Difference between revisions of "Tranylcypromine-imipramine"

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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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{{28Inc25p3d}} <ref name="informatorium">{{KNMP|tranylcypromine}}</ref>
* '''Day 15:''' start imipramine after this period in a low dosage of 25-50 mg/day.
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|caveat =
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| info =  
* Occurence of the serotonin syndrome is theoretically possible.
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{{Tcrestore}}
* The wash-out period is necessary for the MAO enzymes to restore their function.}}
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Latest revision as of 11:12, 28 October 2015

Tranylcypromine
Type Antidepressant
Group MAO-I
links
Medscape Tranylcypromine
PubChem 5530
PubMed Tranylcypromine
Kompas (Dutch) Tranylcypromine
Wikipedia Tranylcypromine
Imipramine
Type Antidepressant
Group TCA
links
Medscape Imipramine
PubChem 3696
PubMed Imipramine
Kompas (Dutch) Imipramine
Wikipedia Imipramine

Switch medication from tranylcypromine to imipramine.[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 imipramine
  • Day 23: Start and increase the dose with about 25% of the target dose every 3 days. [3]
Letopbord.png Cave
Infobord.png More information
  • After the last dose of tranylcypromine it takes about 14 days to restore the activity of the MAO enzymes
  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)
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