Difference between revisions of "Escitalopram-fluoxetine"
From Psychiatrienet
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| from = escitalopram | | from = escitalopram | ||
| to = fluoxetine | | to = fluoxetine | ||
| − | | stop = {{ | + | | stop = {{StopSSRI,SNRI}} |
| − | | start = | + | | start = {{StartAntidepressant}} |
| − | + | | info = | |
| − | * | + | * Safe target dose fluoxetine = 20 mg |
| − | + | * {{Possiblestartstop}} | |
* {{theorSS}} | * {{theorSS}} | ||
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Latest revision as of 16:14, 24 February 2023
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Switch medication from escitalopram to fluoxetine.[1] [2]
Stop escitalopram - Day 1: Decrease dose to 50%
- Day 8: Stop
Start fluoxetine- 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
More information- Safe target dose fluoxetine = 20 mg
- A start stop switch is possible, although withdrawal symptoms and/or side effects are more likely
- Occurrence of the serotonin syndrome is not likely, but theoretically possible, so caution is necessary.
- ↑ 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.
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