Rexulti vs Trintellix

A side-by-side look at two mental health medications advertised on TV. Informational only — not medical advice.

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Information reviewed July 24, 2026

US RexultiUS Trintellix
Generic namebrexpiprazolevortioxetine
Drug classAtypical AntipsychoticSerotonin Modulator (Antidepressant)
TreatsMajor depression (add-on), schizophrenia, agitation in dementiaMajor depressive disorder
CategoryMental HealthMental Health
ManufacturerOtsuka/LundbeckTakeda/Lundbeck
Year approved20152013
FDA warningBlack box warningBlack box warning
Est. TV ad spend$170M$130M
Common side effectsWeight gain, Restlessness, Drowsiness, Movement disordersNausea, Sexual problems, Constipation, Vomiting

Frequently asked questions

Is Rexulti or Trintellix better?

Neither is universally "better." Rexulti (brexpiprazole) and Trintellix (vortioxetine) are both used for mental health, but the right choice depends on your medical history, insurance and your doctor's guidance. This comparison is informational only.

What's the difference between Rexulti and Trintellix?

Rexulti is a Atypical Antipsychotic made by Otsuka/Lundbeck, while Trintellix is a Serotonin Modulator (Antidepressant) made by Takeda/Lundbeck. See the table above for a side-by-side breakdown.

Which one spends more on TV ads?

Rexulti has the larger estimated TV advertising budget of the two.

TVPills

A reference tool to help identify prescription medications and supplements seen in television advertising. This is not medical advice. Always consult a healthcare professional.

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