Enviar pesquisa
Carregar
Guidelines for-switching-between-specific-antidepressants-a3-poster.pdf-1
•
2 gostaram
•
47,092 visualizações
juan luis delgadoestévez
Seguir
cambio ad
Leia menos
Leia mais
Saúde e medicina
Denunciar
Compartilhar
Denunciar
Compartilhar
1 de 1
Baixar agora
Baixar para ler offline
Recomendados
Antidepressants
Antidepressants
Dr. Sriram Raghavendran
Mood Stabilisers (Antimanic drugs)
Mood Stabilisers (Antimanic drugs)
Dr. Ashutosh Tiwari
Quetiapine
Quetiapine
Parth Goyal
Clozapine
Clozapine
Abdul Waris
Olazapine
Olazapine
koustubha7
Antianxiety drugs pharmacology
Antianxiety drugs pharmacology
Koppala RVS Chaitanya
Antidepressants
Antidepressants
Subramani Parasuraman
Selective serotonin reuptake inhibitors 2016
Selective serotonin reuptake inhibitors 2016
Mohamed Sedky
Recomendados
Antidepressants
Antidepressants
Dr. Sriram Raghavendran
Mood Stabilisers (Antimanic drugs)
Mood Stabilisers (Antimanic drugs)
Dr. Ashutosh Tiwari
Quetiapine
Quetiapine
Parth Goyal
Clozapine
Clozapine
Abdul Waris
Olazapine
Olazapine
koustubha7
Antianxiety drugs pharmacology
Antianxiety drugs pharmacology
Koppala RVS Chaitanya
Antidepressants
Antidepressants
Subramani Parasuraman
Selective serotonin reuptake inhibitors 2016
Selective serotonin reuptake inhibitors 2016
Mohamed Sedky
Psychopharmacology of Antidepressants, Mood Stabilizers and Antipsychotics
Psychopharmacology of Antidepressants, Mood Stabilizers and Antipsychotics
Dr. DawnElise Snipes ★AllCEUs★ Unlimited Counselor Training
Mood stabilizers
Mood stabilizers
MaryamAbdulqadir
Antidepressants Pharmacology
Antidepressants Pharmacology
Koppala RVS Chaitanya
Anticholinergic agents in psychiatry
Anticholinergic agents in psychiatry
Jithin Mampatta
Sodium valproate ppt
Sodium valproate ppt
anu000712
Ketamine - clinical use in major depression - Mats Lindström - SSAI2017
Ketamine - clinical use in major depression - Mats Lindström - SSAI2017
scanFOAM
Tricks of managing bipolar disorder
Tricks of managing bipolar disorder
Devashish Konar
Psychiatry Drugs
Psychiatry Drugs
meducationdotnet
Antianxiety drugs pharmacology
Antianxiety drugs pharmacology
PranatiChavan
Ssri.ppt 2013
Ssri.ppt 2013
HAMAD DHUHAYR
Buspirone
Buspirone
SIDHARTHvarshney2
Antidepressants & Anxiolytics
Antidepressants & Anxiolytics
Zahiruddin Othman
Novel Fast-Onset Antidepressants (ketamine, Esketamine, Brexanolone)
Novel Fast-Onset Antidepressants (ketamine, Esketamine, Brexanolone)
Sawsan Aboul-Fotouh
Metabolic side effects of drugs in Psychiatry
Metabolic side effects of drugs in Psychiatry
Dr. Sriram Raghavendran
Neuroleptic malignant syndrome
Neuroleptic malignant syndrome
drkaushikp
Class sedatives and hypnotics 2
Class sedatives and hypnotics 2
Raghu Prasada
Drug Profile: Aripiprazole
Drug Profile: Aripiprazole
Sarah Abu El-Asrar
Antipsychotics
Antipsychotics
Naser Tadvi
Antidepressants, pharmacokinetics
Antidepressants, pharmacokinetics
Domina Petric
Risperidone by Dr Sarang Pandit
Risperidone by Dr Sarang Pandit
sarangpan
Case study-10-depression
Case study-10-depression
Ayesha Yaqoob
Anti Emetics.pdf
Anti Emetics.pdf
Gamingbeast4848
Mais conteúdo relacionado
Mais procurados
Psychopharmacology of Antidepressants, Mood Stabilizers and Antipsychotics
Psychopharmacology of Antidepressants, Mood Stabilizers and Antipsychotics
Dr. DawnElise Snipes ★AllCEUs★ Unlimited Counselor Training
Mood stabilizers
Mood stabilizers
MaryamAbdulqadir
Antidepressants Pharmacology
Antidepressants Pharmacology
Koppala RVS Chaitanya
Anticholinergic agents in psychiatry
Anticholinergic agents in psychiatry
Jithin Mampatta
Sodium valproate ppt
Sodium valproate ppt
anu000712
Ketamine - clinical use in major depression - Mats Lindström - SSAI2017
Ketamine - clinical use in major depression - Mats Lindström - SSAI2017
scanFOAM
Tricks of managing bipolar disorder
Tricks of managing bipolar disorder
Devashish Konar
Psychiatry Drugs
Psychiatry Drugs
meducationdotnet
Antianxiety drugs pharmacology
Antianxiety drugs pharmacology
PranatiChavan
Ssri.ppt 2013
Ssri.ppt 2013
HAMAD DHUHAYR
Buspirone
Buspirone
SIDHARTHvarshney2
Antidepressants & Anxiolytics
Antidepressants & Anxiolytics
Zahiruddin Othman
Novel Fast-Onset Antidepressants (ketamine, Esketamine, Brexanolone)
Novel Fast-Onset Antidepressants (ketamine, Esketamine, Brexanolone)
Sawsan Aboul-Fotouh
Metabolic side effects of drugs in Psychiatry
Metabolic side effects of drugs in Psychiatry
Dr. Sriram Raghavendran
Neuroleptic malignant syndrome
Neuroleptic malignant syndrome
drkaushikp
Class sedatives and hypnotics 2
Class sedatives and hypnotics 2
Raghu Prasada
Drug Profile: Aripiprazole
Drug Profile: Aripiprazole
Sarah Abu El-Asrar
Antipsychotics
Antipsychotics
Naser Tadvi
Antidepressants, pharmacokinetics
Antidepressants, pharmacokinetics
Domina Petric
Risperidone by Dr Sarang Pandit
Risperidone by Dr Sarang Pandit
sarangpan
Mais procurados
(20)
Psychopharmacology of Antidepressants, Mood Stabilizers and Antipsychotics
Psychopharmacology of Antidepressants, Mood Stabilizers and Antipsychotics
Mood stabilizers
Mood stabilizers
Antidepressants Pharmacology
Antidepressants Pharmacology
Anticholinergic agents in psychiatry
Anticholinergic agents in psychiatry
Sodium valproate ppt
Sodium valproate ppt
Ketamine - clinical use in major depression - Mats Lindström - SSAI2017
Ketamine - clinical use in major depression - Mats Lindström - SSAI2017
Tricks of managing bipolar disorder
Tricks of managing bipolar disorder
Psychiatry Drugs
Psychiatry Drugs
Antianxiety drugs pharmacology
Antianxiety drugs pharmacology
Ssri.ppt 2013
Ssri.ppt 2013
Buspirone
Buspirone
Antidepressants & Anxiolytics
Antidepressants & Anxiolytics
Novel Fast-Onset Antidepressants (ketamine, Esketamine, Brexanolone)
Novel Fast-Onset Antidepressants (ketamine, Esketamine, Brexanolone)
Metabolic side effects of drugs in Psychiatry
Metabolic side effects of drugs in Psychiatry
Neuroleptic malignant syndrome
Neuroleptic malignant syndrome
Class sedatives and hypnotics 2
Class sedatives and hypnotics 2
Drug Profile: Aripiprazole
Drug Profile: Aripiprazole
Antipsychotics
Antipsychotics
Antidepressants, pharmacokinetics
Antidepressants, pharmacokinetics
Risperidone by Dr Sarang Pandit
Risperidone by Dr Sarang Pandit
Semelhante a Guidelines for-switching-between-specific-antidepressants-a3-poster.pdf-1
Case study-10-depression
Case study-10-depression
Ayesha Yaqoob
Anti Emetics.pdf
Anti Emetics.pdf
Gamingbeast4848
Hot flashes; Any non-hormonal help ?
Hot flashes; Any non-hormonal help ?
Ahmed Al Amely
New Drug-Khedezla
New Drug-Khedezla
velspharmd
Treat Premature Ejaculation With Generic Dapoxetine Hydrochloride Tablets
Treat Premature Ejaculation With Generic Dapoxetine Hydrochloride Tablets
The Swiss Pharmacy
Sertraline HCl Tablets Taj Pharma SmPC
Sertraline HCl Tablets Taj Pharma SmPC
TajPharmaQC
Levofloxacin Injection Taj Pharma PIL
Levofloxacin Injection Taj Pharma PIL
TajPharmaQC
Clomipramine HCl Tablets SmPC Taj Pharmaceuticals
Clomipramine HCl Tablets SmPC Taj Pharmaceuticals
TajPharmaQC
Doxepin 25mg, 50mg capsules pil, taj pharmaceuticals.
Doxepin 25mg, 50mg capsules pil, taj pharmaceuticals.
Taj Pharma
Semelhante a Guidelines for-switching-between-specific-antidepressants-a3-poster.pdf-1
(9)
Case study-10-depression
Case study-10-depression
Anti Emetics.pdf
Anti Emetics.pdf
Hot flashes; Any non-hormonal help ?
Hot flashes; Any non-hormonal help ?
New Drug-Khedezla
New Drug-Khedezla
Treat Premature Ejaculation With Generic Dapoxetine Hydrochloride Tablets
Treat Premature Ejaculation With Generic Dapoxetine Hydrochloride Tablets
Sertraline HCl Tablets Taj Pharma SmPC
Sertraline HCl Tablets Taj Pharma SmPC
Levofloxacin Injection Taj Pharma PIL
Levofloxacin Injection Taj Pharma PIL
Clomipramine HCl Tablets SmPC Taj Pharmaceuticals
Clomipramine HCl Tablets SmPC Taj Pharmaceuticals
Doxepin 25mg, 50mg capsules pil, taj pharmaceuticals.
Doxepin 25mg, 50mg capsules pil, taj pharmaceuticals.
Mais de juan luis delgadoestévez
Caso clínico Ofra.pptx
Caso clínico Ofra.pptx
juan luis delgadoestévez
20200316 2020covid interactionsummary_web_2020_mar12
20200316 2020covid interactionsummary_web_2020_mar12
juan luis delgadoestévez
20190110 infarmaestatinasyerc vol10_n2_nov2018
20190110 infarmaestatinasyerc vol10_n2_nov2018
juan luis delgadoestévez
20200213 vivir mas_y_mejor_vih
20200213 vivir mas_y_mejor_vih
juan luis delgadoestévez
20200210 bolcan farmacoterapiaenerc_vol11n3_2019
20200210 bolcan farmacoterapiaenerc_vol11n3_2019
juan luis delgadoestévez
20200210 infarma antiagregantesenprocedimientosmq_2019
20200210 infarma antiagregantesenprocedimientosmq_2019
juan luis delgadoestévez
Dislipemias (1)
Dislipemias (1)
juan luis delgadoestévez
Dislipemias
Dislipemias
juan luis delgadoestévez
Bronquitis miel ok
Bronquitis miel ok
juan luis delgadoestévez
Amiloidosis por transtirretina
Amiloidosis por transtirretina
juan luis delgadoestévez
20200130 protocolodc canarias
20200130 protocolodc canarias
juan luis delgadoestévez
20200109 infarma profilaxisendocarditis_vol11_n2oct2019
20200109 infarma profilaxisendocarditis_vol11_n2oct2019
juan luis delgadoestévez
20200109 bolcan aplv_vol11_n2_nov2019
20200109 bolcan aplv_vol11_n2_nov2019
juan luis delgadoestévez
20191227 20191220 lo_que_debes_saber_sobre_la_diabetes_en_la_edad_pediatrica
20191227 20191220 lo_que_debes_saber_sobre_la_diabetes_en_la_edad_pediatrica
juan luis delgadoestévez
20191218 2019mscprcticassegurasenlaconciliacindelamedicacinalaltahospitalaria...
20191218 2019mscprcticassegurasenlaconciliacindelamedicacinalaltahospitalaria...
juan luis delgadoestévez
N farmacoterapeuticas sfas sagunto 05 2019 09
N farmacoterapeuticas sfas sagunto 05 2019 09
juan luis delgadoestévez
20191017 20190731 infarma_sobreprescripcinvitd_jun2019
20191017 20190731 infarma_sobreprescripcinvitd_jun2019
juan luis delgadoestévez
Es ki ds_school_pack_fina_lv3
Es ki ds_school_pack_fina_lv3
juan luis delgadoestévez
148486 guia urgencias-alumnado
148486 guia urgencias-alumnado
juan luis delgadoestévez
Simposio canario oculoplastica
Simposio canario oculoplastica
juan luis delgadoestévez
Mais de juan luis delgadoestévez
(20)
Caso clínico Ofra.pptx
Caso clínico Ofra.pptx
20200316 2020covid interactionsummary_web_2020_mar12
20200316 2020covid interactionsummary_web_2020_mar12
20190110 infarmaestatinasyerc vol10_n2_nov2018
20190110 infarmaestatinasyerc vol10_n2_nov2018
20200213 vivir mas_y_mejor_vih
20200213 vivir mas_y_mejor_vih
20200210 bolcan farmacoterapiaenerc_vol11n3_2019
20200210 bolcan farmacoterapiaenerc_vol11n3_2019
20200210 infarma antiagregantesenprocedimientosmq_2019
20200210 infarma antiagregantesenprocedimientosmq_2019
Dislipemias (1)
Dislipemias (1)
Dislipemias
Dislipemias
Bronquitis miel ok
Bronquitis miel ok
Amiloidosis por transtirretina
Amiloidosis por transtirretina
20200130 protocolodc canarias
20200130 protocolodc canarias
20200109 infarma profilaxisendocarditis_vol11_n2oct2019
20200109 infarma profilaxisendocarditis_vol11_n2oct2019
20200109 bolcan aplv_vol11_n2_nov2019
20200109 bolcan aplv_vol11_n2_nov2019
20191227 20191220 lo_que_debes_saber_sobre_la_diabetes_en_la_edad_pediatrica
20191227 20191220 lo_que_debes_saber_sobre_la_diabetes_en_la_edad_pediatrica
20191218 2019mscprcticassegurasenlaconciliacindelamedicacinalaltahospitalaria...
20191218 2019mscprcticassegurasenlaconciliacindelamedicacinalaltahospitalaria...
N farmacoterapeuticas sfas sagunto 05 2019 09
N farmacoterapeuticas sfas sagunto 05 2019 09
20191017 20190731 infarma_sobreprescripcinvitd_jun2019
20191017 20190731 infarma_sobreprescripcinvitd_jun2019
Es ki ds_school_pack_fina_lv3
Es ki ds_school_pack_fina_lv3
148486 guia urgencias-alumnado
148486 guia urgencias-alumnado
Simposio canario oculoplastica
Simposio canario oculoplastica
Último
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
jualobat34
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Trustlife
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
dishamehta3332
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Sheetaleventcompany
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
Sheetaleventcompany
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
Sheetaleventcompany
Electrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdf
MedicoseAcademics
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
MedicoseAcademics
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
soniya pandit
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Sheetaleventcompany
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Angel
Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptx
saranpratha12
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Namrata Singh
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Sheetaleventcompany
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
Sheetaleventcompany
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Janvi Singh
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Sheetaleventcompany
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan 087776558899
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
Lifecare Centre
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
gragneelam30
Último
(20)
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
Electrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdf
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptx
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
Guidelines for-switching-between-specific-antidepressants-a3-poster.pdf-1
1.
Guidelines for switching
between specific antidepressants TO → ↓ FROM citalopram escitalopram paroxetine sertraline (SSRIs) fluoxetine fluvoxamine vortioxetine agomelatine desvenlafaxine duloxetine venlafaxine (SNRIs) mianserin mirtazapine reboxetine amitriptyline imipramine nortriptyline doxepin dothiepin trimipramine (TCAs) clomipramine moclobemide phenelzine tranylcypromine (MAOIs) citalopram escitalopram paroxetine sertraline (SSRIs) taper drug, start alternative SSRI at low dose* taper and stop drug, then start fluoxetine at 10 mg§ taper and stop drug, then start fluvoxamine at 50 mg§ taper drug, start vortioxetine at 5 mg* taper drug, start agomelatine* taper drug, then start SNRI at low dose* taper drug, then start above drug at low dose* taper drug, start reboxetine* taper SSRI, start above drug at low dose (usually 25 mg)* taper and stop drug, then start clomipramine at 25 mg§ taper and stop drug for 7 days washout before starting moclobemide at low dose§ taper and stop drug for 7 days washout before starting MAOI at low dose§ fluoxetine stop fluoxetine (or taper if dose >40 mg/day), wait 7 days for washout, then start above SSRI at low dose†§ stop fluoxetine (or taper if dose >40 mg/day), wait 14 days for washout, then start fluvoxamine at 50 mg†§ stop fluoxetine (or taper if dose >40 mg/day), wait 7 days for washout, then start vortioxetine at 5 mg†§ stop fluoxetine (or taper if dose >40 mg/day), start agomelatine taper and stop fluoxetine, wait 7 days for washout, then start SNRI at low dose†§ stop fluoxetine (or taper if dose >40 mg/day), start above drug at low dose stop fluoxetine (or taper if dose >40 mg/day), start reboxetine at 4 mg stop fluoxetine (or taper if dose >40 mg/day), wait 14 days for washout, then start above drug at 25 mg and continue low dose for further 3 weeks‡ stop fluoxetine (or taper if dose >40 mg/day), wait 14 days for washout, then start clomipramine at 25 mg and continue this dose for further 3 weeks‡ stop fluoxetine (or taper if dose >40 mg/day), then wait 5–6 weeks for washout before cautiously commencing low‑dose moclobemide§ stop fluoxetine (or taper if dose >40 mg/day), then wait 5–6 weeks for washout before cautiously commencing low‑dose MAOI§ fluvoxamine taper and stop fluvoxamine, then start above SSRI at low dose§ taper and stop fluvoxamine, then start fluoxetine at 10 mg§ taper and stop fluvoxamine, start vortioxetine at 5 mg§ taper and stop fluvoxamine, wait 7 days for washout, then start agomelatine§ taper and stop fluvoxamine, then start SNRI at low dose§ taper and stop fluvoxamine, then start above drug at low dose§ taper fluvoxamine, start reboxetine at 4 mg* taper fluvoxamine, start above drug at 25 mg* taper and stop fluvoxamine, start clomipramine at 25 mg§ taper and stop fluvoxamine, wait 7 days for washout before cautiously commencing low‑dose moclobemide§ taper and stop fluvoxamine, wait 7 days for washout before cautiously commencing low‑ dose MAOI§ vortioxetine taper vortioxetine, start above SSRI at low dose* taper and stop vortioxetine, start fluoxetine at 10 mg§ taper and stop vortioxetine, start fluvoxamine at 50 mg§ taper vortioxetine, start agomelatine at 25 mg* taper vortioxetine, start SNRI at low dose* taper vortioxetine, start above drug at low dose* taper vortioxetine, start reboxetine* taper vortioxetine, start above drug at low dose (usually 25 mg)* taper and stop vortioxetine, start clomipramine at 25 mg§ taper and stop vortioxetine for 14 days washout before starting moclobemide at low dose§ taper and stop vortioxetine for 21 days washout before starting MAOI at low dose cautiously§ agomelatine stop agomelatine, then start above SSRI stop agomelatine, then start fluoxetine stop agomelatine, then start fluvoxamine* stop agomelatine, then start vortioxetine stop agomelatine, then start SNRI stop agomelatine, then start above drug stop agomelatine, then start reboxetine stop agomelatine, then start above drug at low dose (usually 25 mg)* stop agomelatine, then start clomipramine stop agomelatine, then start moclobemide stop agomelatine, then start MAOI desvenlafaxine duloxetine venlafaxine (SNRIs) taper SNRI, start above SSRI at low dose* taper and stop SNRI, start fluoxetine at 10 mg§ taper and stop SNRI, start fluvoxamine at 50 mg§ taper SNRI, start vortioxetine at 5 mg* taper SNRI, start agomelatine* taper SNRI, start alternative SNRI at low dose* taper SNRI, start above drug at low dose* taper SNRI, start reboxetine at 4 mg* taper SNRI, start above drug at 25 mg* taper SNRI, start clomipramine at 25 mg* taper and stop SNRI, wait 7 days for washout before cautiously commencing low‑dose moclobemide§ taper and stop SNRI, wait 7 days for washout before cautiously commencing low‑dose MAOI§ mianserin mirtazepine taper drug, start above SSRI* taper drug, start fluoxetine* taper drug, start fluvoxamine* taper drug, start vortioxetine* taper drug, start agomelatine* taper drug, start SNRI* taper drug, start drug above at low dose* taper drug, start reboxetine at 4 mg* taper drug, start above drug at 25 mg* taper drug, start clomipramine at 25 mg* taper and stop drug, wait 7 days for washout before cautiously commencing low‑dose moclobemide§ taper and stop drug, wait 14 days for washout before cautiously commencing low‑dose MAOI§ reboxetine taper reboxetine, start above SSRI* taper reboxetine, start fluoxetine* taper reboxetine, start fluvoxamine at 50 mg* taper reboxetine, start vortioxetine at 5 mg* taper reboxetine, start agomelatine* taper reboxetine, start SNRI at low dose* taper reboxetine, start above drug* taper reboxetine, start above drug at 25 mg* taper reboxetine, start clomipramine at 25 mg* taper and stop reboxetine, then wait 7 days for washout before cautiously commencing low‑dose moclobemide§ taper and stop reboxetine, then wait 7 days for washout before cautiously commencing low‑dose MAOI§ amitriptyline imipramine nortriptyline doxepin dothiepin trimipramine (TCAs) taper first drug and start above drug at low dose* taper and stop first drug before starting fluoxetine§ taper drug, start fluvoxamine at 50 mg* taper drug, start vortioxetine at 5 mg* taper drug, start agomelatine* taper drug, start SNRI at low dose* taper drug, start above drug at low dose* taper drug, start reboxetine at 4 mg* taper first drug, start alternative TCA at 25 mg* taper drug, start clomipramine cautiously at 25 mg* taper and stop drug, then wait 7 days for washout before starting moclobemide§ taper and stop drug, then wait 14 days (21 days for imipramine) before starting MAOI§ clomipramine taper and stop clomipramine, then start above SSRI at low dose§ taper and stop clomipramine, then start fluoxetine at 10 mg§ taper and stop clomipramine, then start fluvoxamine at 50 mg§ taper and stop clomipramine, then start vortioxetine at 5 mg§ taper clomipramine, start agomelatine* taper and stop clomipramine, then start SNRI at low dose§ taper clomipramine, then start above drug at low dose* taper clomipramine, then start reboxetine at 4 mg* taper clomipramine, then start drug at 25 mg* taper and stop clomipramine, then wait 7 days for washout before starting moclobemide§ taper and stop clomipramine, then wait 21 days for washout before starting MAOI§ moclobemide taper and stop moclobemide, then wait 24 hours for washout before starting above drug§ taper and stop moclobemide, then wait 24 hours for washout before starting fluoxetine§ taper and stop moclobemide, then wait 24 hours for washout before starting fluvoxamine§ taper and stop moclobemide, then wait 24 hours for washout before starting vortioxetine§ taper moclobemide, start agomelatine taper and stop moclobemide, then wait 24 hours for washout before starting SNRI§ taper and stop moclobemide, then wait 24 hours for washout before starting above drug§ taper and stop moclobemide, then wait 24 hours for washout before starting reboxetine§ taper and stop moclobemide, then wait 24 hours for washout before starting above drug§ taper and stop moclobemide, then wait 24 hours for washout before starting clomipramine§ taper and stop moclobemide, then wait 24 hours for washout before starting MAOI§ phenelzine tranylcypromine (MAOIs) taper and stop MAOI, then wait 14 days for washout before starting above drug§ taper and stop MAOI, then wait 14 days for washout before starting fluoxetine§ taper and stop MAOI, then wait 14 days for washout before starting fluvoxamine§ taper and stop MAOI, then wait 14 days for washout before starting vortioxetine§ taper and stop MAOI, start agomelatine* taper and stop MAOI, then wait 14 days for washout before starting SNRI§ taper and stop MAOI, then wait 14 days for washout before starting above drug§ taper and stop MAOI, then wait 14 days for washout before starting reboxetine§ taper and stop MAOI, then wait 14 days for washout before starting above drug§ taper and stop MAOI, then wait 21 days for washout before starting clomipramine§ taper and stop MAOI, start moclobemide while maintaining MAOI dietary restrictions for 14 days§ taper and stop MAOI, wait 14 days for washout before starting other MAOI§ Taper means gradual dose reduction, with lowering by increments every few days, usually over a period of 4 weeks, modified by patient experience, drug, illness and other factors. All switches from one antidepressant to another may result in serious complications. Switches must be undertaken cautiously and under close observation. The recommendations in this table are based on clinical experience, product information, empirical evidence and recommendations from other guidelines. It may be necessary to modify the switching process depending on patient, illness and interacting drug variables, determined by the patient’s clinical progress. In appropriate circumstances expert prescribers may use less conservative switch strategies if justified by harm–benefit considerations arising from factors such as illness severity. MAOI monoamine oxidase inhibitor SNRI serotonin noradrenaline reuptake inhibitor TCA tricyclic antidepressant SSRI selective serotonin reuptake inhibitor * A washout period of 2–5 half‑lives (most frequently 2–5 days) between cessation of previous drug and the introduction of a new drug is the safest switching strategy from the point of view of drug interactions. In the indicated instances a washout period is not essential if switching is carried out cautiously and under close observation, and clinical considerations such as illness severity support harm–benefit considerations. Cautious cross taper (when the dose of the first drug is being reduced and the dose of the second drug is being increased at the same time so that the patient is taking both antidepressants) may be used in the indicated instances if appropriate and safe. (See Table 1 of original article for drug half‑lives.) † Fluoxetine may still cause interactions 5 or 6 weeks after cessation (especially from higher doses) due to long half‑life of drug and active metabolite. ‡ Fluoxetine is likely to continue to elevate TCA concentrations for several weeks. § Co‑prescription of the two antidepressants in this instance is not recommended. Published as an insert to Australian Prescriber June 2016, Vol. 39, No. 3 Originally published as Table 3 in: Keks N, Hope J, Keogh S. Switching and stopping antidepressants. Aust Prescr 2016;39:76‑83. http://dx.doi.org/10.18773/austprescr.2016.039 © NPS MedicineWise NPS MedicineWise Disclaimer Reasonable care is taken to provide accurate information at the time of creation. This information is not intended as a substitute for medical advice and should not be exclusively relied on to manage or diagnose a medical condition. NPS MedicineWise disclaims all liability (including for negligence) for any loss, damage or injury resulting from reliance on or use of this information.
Baixar agora