Difference between revisions of "Citalopram-nortriptyline"

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| to = nortriptyline
 
| to = nortriptyline
 
| stop =  
 
| stop =  
* '''Day 0:''' gradually reduce dosage of citalopram/escitalopram to a maximum of 20 mg/day resp. 10 mg/day, when this dosage is respectively > 20 mg/day and > 10 mg/day.  
+
* '''Before day 1:''' gradually reduce dosage of citalopram/escitalopram to a maximum of 20 mg/day resp. 10 mg/day, when this dosage is respectively > 20 mg/day and > 10 mg/day.  
 
* '''Day 1:''' reduce dosage of citalopram/escitalopram to a maximum of 10 mg/day resp. 5 mg/day.  
 
* '''Day 1:''' reduce dosage of citalopram/escitalopram to a maximum of 10 mg/day resp. 5 mg/day.  
 
| start =  
 
| start =  

Revision as of 15:15, 11 September 2009

Citalopram
Type Antidepressant
Group SSRI
links
ATC-code N06AB04
Medscape Citalopram
PubChem 2771
PubMed Citalopram
Kompas (Dutch) citalopram
Wikipedia citalopram
Nortriptyline
Type Antidepressant
Group TCA
links
Medscape Nortriptyline
PubChem 4543
PubMed Nortriptyline
Kompas (Dutch) Nortriptyline
Wikipedia Nortriptyline

Switch medication from citalopram to nortriptyline.[1] [2]

Nietinrijdenbord.png Stop citalopram
  • Before day 1: gradually reduce dosage of citalopram/escitalopram to a maximum of 20 mg/day resp. 10 mg/day, when this dosage is respectively > 20 mg/day and > 10 mg/day.
  • Day 1: reduce dosage of citalopram/escitalopram to a maximum of 10 mg/day resp. 5 mg/day.
Eenrichtingbord.png Start nortriptyline
  • Day 1: simultaneously start administration of nortriptyline in a normal dosage of 50 mg/day.
  • Day 8: stop administration of citalopram/escitalopram and continue administration of nortriptyline only.
Infobord.png More information
  • “Start low, go slow” for nortriptyline is not required, but caution is necessary.
  • The same applies to escitalopram.
  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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