Difference between revisions of "Citalopram-tranylcypromine"

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| to = tranylcypromine
 
| to = tranylcypromine
 
| stop =  
 
| stop =  
{{stopCitalopram14d}}
+
{{generaldecrease25p3d}}
 +
{{14dwashout}}
  
 
| start =  
 
| start =  
* '''Day 15-29:''' a wash-out period of two weeks is safe even in liver malfunction and in the elderly.
+
*a wash-out period of two weeks is safe even in liver malfunction and in the elderly.
* '''Day 30:''' Start administration of tranylcypromine in low dosage of 20 mg/day for one week.
+
{{Starttranyl}}
* '''Day 37:''' after this week the dosage of tranylcypromine can be increased if necessary.
 
 
| caveat =  
 
| caveat =  
 
* Occurrence of serotonin syndrome is reported when a wash-out period (of one week) is not considered.  
 
* Occurrence of serotonin syndrome is reported when a wash-out period (of one week) is not considered.  
 
{{SSRI14d}}
 
{{SSRI14d}}
 
}}
 
}}

Latest revision as of 13:29, 20 June 2016

Citalopram
Type Antidepressant
Group SSRI
links
ATC-code N06AB04
Medscape Citalopram
PubChem 2771
PubMed Citalopram
Kompas (Dutch) citalopram
Wikipedia citalopram
Tranylcypromine
Type Antidepressant
Group MAO-I
links
Medscape Tranylcypromine
PubChem 5530
PubMed Tranylcypromine
Wikipedia Tranylcypromine

Switch medication from citalopram to tranylcypromine.

Nietinrijdenbord.png Stop citalopram
  • Decrease with about 25% of original dose every 3 days
  • Stop and wait 14 days for washout
Eenrichtingbord.png Start tranylcypromine
  • a wash-out period of two weeks is safe even in liver malfunction and in the elderly.
  • Start tranylcypromine in a low dosage of 20 mg/day for one week.
  • After this week the dosage of tranylcypromine can be increased.
Letopbord.png Cave
  • Occurrence of serotonin syndrome is reported when a wash-out period (of one week) is not considered.
  • The reduction of the SSRI doses in 7-14 days could cause emotional instability, headache and flu-like symptoms. One could extend this period.


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