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Mianserine-venlafaxine

Mianserine
Type Antidepressant
Group other
links
PubChem 4184
PubMed Mianserine
Kompas (Dutch) Mianserine
Wikipedia Mianserine
Venlafaxine
Type Antidepressant
Group SNRI
links
Medscape Venlafaxine
PubChem 5656
PubMed Venlafaxine
Kompas (Dutch) Venlafaxine
Wikipedia Venlafaxine

Switch medication from mianserine to venlafaxine.[1] [2]

Nietinrijdenbord.png Stop mianserine
  • Before day 1: gradually reduce dosage of mianserine to a maximum of 60 mg/ day.
  • Day 1: reduce a dosage of 60 mg/day to 30 mg/day.
  • Day 8: stop administration of mianserine.
Eenrichtingbord.png Start venlafaxine
  • Day 1: Simultaneously Start administration of venlafaxine in a normal dosage of 37,5 mg or 75 mg (slow release) /day.
  • Day 8: Continue administration of venlafaxine. If necessary, increase the dosage of venlafaxine.
Letopbord.png Cave
  • Occurrence of serotonin syndrome is (not very likely) possible, so caution is necessary.


  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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