Difference between revisions of "Amisulpride-Risperidone LA"
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{{Drugswitch | {{Drugswitch | ||
| from = Amisulpride | | from = Amisulpride | ||
| − | | to = | + | | to = Risperidone_LA |
| stop = | | stop = | ||
* '''Day 1-14:''' {{Cont}} | * '''Day 1-14:''' {{Cont}} | ||
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* '''Day 28:''' stop | * '''Day 28:''' stop | ||
| start = {{StartDepot}} | | start = {{StartDepot}} | ||
| − | + | | info = {{caveQT}}{{Alternatief}}{{ImproveCognition}} | |
| − | | info = {{caveQT}}{{Alternatief}} | + | | view = Stop28DaysStartDepotRisp.jpg |
}} | }} | ||
Latest revision as of 09:12, 11 February 2010
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Switch medication from Amisulpride to Risperidone_LA.[1] [2]
Stop Amisulpride - Day 1-14: Continue drug at usual dose
- Day 15-18: approx. 75% of initial dose
- Day 19-22: approx. 50% of initial dose
- Day 23-27: approx. 25% of initial dose
- Day 28: stop
Start Risperidone_LA- Day 1: Start depot according general dosing advice (Dotted line in graph)
More information- During this switch you could monitor ECG, especially in patients prone to QT-conduction problems.
- There is a possibility of QT interval prolongation.[3]
- Alternatively, first switch to oral form and then switch to depot to manage possible (adverse) reactions. With a direct switch to a depot it is advisable to administer a low testdose in order to exclude adverse reactions.
- Cognitive functions could improve after this switch.[4]
— Amisulpride — Risperidone_LA
- ↑ 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
- ↑ Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
- ↑ Stöllberger C, Huber JO, Finsterer J, Antipsychotic drugs and QT prolongation. Int Clin Psychopharmacol. 2005 Sep;20(5):243-51.
- ↑ Kim SW et al. Effects of switching to long-acting injectable risperidone from oral atypical antipsychotics on cognitive function in patients with schizophrenia.. Hum Psychopharmacol. 2009 Oct;24(7):565-73.
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