Difference between revisions of "Dosulepine-paroxetine"

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| to = paroxetine
 
| to = paroxetine
 
| stop =  
 
| stop =  
* '''Before day 1:''' gradually reduce dosage of dosulepine to a maximum of 75 mg/day.
+
{{stopDosulepine}}
* '''Day 1:''' reduce dosage of dosulepine to 50 mg/day.
 
* '''Day 3:''' reduce dosage of dosulepine to 25 mg/day.
 
* '''Day 7:''' stop administration of dosulepine
 
 
| start =  
 
| start =  
* '''Day 8:''' start administration of paroxetine in a normal dosage of 20 mg/day.
+
* '''Day 9:''' start administration of paroxetine in a normal dosage of 20 mg/day.
 
| info =  
 
| info =  
* Occurrence of serotonin syndrome is theoretically possible, so caution is necessary.
+
* {{theorSS}}
 
* Paroxetine is a strong inhibitor of CYP2D6, which metabolizes dosulepine.  
 
* Paroxetine is a strong inhibitor of CYP2D6, which metabolizes dosulepine.  
{{review}}
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}}
 
}}

Latest revision as of 13:11, 2 November 2015

dosulepin
Type antidepressant
Group TCA
links
ATC-code N06AA16
PubChem 13473
PubMed dosulepin
Kompas (Dutch) dosulepin
Wikipedia dosulepin
paroxetine
Type Antidepressant
Group SSRI
links
Medscape paroxetine
PubChem 43815
PubMed paroxetine
Kompas (Dutch) paroxetine
Wikipedia paroxetine

Switch medication from dosulepine to paroxetine.[1] [2]

Nietinrijdenbord.png Stop dosulepine
  • Before day 1: gradually reduce dosage of dosulepine to a maximum of 75 mg/ day, when this dosage is > 75 mg/day.
  • Day 1-3: reduce dosage of dosulepine to 50 mg/day.
  • Day 4-7: reduce dosage of dosulepine to 25 mg/day.
  • Day 8: stop administration of dosulepine.
Eenrichtingbord.png Start paroxetine
  • Day 9: start administration of paroxetine in a normal dosage of 20 mg/day.
Infobord.png More information
  • Occurrence of the serotonin syndrome is not likely, but theoretically possible, so caution is necessary.
  • Paroxetine is a strong inhibitor of CYP2D6, which metabolizes dosulepine.
  1. Switches are based on literature references on this page and expert opinions of the authors. The authors have used pharmacokinetic and receptor affinity properties to determine the switch schedules
  2. Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
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