Difference between revisions of "Moclobemide-dosulepine"

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* '''Before day 1:''' gradually reduce dosage of moclobemide to a maximum of 300 mg/day.
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{{stopMoclobemide}}
* '''Day 1:''' reduce the dosage of moclobemide to 150 mg/day.
 
* '''Day 8:''' stop administration of moclobemide.
 
 
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* No wash-out period is necessary.
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{{Day9TCAincrease25p3d}}
* '''Day 9:''' start dosulepine after this wash-out period in a normal dosage of 50-75 mg/day.
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| info =  
* “Start low, go slow” is not required, but caution is necessary.
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{{mocloshorthalflife}}
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{{review}}
 
 
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Latest revision as of 13:15, 4 August 2023

Moclobemide
Type Antidepressant
Group MAO-I
links
Medscape Moclobemide
PubChem 4235
PubMed Moclobemide
Kompas (Dutch) Moclobemide
Wikipedia Moclobemide
dosulepin
Type antidepressant
Group TCA
links
ATC-code N06AA16
PubChem 13473
PubMed dosulepin
Kompas (Dutch) dosulepin
Wikipedia dosulepin

Switch medication from moclobemide to dosulepine.[1] [2]

Nietinrijdenbord.png Stop moclobemide
  • Before day 1: gradually reduce dosage of moclobemide to a maximum of 300 mg/day.
  • Day 1: reduce the dosage of moclobemide to 150 mg/day.
  • Day 8: stop administration of moclobemide.
Eenrichtingbord.png Start dosulepine
  • Day 9: Increase with about 25% of target dose per 3 days.
Infobord.png More information
  • Because of the short half life of moclobemide (approx. 2h), the next antidepressant can start next day after stopping with moclobemide.[3]
  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.
  3. Keks, Nicholas, J. Hope, and S. Keogh. "Switching and stopping antidepressants." Australian Prescriber 39.3 (2016).
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