Difference between revisions of "Tranylcypromine-bupropion"

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* Gradually decrease the dosage of tranylcypromine with 10-20 mg/week.
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* When a dosage of 10 mg/day is reached, stop administration.
 
 
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* '''Day 1-14:''' a wash-out period of two weeks is necessary.
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* '''Day 10:''' start administration of bupropion in a dosage of 150 mg/day and gradually increase dose as necessary.  
* '''Day 15:''' start bupropion after this period in a normal dosage of 150 mg/day.
 
 
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* Occurence of the serotonin syndrome is theoretically possible.
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{{Tcrestore}}<ref name="informatorium">{{KNMP|tranylcypromine}}</ref>
* The wash-out period is necessary for the MAO enzymes to restore their function.}}
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* Tranylcypromine has to be phased out to avoid withdrawal symptoms.<ref>Dr. M.J.Blom et al. (2009) Gebruik van klassieke MAO-remmers</ref>
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Latest revision as of 16:26, 30 June 2023

Tranylcypromine
Type Antidepressant
Group MAO-I
links
Medscape Tranylcypromine
PubChem 5530
PubMed Tranylcypromine
Kompas (Dutch) Tranylcypromine
Wikipedia Tranylcypromine
Bupropion
Type Antidepressant
Group other
links
ATC-code N06AX12
Medscape Bupropion
PubChem 444
PubMed Bupropion
Kompas (Dutch) Bupropion
Wikipedia Bupropion

Switch medication from tranylcypromine to bupropion.[1] [2]

Nietinrijdenbord.png Stop tranylcypromine
  • Day 1: decrease the original dose with about 25% every 3 days.
  • Day 9: stop administration of tranylcypromine.
Eenrichtingbord.png Start bupropion
  • Day 10: start administration of bupropion in a dosage of 150 mg/day and gradually increase dose as necessary.
Infobord.png More information
  • After the last dose of tranylcypromine it takes about 14 days to restore the activity of the MAO enzymes[3]
  • Tranylcypromine has to be phased out to avoid withdrawal symptoms.[4]
  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. KNMP; Informatorium Medicamentorum 2023; Monografie "tranylcypromine" (Dutch)
  4. Dr. M.J.Blom et al. (2009) Gebruik van klassieke MAO-remmers
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