Difference between revisions of "SwitchAntipsychotics"
From Psychiatrienet
| Line 15: | Line 15: | ||
| afk04 = Cp | med04 = Clozapine | | afk04 = Cp | med04 = Clozapine | ||
| afk05 = Hp | med05 = Haloperidol | | afk05 = Hp | med05 = Haloperidol | ||
| − | | afk06 = Lu | med06 = | + | | afk06 = Lu | med06 = Lurasidone |
| afk07 = Ol | med07 = Olanzapine | | afk07 = Ol | med07 = Olanzapine | ||
| afk08 = Pi | med08 = Pimozide | | afk08 = Pi | med08 = Pimozide | ||
Revision as of 19:56, 9 March 2015
Switching Antipsychotics (part of www.switchwiki.eu; an app ('switchtabellen') is available)
To see the consequences of a switch between antipsychotics click in the crosstable below:
the switch is made "from" (vertical) "to" (horizontal).
During switching: don't reduce anticholinergics; consider adding oxazepam. Read: General considerations concerning switching antipsychotics.
| ↓ from | to → | Am | Ar | Ch | Cp | Hp | Lu | Ol | Pi | Qu | Rd | Sd | Sr | Zi | RA | Da | Df | Di | Dh | Do | Dp | Dr | Dz | Mz |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Am | Amisulpride | — | AmAr | AmCh | AmCp | AmHp | AmLu | AmOl | AmPi | AmQu | AmRd | AmSd | AmSr | AmZi | AmRA | — | — | — | — | — | — | — | — | AmMz |
| Ar | Aripiprazole | ArAm | — | ArCh | ArCp | ArHp | ArLu | ArOl | ArPi | ArQu | ArRd | ArSd | ArSr | ArZi | ArRA | — | — | — | — | — | — | — | — | ArMz |
| Ch | Chlorpromazine | ChAm | ChAr | — | ChCp | ChHp | ChLu | ChOl | ChPi | ChQu | ChRd | ChSd | ChSr | ChZi | ChRA | — | — | — | ChDh | — | — | — | — | ChMz |
| Cp | Clozapine | CpAm | CpAr | CpCh | — | CpHp | CpLu | CpOl | CpPi | CpQu | CpRd | CpSd | CpSr | CpZi | CpRA | — | — | — | — | — | — | — | — | CpMz |
| Hp | Haloperidol | HpAm | HpAr | HpCh | HpCp | — | HpLu | HpOl | HpPi | HpQu | HpRd | HpSd | HpSr | HpZi | HpRA | — | — | — | — | HpDo | — | — | — | HpMz |
| Lu | Lurasidone | LuAm | LuAr | LuCh | LuCp | LuHp | — | LuOl | LuPi | LuQu | LuRd | LuSd | LuSr | LuZi | LuRA | — | — | — | — | — | LuDp | LuDr | — | LuMz |
| Ol | Olanzapine | OlAm | OlAr | OlCh | OlCp | OlHp | OlLu | OlOl | OlPi | OlQu | OlRd | OlSd | OlSr | OlZi | OlRA | OlDa | — | — | — | — | — | — | — | OlMz |
| Pi | Pimozide | PiAm | PiAr | PiCh | PiCp | PiHp | PiLu | PiOl | — | PiQu | PiRd | PiSd | PiSr | PiZi | PiRA | — | — | — | — | — | — | — | — | PiMz |
| Qu | Quetiapine | QuAm | QuAr | QuCh | QuCp | QuHp | QuLu | QuOl | QuPi | — | QuRd | QuSd | QuSr | QuZi | QuRA | — | — | — | — | — | — | — | — | QuMz |
| Rd | Risperidone | RdAm | RdAr | RdCh | RdCp | RdHp | RdLu | RdOl | RdPi | RdQu | — | RdSd | RdSr | RdZi | RdRA | — | — | — | — | — | — | — | — | RdMz |
| Sd | Sertindole | SdAm | SdAr | SdCh | SdCp | SdHp | SdLu | SdOl | SdPi | SdQu | SdRd | — | SdSr | SdZi | SdRA | — | — | — | — | — | SdDp | SdDr | — | SdMz |
| Sr | Sulpiride | SrAm | SrAr | SrCh | SrCp | SrHp | SrLu | SrOl | SrPi | SrQu | SrRd | SrSd | — | SrZi | SrRA | — | — | — | — | — | — | — | — | SrMz |
| Zi | Ziprasidone | ZiAm | ZiAr | ZiCh | ZiCp | ZiHp | ZiLu | ZiOl | ZiPi | ZiQu | ZiRd | ZiSd | ZiSr | — | ZiRA | — | — | — | — | — | — | — | — | ZiMz |
| RA | Rest AP | RAAm | RAAr | RACh | RACp | RAHp | RALu | RAOl | RAPi | RAQu | RARd | RASd | RASr | RAZi | RARA | — | RADf | RADi | — | — | — | — | RADz | RAMz |
| Da | Aripiprazol_LA | DaAm | DaAr | DaCh | DaCp | DaHp | DaLu | DaOl | DaPi | DaQu | DaRd | DaSd | DaSr | DaZi | DaRA | — | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DaMz |
| Df | Fluphenazine_LA | DfAm | DfAr | DfCh | DfCp | DfHp | DfLu | DfOl | DfPi | DfQu | DfRd | DfSd | DfSr | DfZi | DfRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | — | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DfMz |
| Di | Flupenthixol_LA | DiAm | DiAr | DiCh | DiCp | DiHp | DiLu | DiOl | DiPi | DiQu | DiRd | DiSd | DiSr | DiZi | DiRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | — | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DiMz |
| Dh | Haloperidol_LA | DhAm | DhAr | DhCh | DhCp | DhHp | DhLu | DhOl | DhPi | DhQu | DhRd | DhSd | DhSr | DhZi | DhRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | — | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DhMz |
| Do | Olanzapine_LA | DoAm | DoAr | DoCh | DoCp | DoHp | DoLu | DoOl | DoPi | DoQu | DoRd | DoSd | DoSr | DoZi | DoRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | — | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DoMz |
| Dp | Paliperidone_LA | DpAm | DpAr | DpCh | DpCp | DpHp | DpLu | DpOl | DpPi | DpQu | DpRd | DpSd | DpSr | DpZi | DpRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DpDp | DpDr | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DpMz |
| Dr | Risperidone_LA | DrAm | DrAr | DrCh | DrCp | DrHp | DrLu | DrOl | DrPi | DrQu | DrRd | DrSd | DrSr | DrZi | DrRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DrDp | — | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DrMz |
| Dz | Zuclopenthixol_LA | DzAm | DzAr | DzCh | DzCp | DzHp | DzLu | DzOl | DzPi | DzQu | DzRd | DzSd | DzSr | DzZi | DzRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | — | DzMz |
| Mz | Zuclopenthixol_MA | MzAm | MzAr | MzCh | MzCp | MzHp | MzLu | MzOl | MzPi | MzQu | MzRd | MzSd | MzSr | MzZi | MzRA | — | — | — | — | — | — | — | MzDz | — |
LA = long acting, MA = medium acting
Rest AP = Chlorprothixene, Flupentixol, Loxapine, Paliperidone, Pericyazine, Perphenazine,Promazine, Trifluoperazine, Zuclopentixol.