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==Medical uses==
Vortioxetine is used as a treatment for [[major depressive disorder]].<ref name=AHFS2019/> Effectiveness appears to be similar to other [[antidepressants]]<ref name=AHFS2019/><ref name="Long 2019 pp. 819–820">{{cite journal | vauthors = Long JD | title = Vortioxetine for Depression in Adults | journal = Issues in Mental Health Nursing | volume = 40 | issue = 9 | pages = 819–820 | date = September 2019 | pmid = 31225773 | doi = 10.1080/01612840.2019.1604920 | publisher = Informa UK Limited | s2cid = 195192772 }}</ref><ref name="pmid29477251">{{cite journal | vauthors = Cipriani A, Furukawa TA, Salanti G, Chaimani A, Atkinson LZ, Ogawa Y, Leucht S, Ruhe HG, Turner EH, Higgins JP, Egger M, Takeshima N, Hayasaka Y, Imai H, Shinohara K, Tajika A, Ioannidis JP, Geddes JR | title = 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 | journal = Lancet | volume = 391 | issue = 10128 | pages = 1357–1366 | date = April 2018 | pmid = 29477251 | pmc = 5889788 | doi = 10.1016/S0140-6736(17)32802-7 | url = }}</ref> and
Vortioxetine is also used [[off-label use|off-label]] for [[anxiety]].<ref>{{cite journal | vauthors = Pae CU, Wang SM, Han C, Lee SJ, Patkar AA, Masand PS, Serretti A | title = Vortioxetine, a multimodal antidepressant for generalized anxiety disorder: a systematic review and meta-analysis | journal = Journal of Psychiatric Research | volume = 64 | pages = 88–98 | date = May 2015 | pmid = 25851751 | doi = 10.1016/j.jpsychires.2015.02.017 }}</ref> A 2016 review found it was not useful in [[generalized anxiety disorder]] at 2.5, 5, and 10 mg doses (15 and 20 mg doses were not tested).<ref>{{cite journal | vauthors = Fu J, Peng L, Li X | title = The efficacy and safety of multiple doses of vortioxetine for generalized anxiety disorder: a meta-analysis | journal = Neuropsychiatric Disease and Treatment | volume = 12 | pages = 951–9 | date = 19 April 2016 | pmid = 27143896 | pmc = 4844447 | doi = 10.2147/NDT.S104050 | doi-access = free }}</ref> A 2019 [[meta-analysis]] found that vortioxetine did not produce statistically significant results over placebo in the symptoms, quality of life and remission rates of generalized anxiety disorder, but it was well-tolerated.<ref>{{cite journal | vauthors = Qin B, Huang G, Yang Q, Zhao M, Chen H, Gao W, Yang M | title = Vortioxetine treatment for generalised anxiety disorder: a meta-analysis of anxiety, quality of life and safety outcomes | journal = BMJ Open | volume = 9 | issue = 11 | pages = e033161 | date = November 2019 | pmid = 31784448 | pmc = 6924794 | doi = 10.1136/bmjopen-2019-033161 }}</ref> However, a 2018 meta-analysis supported use and efficacy of vortioxetine for generalized anxiety disorder, though stated that more research was necessary to strengthen the evidence.<ref name="pmid29149828">{{cite journal | vauthors = Yee A, Ng CG, Seng LH | title = Vortioxetine Treatment for Anxiety Disorder: A Meta-Analysis Study | journal = Current Drug Targets | volume = 19 | issue = 12 | pages = 1412–1423 | date = 2018 | pmid = 29149828 | doi = 10.2174/1389450118666171117131151 | s2cid = 11855728 }}</ref> A 2021 [[systematic review]] and meta-analysis concluded that there was uncertainty about the effectiveness of vortioxetine for anxiety due to existing evidence being very low-quality.<ref name="pmid34038400">{{cite journal | vauthors = Meza N, Leyton F | title = Vortioxetine for generalised anxiety disorder in adults | language = es | journal = Medwave | volume = 21 | issue = 3 | pages = e8172 | date = April 2021 | pmid = 34038400 | doi = 10.5867/medwave.2021.03.8171 | doi-access = free | title-link = doi }}</ref> In a 2020 [[network meta-analysis]] of [[randomized controlled trial]]s, vortioxetine was associated with among the lowest remission rates for generalized anxiety disorder of the included medications ([[odds ratio]] = 1.30 for vortioxetine, range of odds ratios for other agents = 1.13–2.70).<ref name="pmid33343351">{{cite journal | vauthors = Kong W, Deng H, Wan J, Zhou Y, Zhou Y, Song B, Wang X | title = Comparative Remission Rates and Tolerability of Drugs for Generalised Anxiety Disorder: A Systematic Review and Network Meta-analysis of Double-Blind Randomized Controlled Trials | journal = Front Pharmacol | volume = 11 | issue = | pages = 580858 | date = 2020 | pmid = 33343351 | pmc = 7741609 | doi = 10.3389/fphar.2020.580858 | doi-access = free | title-link = doi }}</ref>
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