Difference between revisions of "Escitalopram-duloxetine"

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| from = escitalopram  
 
| from = escitalopram  
 
| to = duloxetine  
 
| to = duloxetine  
| stop = {{StopEscitalopram}}
+
| stop = {{StopSSRI,SNRI}}
| start =  
+
| start = {{StartAntidepressant}}
* '''Day 8:''' start administration of duloxetine in a dosage of 30 mg/day.
 
* '''Day 15:''' increase dosage of duloxetine 60 mg/day.
 
 
| info =
 
| info =
 +
* Safe target dose duloxetine = 60 mg
 
* {{theorSS}}
 
* {{theorSS}}
* {{crossSSRIDulo}}
 
 
}}
 
}}

Latest revision as of 16:11, 24 February 2023

Escitalopram
Type Antidepressant
Group SSRI
links
Medscape Escitalopram
PubChem 10832572
PubMed Escitalopram
Kompas (Dutch) Escitalopram
Wikipedia Escitalopram
Duloxetine
Type Antidepressant
Group SNRI
links
Medscape Duloxetine
PubChem 60835
PubMed Duloxetine
Kompas (Dutch) Duloxetine
Wikipedia Duloxetine

Switch medication from escitalopram to duloxetine.[1] [2]

Nietinrijdenbord.png Stop escitalopram
  • Day 1: Decrease dose to 50%
  • Day 8: Stop
Eenrichtingbord.png Start duloxetine
  • 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 duloxetine = 60 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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