Trintellix vs Spravato

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 TrintellixUS Spravato
Generic namevortioxetineesketamine
Drug classSerotonin Modulator (Antidepressant)NMDA Receptor Antagonist
TreatsMajor depressive disorderTreatment-resistant depression
CategoryMental HealthMental Health
ManufacturerTakeda/LundbeckJanssen
Year approved20132019
FDA warningBlack box warningBlack box warning
Est. TV ad spend$130M
Common side effectsNausea, Sexual problems, Constipation, VomitingSedation, Dissociation, Abuse and misuse potential, Increased blood pressure

Frequently asked questions

Is Trintellix or Spravato better?

Neither is universally "better." Trintellix (vortioxetine) and Spravato (esketamine) 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 Trintellix and Spravato?

Trintellix is a Serotonin Modulator (Antidepressant) made by Takeda/Lundbeck, while Spravato is a NMDA Receptor Antagonist made by Janssen. See the table above for a side-by-side breakdown.

Which one spends more on TV ads?

Trintellix 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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