Difference between revisions of "Vortioxetine-citalopram"

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| from = vortioxetine  
 
| from = vortioxetine  
 
| to = citalopram
 
| to = citalopram
| stop =  
+
| stop = {{StopSSRI,SNRI}}
* '''Day 1:''' reduce dosage of vortioxetine to 5 mg/day.
+
| start = {{StartAntidepressant}}
* '''Day 7:''' stop administration of vortioxetine.
 
| start =  
 
* No wash-out period is needed.
 
* Start citalopram the next day in normal dosage of 20 mg/day.
 
 
| info =
 
| info =
* {{theorSS}}<ref name="agoswitch"> {{[[European Medicines Agency]]|SmPC Brintellix 5 mg. }}</ref>
+
* Safe target dose citalopram = 20 mg
 +
* {{theorSS}}
 
}}
 
}}

Latest revision as of 16:39, 24 February 2023

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

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

Nietinrijdenbord.png Stop vortioxetine
  • Day 1: Decrease dose to 50%
  • Day 8: Stop
Eenrichtingbord.png Start citalopram
  • 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 citalopram = 20 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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