Effects of Short- and Long-Term Vortioxetine Administration on Reproductive Function in Female Rats
Eda Bingul1, Elif Hizal2, Ozgecan Keles1
1Gynecology and Obstetrics Clinic, Erzurum City Hospital, 25240 Erzurum, Türkiye.
Pharmaceuticals (Basel, Switzerland)
|November 27, 2025
Summary
Long-term vortioxetine use in female rats caused infertility, linked to elevated corticosterone and hypothalamic-pituitary-adrenal axis disruption. Metyrapone mitigated these effects, preserving reproductive function.
Area of Science:
- Neuroscience
- Reproductive Biology
- Pharmacology
Background:
- Vortioxetine's effects on female reproductive physiology are not fully understood.
- This study examines vortioxetine's impact on female rat reproductive function, oxidative stress, and neuroendocrine markers.
Purpose of the Study:
- To investigate the short- and long-term effects of vortioxetine on female rat reproductive health.
- To assess vortioxetine's influence on oxidative stress, catecholamines, prolactin, and corticosterone levels.
- To explore potential interventions using metyrosine and metyrapone.
Main Methods:
- Female Wistar rats were exposed to vortioxetine (short-term/long-term) with or without metyrosine/metyrapone.
- Measurements included oxidative stress biomarkers (MDA, tGSH, SOD, CAT), catecholamines, serotonin, prolactin, and corticosterone.
- Fertility was assessed through co-housing, and parturition timing was recorded.
Main Results:
- Vortioxetine increased oxidative stress (MDA) and catecholamines while decreasing antioxidant markers and prolactin.
- Long-term vortioxetine exposure led to infertility, delayed parturition, and elevated corticosterone.
- Metyrapone administration blunted corticosterone rise and preserved fertility, unlike metyrosine.
Conclusions:
- Long-term vortioxetine induces infertility in female rats, potentially via hypothalamic-pituitary-adrenal axis dysregulation and corticosterone elevation.
- Reproductive risks associated with vortioxetine warrant monitoring in women of reproductive age.
- Further research is needed to elucidate mechanisms and translational implications.


