Difference between revisions of "Citalopram-vortioxetine"

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| from = citalopram
 
| from = citalopram
 
| to = vortioxetine  
 
| to = vortioxetine  
| stop =  
+
| stop = {{StopSSRI,SNRI}}
* '''Day 1-8:''' Gradually reduce dosage of citalopram to a maximum of 20 mg/day, when this dosage is > 20 mg/day.
+
| start = {{StartAntidepressant}}
* '''Day 8:''' When a dosage of 20 mg/day is reached, stop administration.
 
| start =  
 
{{washout8-14}}
 
* '''Day 15:''' Start administration of vortioxetine in a dosage of 10 mg/day.
 
 
| info =
 
| info =
* Citalopram is a weak inhibitor of CYP2D6, which metabolizes vortioxetine.
+
* Safe target dose vortioxetine = 10 mg
{{SerotoninSyndromePossible}}
+
* {{theorSS}}
 
 
 
}}
 
}}

Latest revision as of 15:51, 24 February 2023

Citalopram
Type Antidepressant
Group SSRI
links
ATC-code N06AB04
Medscape Citalopram
PubChem 2771
PubMed Citalopram
Kompas (Dutch) citalopram
Wikipedia citalopram
Vortioxetine
Type Antidepressant
Group SMS
links
Medscape Vortioxetine
PubChem 9966051
PubMed Vortioxetine
Kompas (Dutch) Vortioxetine
Wikipedia Vortioxetine

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

Nietinrijdenbord.png Stop citalopram
  • Day 1: Decrease dose to 50%
  • Day 8: Stop
Eenrichtingbord.png Start vortioxetine
  • Day 1: Start with 50% of the target dose
  • Day 8: Increase dose to 100% of the target dose
  • Day 9 and after: Gradually increase dose as necessary
Infobord.png More information
  • Safe target dose vortioxetine = 10 mg
  • Occurrence of the serotonin syndrome is not likely, but theoretically 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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