Difference between revisions of "Moclobemide-clomipramine"

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* Gradually reduce dosage of moclobemide to a maximum of 300 mg/day.
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{{stopMoclobemide}}
* When a dosage of 300 mg/day is reached, stop administration.
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| start =  
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{{Day9TCAincrease25p3d}}
* No wash-out period is needed.
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| info =
* Start administration of clomipramine the next day in a low dosage of 25-50 mg/day.
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{{mocloshorthalflife}}
* Start low, go slow.
 
 
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Latest revision as of 13:14, 4 August 2023

Moclobemide
Type Antidepressant
Group MAO-I
links
Medscape Moclobemide
PubChem 4235
PubMed Moclobemide
Kompas (Dutch) Moclobemide
Wikipedia Moclobemide
Clomipramine
Type Antidepressant
Group TCA
links
ATC-code N06AA04
Medscape Clomipramine
PubChem 2801
PubMed Clomipramine
Kompas (Dutch) Clomipramine
Wikipedia Clomipramine

Switch medication from moclobemide to clomipramine.[1] [2]

Nietinrijdenbord.png Stop moclobemide
  • Before day 1: gradually reduce dosage of moclobemide to a maximum of 300 mg/day.
  • Day 1: reduce the dosage of moclobemide to 150 mg/day.
  • Day 8: stop administration of moclobemide.
Eenrichtingbord.png Start clomipramine
  • Day 9: Increase with about 25% of target dose per 3 days.
Infobord.png More information
  • Because of the short half life of moclobemide (approx. 2h), the next antidepressant can start next day after stopping with moclobemide.[3]
  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.
  3. Keks, Nicholas, J. Hope, and S. Keogh. "Switching and stopping antidepressants." Australian Prescriber 39.3 (2016).
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