Difference between revisions of "Paroxetine-bupropion"

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(Created page with '{{Drugswitch | from = paroxetine | to = bupropion | stop = * '''Day 0:''' gradually reduce dosage of paroxetine to a maximum of 20 mg/day, when this dosage is > 20 mg/day. * ...')
 
 
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| to = bupropion  
 
| to = bupropion  
 
| stop =  
 
| stop =  
* '''Day 0:''' gradually reduce dosage of paroxetine to a maximum of 20 mg/day, when this dosage is > 20 mg/day.
+
* '''Before day 1:''' If paroxetine dose is above 20mg/day gradually reduce dose to 20 mg/day
* '''Day 1:''' reduce dosage of paroxetine to a maximum of 10 mg/day.
+
* '''Day 1:''' Decrease with about 25% of original dose every 3-4 days
 
| start =  
 
| start =  
* '''Day 1:''' simultaneously start administration of bupropion is a normal dosage of 150 mg/day.  
+
* '''Day 1:''' start bupropion in a normal dosage of 150 mg/day.  
* '''Day 8:''' reduce dosage of paroxetine to a maximum of 5 mg/day and continue administration of bupropion in a dosage of 150 mg/day.
+
* '''Day 8:''' if necessary increase bupropion dosage to 300 mg/day.
* '''Day 15:''' stop administration of paroxetine and continue administration of bupropion.}}
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| info =
 +
* Its possible to start bupropion before day 1, while reducing the dose of paroxetine to 20mg/day.  
 +
* Bupropion is a strong CYP2D6 inhibitor
 +
}}

Latest revision as of 12:32, 20 February 2025

paroxetine
Type Antidepressant
Group SSRI
links
Medscape paroxetine
PubChem 43815
PubMed paroxetine
Kompas (Dutch) paroxetine
Wikipedia paroxetine
Bupropion
Type Antidepressant
Group other
links
ATC-code N06AX12
Medscape Bupropion
PubChem 444
PubMed Bupropion
Kompas (Dutch) Bupropion
Wikipedia Bupropion

Switch medication from paroxetine to bupropion[1][2]

Nietinrijdenbord.png Stop paroxetine
  • Before day 1: If paroxetine dose is above 20mg/day gradually reduce dose to 20 mg/day
  • Day 1: Decrease with about 25% of original dose every 3-4 days
Eenrichtingbord.png Start bupropion
  • Day 1: start bupropion in a normal dosage of 150 mg/day.
  • Day 8: if necessary increase bupropion dosage to 300 mg/day.
Infobord.png More information
  • Its possible to start bupropion before day 1, while reducing the dose of paroxetine to 20mg/day.
  • Bupropion is a strong CYP2D6 inhibitor
  1. Jump up 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. Jump up Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
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