地取代体内 [3H]DASB(N,N-二甲基-2-(2-氨基-4-氰基苯硫基)苯甲胺)与大鼠皮质和海马的结合,表明vilazodone占据体内5-HT转运蛋白。维拉佐酮(10 mg/kg,口服)被证明可导致自由活动大鼠的细胞外 5-HT 增加 2 倍,但额叶皮层去甲肾上腺素或多巴胺水平没有变化。维拉佐酮在剂量高于 5 mg/kg 时会影响大鼠的惊吓应激增强。维拉佐酮 10 mg/kg 会增加大鼠惊吓应激的升高。维拉佐酮(20 和 40 毫克/千克)可阻断大鼠惊吓的应激增强。所有剂量的维拉佐酮都会增加大鼠惊恐应激的升高。 Vilazodone 对豚鼠中缝背核中 100 nM 的 5-HT 流出没有影响,但在 1 mM 时显着降低 5-HT 流出。维拉佐酮显着增加豚鼠中缝背核中 5-HT 的再摄取半衰期。
酶活实验
维拉唑酮的受体结合谱由Heinrich等人报道。维拉唑酮对人5‐HT1A受体的IC50为0.2 nM,对SERT的IC50为0.5 nM。在这些研究中,其最接近的交叉亲和性是多巴胺D3受体(IC50为71 nM),其次是5‐HT4受体(IC50为252 nM)。我们使用5‐HT1A受体激动剂[3H]8‐OH‐DPAT进行的内部放射性配体结合研究表明,维拉唑酮对人重组体和大鼠、豚鼠、小鼠和狨猴的天然组织5‐HT1A受体具有高亲和力(pKi≥9.3)(未发表的数据见表1)。相比之下,维拉唑酮取代了拮抗剂放射性配体[3H]WAY100635。(在Gpp(NH)p存在的情况下)与pKi值比使用[3H]8‐OH‐DPAT获得的值低2个log单位(表2)。这些数据表明,维拉唑酮优先结合人类5‐HT1A受体的高激动剂亲和力状态,表明该分子具有部分激动剂活性。据报道,用[3H]8‐OH‐DPAT和[3H]WAY100635测定的化合物对5‐HT1A受体的亲和力差异与其内在激动剂活性成正比。因此,考虑到对[3H]8‐OH‐DPAT cf. [3H]WAY100635测定的亲和力差异与内源性激动剂5‐HT观察到的相似,这些数据表明维拉唑酮将作为5‐HT1A受体的高效部分激动剂。这一假设在表达h5‐HT1A受体的Sf9细胞中得到了[35S] gtp - γ - s结合研究的支持,其中单一浓度的维拉唑酮(100nM)使基础结合增加了约70%的5‐HT1A受体激动剂8‐OH‐PIPAT产生的基础结合。然而,由于本研究仅使用单一浓度,因此无法准确测定h5‐HT1A受体的内在活性或功能效力。此后,对表达h5‐HT1A受体的HEK细胞进行了更广泛的研究(未发表的数据)。在这些研究中,维拉唑酮作为完全激动剂,与5‐HT相比,pEC50为9.0。[1]
细胞实验
施用 5-HT1A 受体激动剂会导致一种独特的行为综合征,包括头晃动、震颤、前爪踩踏、姿势异常、后肢缩小和拖尾。给药后 120 和 210 分钟,Vilazodone (55 mg/kg po) 抑制大鼠超声发声练习中应激诱导的发声。在行为测试前一周急性或预防性给药时,维拉佐酮(20-40 mg/kg ip)可抑制应激诱发的强化惊吓,但对高架十字迷宫中应激强化的焦虑反应没有影响。有趣的是,10 mg/kg 较低剂量的维拉佐酮以相反的方式影响惊吓反应,这表明尚未完全了解的双向效应。此外,所有剂量的药物都会增加惊吓引起的应激反应,这可能表明出现了类似焦虑的反应。维拉佐酮是重度抑郁症的另一种治疗选择。
动物实验
Vilazodone has been reported to be an inhibitor of 5-hydoxytryptamine (5-HT) reuptake and a partial agonist at 5-HT1A receptors. Using [35S]GTPgammaS binding in rat hippocampal tissue, vilazodone was demonstrated to have an intrinsic activity comparable to the 5-HT1A receptor agonist 8-hydroxy-2-(di-n-propylamino)tetralin (8-OH-DPAT). Vilazodone (1-10 mg/kg p.o.) dose-dependently displaced in vivo [3H]DASB (N,N-dimethyl-2-(2-amino-4-cyanophenylthio)benzylamine) binding from rat cortex and hippocampus, indicating that vilazodone occupies 5-HT transporters in vivo. Using in vivo microdialysis, vilazodone (10 mg/kg p.o.) was demonstrated to cause a 2-fold increase in extracellular 5-HT but no change in noradrenaline or dopamine levels in frontal cortex of freely moving rats. In contrast, administration of 8-OH-DPAT (0.3 mg/kg s.c.), either alone or in combination with a serotonin specific reuptake inhibitor (SSRI; paroxetine, 3 mg/kg p.o.), produced no increase in cortical 5-HT whilst increasing noradrenaline and dopamine 2 and 4 fold, respectively. A 2-fold increase in extracellular 5-HT levels (but no change in noradrenaline or dopamine levels) was observed after combination of the 5-HT(1A) receptor antagonist, N-[2-[4-(2-methoxyphenyl)-1-piperazinyl]ethyl]-N-(pyridinyl)cyclohexanecarboxamide) (WAY-100635; 0.3 mg/kg s.c.) and paroxetine (3 mg/kg p.o.). In summary, vilazodone behaved as a high efficacy partial agonist at the rat hippocampal 5-HT1A receptors in vitro and occupied 5-HT transporters in vivo. In vivo vilazodone induced a selective increase in extracellular levels of 5-HT in the rat frontal cortex. This profile was similar to that seen with a 5-HT1A receptor antagonist plus an SSRI but in contrast to 8-OH-DPAT either alone or in combination with paroxetine.[2]
In this study, researchers examined the effect of Vilazodone, a selective serotonin reuptake inhibitor (SSRI) and serotonin 1A (5-HT(1A)) receptor agonist [Bartoszyk, G.D., Hegenbart, R., Ziegler, H., 1997. EMD 68843, a serotonin reuptake inhibitor with selective presynaptic 5-HT1A receptor agonistic properties. Eur. J. Pharmacol. 322, 147-153.], on change in affect following predator stress. Vilazodone and vehicle injection (intraperitoneal) occurred either 10 min after predator stress (prophylactic testing), or 90 min prior to behavioral testing for the effects of predator stress (therapeutic testing). Predator stress involved unprotected exposure of rats to a domestic cat. Behavioral effects of stress were evaluated with hole board, plus-maze, and acoustic startle tests 1 week after stress. Predator stress increased anxiety-like behavior in the plus-maze and elevated response to acoustic startle. In prophylactic testing, Vilazodone affected stress potentiation of startle at doses above 5 mg/kg. Vilazodone increased stress elevation of startle at 10 mg/kg. Higher doses of Vilazodone (20 and 40 mg/kg) blocked stress potentiation of startle. In contrast, Vilazodone had no effect on stress potentiation of anxiety in the plus-maze. In therapeutic testing, Vilazodone increased stress elevation of startle at all doses. In contrast, therapeutic Vilazodone had no effect on stress potentiation of anxiety in the plus-maze. Taken together, the data suggest a prophylactic potential for Vilazodone in the treatment of changes in hypervigilance following severe stress.[3]
1-10 mg/kg; p.o.
Rats
药代性质 (ADME/PK)
Absorption
Vilazodone's bioavailability is 72% when taken with food.

Route of Elimination
1% of the dose is recovered unchanged in the urine and 2% of the dose is recovered unchanged in the feces.

Volume of Distribution
Vilazodone's volume of distribution is unknown but large

Clearance
Clearance of vilazodone is 19.9-25.1L/h in patients with mild to moderate renal impairment compared to 26.4-26.9L/h in healthy controls.

Vilazodone concentrations peak at a median of 4-5 hours (Tmax) after administration and decline with a terminal half-life of approximately 25 hours. The absolute bioavailability of vilazodone is 72% with food. Administration of VIIBRYD with food (high fat or light meal) increases oral bioavailability (Cmax increased by approximately 147-160%, and AUC increased by approximately 64-85%).
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Vilazodone is widely distributed and approximately 96-99% protein-bound.

Vilazodone is excreted into the milk of lactating rats.


Metabolism / Metabolites
Vilazodone is mainly metabolized by cytochrome P450(CYP)3A4 and also to a minor extent by CYP2C19 and CYP 2D6. Although the metabolic pathway for vilazodone has not been fully studied, a proposed mechanism for metabolism in rats was published in 2017.

Viibryd is extensively metabolized through CYP and non-CYP pathways (possibly by carboxylesterase), with only 1% of the dose recovered in the urine and 2% of the dose recovered in the feces as unchanged vilazodone. CYP3A4 is primarily responsible for its metabolism among CYP pathways, with minor contributions from CYP2C19 and CYP2D6. In vitro studies with human microsomes and human hepatocytes indicate that vilazodone is unlikely to inhibit or induce the metabolism of other CYP (except for CYP2C8) substrates; and an in vivo study with probe substrates for CYP2C19, 2D6 and 3A4 showed vilazodone did not alter the pharmacokinetics of the probe substrates. However, an in vivo study with probe substrate for CYP2C19 demonstrated a minor induction of CYP2C19. Strong inhibitors of CYP3A4 (e.g., ketoconazole) can reduce the metabolism of vilazodone in vivo and increase exposure. Conversely, strong inducers of CYP3A4 (e.g., carbamazepine) can decrease vilazodone exposure. NIH; DailyMed. Current Medication Information for Viibryd (Vilazodone Hydrochloride) Tablet Viibryd (Vilazodone Hydrochloride) Kit (Revised: July 2014). Available from, as of July 30, 2014: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=4c55ccfb-c4cf-11df-851a-0800200c9a66
Biological Half-Life
25 hours. Other studies show a half life of 24±5.2h with a single 40mg dose and 28.9±3.2h with repeated doses.
Vilazodone /has/ a terminal half-life of approximately 25 hours.
Vilazodone’s pharmacokinetic activity (5–80 mg) is dose-proportional. The terminal half-life is approximately 25 hours. When vilazodone is taken with food, the drug’s absolute bioavailability is 72%. After daily dosing of vilazodone 40 mg under fed conditions, the mean maximum plasma concentration (Cmax) at steady state was 156 ng/mL, and the mean area-under-the-curve (AUC0–24 hr) concentration was 1,645 ng • hours/mL. When vilazodone was administered with a high-fat or light meal, the Cmax was increased by approximately 147% to 160%, and the AUC concentration was increased by approximately 64% to 85%.

If vomiting occurs within 7 hours after administration, the drug’s absorption is decreased by about 25%; however, a replacement dose is not required.

Vilazodone has a large volume of distribution (value unknown). It is approximately 96% to 99% protein-bound

The drug is extensively metabolized in the liver, primarily via the cytochrome P450 (CYP) 3A4 isoenzyme. CYP2C19 and CYP2D6 are minor metabolic pathways. Non-CYP450 metabolism also occurs, possibly by carboxylesterase. Only 1% and 2% of the dose are recovered in urine and feces, respectively, as unchanged vilazodone.

The presence of mild or moderate renal and hepatic impairment does not affect the clearance of vilazodone.

毒性/毒理 (Toxicokinetics/TK)
Toxicity Summary
IDENTIFICATION AND USE: Vilazodone is a white to off-white solid that is formulated into film-coated tablets. Vilazodone is a combined selective serotonin-reuptake inhibitor and serotonin type 1-A (5-hydroxytryptamine (5-HT1A) receptor partial agonist. It is used for the treatment of major depressive disorder in adults. HUMAN EXPOSURE AND TOXICITY: In clinical trials toxic effects of vilazodone at 200-280 mg included serotonin syndrome, lethargy, restlessness, hallucinations, and disorientation. Serotonin syndrome, a potentially life-threatening toxicity has also been reported at therapeutic doses. Serotonin syndrome symptoms may include mental status changes (agitation, hallucinations, delirium, and coma), autonomic instability (tachycardia, labile blood pressure, dizziness, diaphoresis, flushing, hyperthermia), neuromuscular symptoms (tremor, rigidity, myoclonus, hyperreflexia, incoordination), seizures, and/or gastrointestinal symptoms (nausea, vomiting, diarrhea). While serotonin syndrome has been reported during vilazodone monotherapy, it is a particular concern when used with other serotonergic drugs and with drugs that impair metabolism of serotonin (in particular, monamine oxidase inhibitors (MAOIs). The concomitant use of vilazdone with MAOIs intended to treat psychiatric disorders is contraindicated. Vilazodone is also not approved for use in pediatric patients. Pooled analyses of short-term placebo-controlled studies of antidepressant drugs (selective serotonin reuptake inhibitors and others) showed that these drugs increase the risk of suicidal thinking and behavior in children, adolescents, and young adults with major depressive disorder and other psychiatric disorders. Also, some neonates exposed to serotonegic antidepressants (including vilazodone) late in the third trimester of pregnancy have developed complications requiring prolonged hospitalization, respiratory support, and tube feeding. Such complications can arise immediately upon delivery. Reported clinical findings have included respiratory distress, cyanosis, apnea, seizures, temperature instability, feeding difficulty, vomiting, hypoglycemia, hypotonia, hypertonia, hyperreflexia, tremor, jitteriness, irritability, and constant crying. In some cases, the clinical picture is consistent with serotonin syndrome. Infants exposed to vilazodone in pregnancy may also have an increased risk for persistent pulmonary hypertension of the newborn, a rare heart and lung condition associated with substantial neonatal morbidity and mortality. ANIMAL STUDIES: Vilazodone caused some developmental toxicity in rats, but was not teratogenic in rats or rabbits. When vilazodone was administered to pregnant rats at an oral dose of 30 times the maximum recommended human dose during the period of organogenesis and throughout pregnancy and lactation, the number of live born pups was decreased. There was an increase in early postnatal pup mortality, and among surviving pups there was decreased body weight, delayed maturation, and decreased fertility in adulthood. There was some maternal toxicity at this dose.
Hepatotoxicity
In premarketing studies, liver test abnormalities were uncommon in patients taking vilazodone (Likelihood score: E* (unproven but suspected rare cause of clinically apparent liver injury).
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Effects During Pregnancy and Lactation

◉ Summary of Use during Lactation
Because there is no published experience with vilazodone during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.

◉ Effects in Breastfed Infants
Relevant published information was not found as of the revision date.

◉ Effects on Lactation and Breastmilk
An observational study looked at outcomes of 2859 women who took an antidepressant during the 2 years prior to pregnancy. Compared to women who did not take an antidepressant during pregnancy, mothers who took an antidepressant during all 3 trimesters of pregnancy were 37% less likely to be breastfeeding upon hospital discharge. Mothers who took an antidepressant only during the third trimester were 75% less likely to be breastfeeding at discharge. Those who took an antidepressant only during the first and second trimesters did not have a reduced likelihood of breastfeeding at discharge. The antidepressants used by the mothers were not specified.
A retrospective cohort study of hospital electronic medical records from 2001 to 2008 compared women who had been dispensed an antidepressant during late gestation (n = 575) to those who had a psychiatric illness but did not receive an antidepressant (n = 1552) and mothers who did not have a psychiatric diagnosis (n = 30,535). Women who received an antidepressant were 37% less likely to be breastfeeding at discharge than women without a psychiatric diagnosis, but no less likely to be breastfeeding than untreated mothers with a psychiatric diagnosis. None of the mothers were taking vilazodone.
In a study of 80,882 Norwegian mother-infant pairs from 1999 to 2008, new postpartum antidepressant use was reported by 392 women and 201 reported that they continued antidepressants from pregnancy. Compared with the unexposed comparison group, late pregnancy antidepressant use was associated with a 7% reduced likelihood of breastfeeding initiation, but with no effect on breastfeeding duration or exclusivity. Compared with the unexposed comparison group, new or restarted antidepressant use was associated with a 63% reduced likelihood of predominant, and a 51% reduced likelihood of any breastfeeding at 6 months, as well as a 2.6-fold increased risk of abrupt breastfeeding discontinuation. Specific antidepressants were not mentioned.

◈ What is vilazodone?
Vilazodone is a medication that has been used to treat major depressive disorder. A brand name is Viibryd®.Sometimes when people find out they are pregnant, they think about changing how they take their medication, or stopping their medication altogether. However, it is important to talk with your healthcare providers before making any changes to how you take your medication. Your healthcare providers can talk with you about the benefits of treating your condition and the risks of untreated illness during pregnancy.Research has shown that when depression is left untreated during pregnancy, there could be an increased chance for pregnancy complications. For more information, please see our fact sheet on depression at https://mothertobaby.org/fact-sheets/depression-pregnancy/.Some people may have a return of their symptoms (relapse) if they stop this medication during pregnancy. If you plan to stop this medication, your healthcare provider might suggest that you slowly lower the dose instead of stopping all at once. Stopping this medication suddenly can cause some people to have withdrawal symptoms. It is not known if or how withdrawal might affect a pregnancy.

◈ I take vilazodone. Can it make it harder for me to get pregnant?
It is not known if vilazodone can make it harder to get pregnant.

◈ Does taking vilazodone increase the chance for miscarriage?
Miscarriage is common and can occur in any pregnancy for many different reasons. Studies have not been done to see if vilazodone increases the chance for miscarriage. However, depression itself might increase the chance for miscarriage.

◈ Does taking vilazodone increase the chance of birth defects?
Every pregnancy starts out with a 3-5% chance of having a birth defect. This is called the background risk. Animal studies did not find an increased chance of birth defects. We have been unable to locate studies on the use of vilazodone in human pregnancies.

◈ Does taking vilazodone in pregnancy increase the chance of other pregnancy-related problems?
Studies have not been done to see if vilazodone can cause other pregnancy-related problems, such as preterm delivery (birth before week 37) or low birth weight (weighing less than 5 pounds, 8 ounces [2500 grams] at birth).

◈ I need to take vilazodone throughout my entire pregnancy. Will it cause withdrawal symptoms in my baby after birth?
It is not known if the use of vilazodone during pregnancy can cause withdrawal symptoms in a baby after birth. The use of other antidepressants during pregnancy has been associated with temporary symptoms in some newborns after birth. These symptoms are sometimes referred to as withdrawal. Symptoms may include jitteriness, increased muscle tone, irritability, changes in sleep patterns, tremors, trouble eating, and trouble breathing. These symptoms are usually mild and go away on their own. Some babies may need to stay in a special care nursery for several days. Not all babies exposed to an antidepressant will have these symptoms. It is important that your healthcare providers know you are taking vilazodone so that if symptoms occur your baby can get the best care.

◈ Does taking vilazodone in pregnancy affect future behavior or learning for the child?
Studies have not been done to see if vilazodone use in pregnancy can cause behavior or learning issues for the child.

◈ Breastfeeding while taking vilazodone:
It is not known if vilazodone gets into breast milk or causes side effects for a baby who receives the milk. The benefit of continuing vilazodone while breastfeeding may outweigh the risks of an untreated mental health condition or the risks of not breastfeeding. Your healthcare provider can talk with you about vilazodone and what treatment is best for you. Be sure to talk to your healthcare provider about all of your breastfeeding questions.

◈ If a male takes vilazodone, could it affect fertility or increase the chance of birth defects?

Studies have not been done to see if vilazodone could affect male fertility (ability to get partner pregnant) or increase the chance of birth defects above the background risk. In the clinical trials for this medication, adverse sexual functioning (lack of orgasm and reduced sex drive) was noted in some cases. This could reduce fertility for some people. Also, people with mental health conditions, such as depression, may have lower fertility, which might make it harder for them to get their partner pregnant. In general, exposures that fathers or sperm donors have are unlikely to increase the risks to a pregnancy. For more information, please see the MotherToBaby fact sheet Paternal Exposures at https://mothertobaby.org/fact-sheets/paternal-exposures-pregnancy/.


Interactions
Concomitant administration of vilazodone and moderate CYP3A4 inhibitors (e.g., erythromycin) can result in increased plasma vilazodone concentrations. During concurrent administration with moderate inhibitors of CYP3A4 (e.g., erythromycin), the dosage of vilazodone should be reduced to 20 mg once daily in patients experiencing intolerable adverse effects.

Concomitant administration of vilazodone and potent CYP3A4 inhibitors (e.g., clarithromycin, ketoconazole) can increase plasma vilazodone concentrations by approximately 50%. The manufacturer states that the dosage of vilazodone should be reduced to 20 mg once daily if administered concomitantly with a potent CYP3A4 inhibitor.

Potentially serious, sometimes fatal adverse reactions may occur in patients who are receiving or have recently received a monoamine oxidase (MAO) inhibitor and then initiate therapy with antidepressant(s) that are pharmacologically similar to vilazodone (e.g., SSRIs), or in those who received SSRI therapy shortly before initiation of an MAO inhibitor. Concomitant use of MAO inhibitors with vilazodone is contraindicated. In addition, at least 2 weeks should elapse between discontinuance of an MAO inhibitor and initiation of vilazodone and vice versa.

Linezolid, an anti-infective agent that is also a reversible MAO inhibitor, has been associated with drug interactions resulting in serotonin syndrome, including some associated with SSRIs. Because of this potential risk, linezolid generally should not be used in patients receiving vilazodone. While the US Food and Drug Administration (FDA) has not received reports of serotonin syndrome with concomitant use of linezolid and vilazodone to date, the risk is considered comparable to that with SSRIs. However, the FDA states that certain life-threatening or urgent situations may necessitate immediate linezolid treatment in a patient receiving a serotonergic drug. In such emergency situations, the availability of alternative anti-infectives should be considered and the benefits of linezolid should be weighed against the risk of serotonin syndrome. If linezolid is indicated in such emergency situations, vilazodone must be immediately discontinued and the patient monitored for symptoms of CNS toxicity for 2 weeks or until 24 hours after the last linezolid dose, whichever comes first. Treatment with vilazodone may be resumed 24 hours after the last linezolid dose. If nonemergency use of linezolid is being planned for a patient receiving vilazodone, vilazodone should be withheld for at least 2 weeks prior to initiating linezolid. Treatment with vilazodone should not be initiated in a patient receiving linezolid; when necessary, vilazodone may be started 24 hours after the last linezolid dose.
Antidote and Emergency Treatment
/SRP:/ Immediate first aid: Ensure that adequate decontamination has been carried out. If patient is not breathing, start artificial respiration, preferably with a demand valve resuscitator, bag-valve-mask device, or pocket mask, as trained. Perform CPR if necessary. Immediately flush contaminated eyes with gently flowing water. Do not induce vomiting. If vomiting occurs, lean patient forward or place on the left side (head-down position, if possible) to maintain an open airway and prevent aspiration. Keep patient quiet and maintain normal body temperature. Obtain medical attention. /Poisons A and B/ Currance, P.L. Clements, B., Bronstein, A.C. (Eds).; Emergency Care For Hazardous Materials Exposure. 3rd revised edition, Elsevier Mosby, St. Louis, MO 2007, p. 160

/SRP:/ Basic treatment: Establish a patent airway (oropharyngeal or nasopharyngeal airway, if needed). Suction if necessary. Watch for signs of respiratory insufficiency and assist ventilations if needed. Administer oxygen by nonrebreather mask at 10 to 15 L/min. Monitor for pulmonary edema and treat if necessary ... . Monitor for shock and treat if necessary ... . Anticipate seizures and treat if necessary ... . For eye contamination, flush eyes immediately with water. Irrigate each eye continuously with 0.9% saline (NS) during transport ... . Do not use emetics. For ingestion, rinse mouth and administer 5 mL/kg up to 200 mL of water for dilution if the patient can swallow, has a strong gag reflex, and does not drool ... . Cover skin burns with dry sterile dressings after decontamination ... . /Poisons A and B/ Currance, P.L. Clements, B., Bronstein, A.C. (Eds).; Emergency Care For Hazardous Materials Exposure. 3rd revised edition, Elsevier Mosby, St. Louis, MO 2007, p. 160

/SRP:/ Advanced treatment: Consider orotracheal or nasotracheal intubation for airway control in the patient who is unconscious, has severe pulmonary edema, or is in severe respiratory distress. Positive-pressure ventilation techniques with a bag valve mask device may be beneficial. Consider drug therapy for pulmonary edema ... . Consider administering a beta agonist such as albuterol for severe bronchospasm ... . Monitor cardiac rhythm and treat arrhythmias as necessary ... . Start IV administration of D5W TKO /SRP: "To keep open", minimal flow rate/. Use 0.9% saline (NS) or lactated Ringer's (LR) if signs of hypovolemia are present. For hypotension with signs of hypovolemia, administer fluid cautiously. Watch for signs of fluid overload ... . Treat seizures with diazepam or lorazepam ... . Use proparacaine hydrochloride to assist eye irrigation ... . /Poisons A and B/ Currance, P.L. Clements, B., Bronstein, A.C. (Eds).; Emergency Care For Hazardous Materials Exposure. 3rd revised edition, Elsevier Mosby, St. Louis, MO 2007, p. 160-1

No specific antidotes for vilazodone are known. In case of an overdose, provide supportive care, including close medical supervision and monitoring. Treatment should consist of those general measures employed in the management of overdosage with any drug. Consider the possibility of multiple drug overdose. Ensure an adequate airway, oxygenation, and ventilation. Monitor cardiac rhythm and vital signs. General supportive and symptomatic measures are also recommended. ... Removal of vilazodone by dialysis has not been studied; however, the high volume of distribution of vilazodone suggests that dialysis will not be effective in reducing vilazodone plasma concentrations. NIH; DailyMed. Current Medication Information for Viibryd (Vilazodone Hydrochloride) Tablet Viibryd (Vilazodone Hydrochloride) Kit (Revised: July 2014). Available from, as of July 30, 2014: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=4c55ccfb-c4cf-11df-851a-0800200c9a66
Populations at Special Risk
Vilazodone has not been systematically evaluated in patients with seizure disorders; such patients were excluded from clinical studies. As with other antidepressants, vilazodone should be used with caution in patients with a history of seizure disorder American Society of Health-System Pharmacists 2014; Drug Information 2014. Bethesda, MD. 2014, p. 2455
Protein Binding: 96-99%.

参考文献

[1]. CNS Neurosci Ther . 2009 Summer;15(2):107-17.

[2]. Eur J Pharmacol . 2005 Mar 7;510(1-2):49-57.

[3]. Eur J Pharmacol . 2004 Nov 3;504(1-2):65-77.

其他信息
Vilazodone hydrochloride is a hydrochloride obtained by reaction of vilazodone with one equivalent of hydrochloric acid. Used for the treatment of major depressive disorder. It has a role as an antidepressant, a serotonin uptake inhibitor and a serotonergic agonist. It contains a vilazodone(1+).
A benzofuran, indole, and piperazine derivative that functions as a SEROTONIN UPTAKE INHIBITOR and partial SEROTONIN 5-HT1 RECEPTOR AGONIST. It is used as an ANTIDEPRESSIVE AGENT.
See also: Vilazodone (has active moiety).
*注: 文献方法仅供参考, InvivoChem并未独立验证这些方法的准确性
化学信息 & 存储运输条件
分子式
C26H28CLN5O2
分子量
477.99
精确质量
477.193
元素分析
C, 65.33; H, 5.90; Cl, 7.42; N, 14.65; O, 6.69
CAS号
163521-08-2
相关CAS号
Vilazodone-d8; 1794789-93-7; Vilazodone; 163521-12-8; Vilazodone carboxylic acid; 163521-19-5
PubChem CID
6918313
外观&性状
White to yellow solid powder
沸点
745.1ºC at 760 mmHg
熔点
279°C(lit.)
闪点
404.4ºC
LogP
5.718
tPSA
103.28
氢键供体(HBD)数目
3
氢键受体(HBA)数目
5
可旋转键数目(RBC)
7
重原子数目
34
分子复杂度/Complexity
729
定义原子立体中心数目
0
SMILES
Cl[H].O1C(C(N([H])[H])=O)=C([H])C2=C1C([H])=C([H])C(=C2[H])N1C([H])([H])C([H])([H])N(C([H])([H])C([H])([H])C([H])([H])C([H])([H])C2=C([H])N([H])C3C([H])=C([H])C(C#N)=C([H])C2=3)C([H])([H])C1([H])[H]
InChi Key
RPZBRGFNBNQSOP-UHFFFAOYSA-N
InChi Code
InChI=1S/C26H27N5O2.ClH/c27-16-18-4-6-23-22(13-18)19(17-29-23)3-1-2-8-30-9-11-31(12-10-30)21-5-7-24-20(14-21)15-25(33-24)26(28)32;/h4-7,13-15,17,29H,1-3,8-12H2,(H2,28,32);1H
化学名
5-[4-[4-(5-cyano-1H-indol-3-yl)butyl]piperazin-1-yl]-1-benzofuran-2-carboxamide;hydrochloride
别名
EMD68843; SB659746A; SB659746-A;EMD-68843; EMD68843; SB659746 A; Vilazodone HCl; Vilazodone (Hydrochloride); EMD 68 843; UNII-U8HTX2GK8J; Vilazodone hydrochloride; Viibryd
HS Tariff Code
2934.99.9001
存储方式

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

注意: 请将本产品存放在密封且受保护的环境中,避免吸湿/受潮。
运输条件
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
溶解度数据
溶解度 (体外实验)
DMSO: 25~96 mg/mL (52.3~200.8 mM)
Water: <1 mg/mL
Ethanol: <1 mg/mL
溶解度 (体内实验)
配方 1 中的溶解度: ≥ 2.5 mg/mL (5.23 mM) (饱和度未知) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将100 μL 25.0 mg/mL澄清DMSO储备液加入到400 μL PEG300中,混匀;然后向上述溶液中加入50 μL Tween-80,混匀;加入450 μL生理盐水定容至1 mL。
*生理盐水的制备:将 0.9 g 氯化钠溶解在 100 mL ddH₂O中,得到澄清溶液。

配方 2 中的溶解度: ≥ 2.5 mg/mL (5.23 mM) (饱和度未知) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 25.0 mg/mL澄清DMSO储备液加入900 μL 20% SBE-β-CD生理盐水溶液中,混匀。
*20% SBE-β-CD 生理盐水溶液的制备(4°C,1 周):将 2 g SBE-β-CD 溶解于 10 mL 生理盐水中,得到澄清溶液。

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配方 3 中的溶解度: ≥ 2.5 mg/mL (5.23 mM) (饱和度未知) in 10% DMSO + 90% Corn Oil (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 25.0 mg/mL 澄清 DMSO 储备液加入到 900 μL 玉米油中并混合均匀。


请根据您的实验动物和给药方式选择适当的溶解配方/方案:
1、请先配制澄清的储备液(如:用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液,按从左到右的顺序依次添加助溶剂,澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明,并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中,混合均匀/澄清;向上述体系中加入50 μL Tween-80,混合均匀/澄清;然后继续加入450 μL ddH2O (或 saline)定容至 1 mL;

3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出,可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果,工作液请现配现用!
6、如不确定怎么将母液配置成体内动物实验的工作液,请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。
制备储备液 1 mg 5 mg 10 mg
1 mM 2.0921 mL 10.4605 mL 20.9209 mL
5 mM 0.4184 mL 2.0921 mL 4.1842 mL
10 mM 0.2092 mL 1.0460 mL 2.0921 mL

1、根据实验需要选择合适的溶剂配制储备液 (母液):对于大多数产品,InvivoChem推荐用DMSO配置母液 (比如:5、10、20mM或者10、20、50 mg/mL浓度),个别水溶性高的产品可直接溶于水。产品在DMSO 、水或其他溶剂中的具体溶解度详见上”溶解度 (体外)”部分;

2、如果您找不到您想要的溶解度信息,或者很难将产品溶解在溶液中,请联系我们;

3、建议使用下列计算器进行相关计算(摩尔浓度计算器、稀释计算器、分子量计算器、重组计算器等);

4、母液配好之后,将其分装到常规用量,并储存在-20°C或-80°C,尽量减少反复冻融循环。

计算器

摩尔浓度计算器可计算特定溶液所需的质量、体积/浓度,具体如下:

  • 计算制备已知体积和浓度的溶液所需的化合物的质量
  • 计算将已知质量的化合物溶解到所需浓度所需的溶液体积
  • 计算特定体积中已知质量的化合物产生的溶液的浓度
使用摩尔浓度计算器计算摩尔浓度的示例如下所示:
假如化合物的分子量为350.26 g/mol,在5mL DMSO中制备10mM储备液所需的化合物的质量是多少?
  • 在分子量(MW)框中输入350.26
  • 在“浓度”框中输入10,然后选择正确的单位(mM)
  • 在“体积”框中输入5,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案17.513 mg出现在“质量”框中。以类似的方式,您可以计算体积和浓度。

稀释计算器可计算如何稀释已知浓度的储备液。例如,可以输入C1、C2和V2来计算V1,具体如下:

制备25毫升25μM溶液需要多少体积的10 mM储备溶液?
使用方程式C1V1=C2V2,其中C1=10mM,C2=25μM,V2=25 ml,V1未知:
  • 在C1框中输入10,然后选择正确的单位(mM)
  • 在C2框中输入25,然后选择正确的单位(μM)
  • 在V2框中输入25,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案62.5μL(0.1 ml)出现在V1框中
g/mol

分子量计算器可计算化合物的分子量 (摩尔质量)和元素组成,具体如下:

注:化学分子式大小写敏感:C12H18N3O4  c12h18n3o4
计算化合物摩尔质量(分子量)的说明:
  • 要计算化合物的分子量 (摩尔质量),请输入化学/分子式,然后单击“计算”按钮。
分子质量、分子量、摩尔质量和摩尔量的定义:
  • 分子质量(或分子量)是一种物质的一个分子的质量,用统一的原子质量单位(u)表示。(1u等于碳-12中一个原子质量的1/12)
  • 摩尔质量(摩尔重量)是一摩尔物质的质量,以g/mol表示。
/

配液计算器可计算将特定质量的产品配成特定浓度所需的溶剂体积 (配液体积)

  • 输入试剂的质量、所需的配液浓度以及正确的单位
  • 单击“计算”按钮
  • 答案显示在体积框中
动物体内实验配方计算器(澄清溶液)
第一步:请输入基本实验信息(考虑到实验过程中的损耗,建议多配一只动物的药量)
第二步:请输入动物体内配方组成(配方适用于不溶/难溶于水的化合物),不同的产品和批次配方组成不同,如对配方有疑问,可先联系我们提供正确的体内实验配方。此外,请注意这只是一个配方计算器,而不是特定产品的确切配方。
+
+
+

计算结果:

工作液浓度 mg/mL;

DMSO母液配制方法 mg 药物溶于 μL DMSO溶液(母液浓度 mg/mL)。如该浓度超过该批次药物DMSO溶解度,请首先与我们联系。

体内配方配制方法μL DMSO母液,加入 μL PEG300,混匀澄清后加入μL Tween 80,混匀澄清后加入 μL ddH2O,混匀澄清。

(1) 请确保溶液澄清之后,再加入下一种溶剂 (助溶剂) 。可利用涡旋、超声或水浴加热等方法助溶;
            (2) 一定要按顺序加入溶剂 (助溶剂) 。

临床试验信息
NCT Number Recruitment interventions Conditions Sponsor/Collaborators Start Date Phases
NCT05948579 Not yet recruiting Drug: Intervention B Vilazodone
Hydrochloride (HCl)
Drug: Intervention B Placebo
Post Traumatic Stress Disorder U.S. Army Medical Research and
Development Command
August 2023 Phase 2
NCT05422612 Recruiting Drug: Intervention A Placebo
Drug: Intervention B Placebo
Post Traumatic Stress Disorder U.S. Army Medical Research
and Development Command
November 2, 2023 Phase 2
NCT02015546 Completed Drug: Vilazodone Major Depressive Disorder
(MDD)
Duke University December 2012 Phase 3
NCT02436239 Completed Drug: Vilazodone Major Depressive Disorder Forest Laboratories May 2, 2015 Phase 3
NCT01828515 Completed Drug: Vilazodone
Drug: Placebo
Memory Impairment University of Texas Southwestern
Medical Center
December 2012 Phase 2
生物数据图片
  • Chemical structure of vilazodone and its primary metabolite. CNS Neurosci Ther . 2009 Summer;15(2):107-17.
  • Inhibition of [3H]5‐HT uptake into LLCPK cells expressing human recombinant SERT by vilazodone. Methodology as described by Scott et al. CNS Neurosci Ther . 2009 Summer;15(2):107-17.
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