Difference between revisions of "Imipramine-mirtazapine"

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| to = mirtazapine  
 
| to = mirtazapine  
 
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| stop =  
* '''Before day 0:''' gradually reduce dosage of imipramine to a maximum of 75 mg/day.
+
{{TCAdecrease25p3d}}
* '''Day 1:''' reduce dosage of imipramine to 50 mg/day.
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| start = {{StartAntidepressant}}
* '''Day 3:''' reduce dosage of imipramine to 25 mg/day.
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| info =
| start =  
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* Safe target dose mirtazapine = 15 mg
* '''Day 1:''' simultaneously start administration of mirtazapine in a normal dosage of 30 mg/day.
 
* '''Day 8:''' stop administration of imipramine and continue administration of mirtazapine.
 
 
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Latest revision as of 11:31, 30 June 2023

Imipramine
Type Antidepressant
Group TCA
links
Medscape Imipramine
PubChem 3696
PubMed Imipramine
Kompas (Dutch) Imipramine
Wikipedia Imipramine
Mirtazapine
Type Antidepressant
Group other
links
Medscape Mirtazapine
PubChem 4205
PubMed Mirtazapine
Kompas (Dutch) Mirtazapine
Wikipedia Mirtazapine

Switch medication from imipramine to mirtazapine.[1] [2]

Nietinrijdenbord.png Stop imipramine
  • Day 1: Decrease with about 25% of the original dose per 3 days.
Eenrichtingbord.png Start mirtazapine
  • 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 mirtazapine = 15 mg
  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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