Difference between revisions of "Vortioxetine-paroxetine"

From Psychiatrienet
Jump to: navigation, search
Line 3: Line 3:
 
| to = paroxetine
 
| to = paroxetine
 
| stop =  
 
| stop =  
{{stopVortioxetine}}
+
{{TCAdecrease25p3d}}
 
| start =  
 
| start =  
{{washout8-14}}
+
* '''Day 7 and after''': At approximately 50-25% of the original vortioxetine dose start paroxetine at 50% of the target dose.
* '''Day 15:''' start administration of paroxetine in a normal dosage of 10-20 mg/day. <ref name="vortiswitch"> {{Pubmed|24570588 |Katona et al. New generation multi-modal antidepressants: focus on vortioxetine for major depressive disorder. 2014 2014 Feb 19;10:349-54}}</ref> <ref name="informatorium">{{KNMP|vortioxetine}}</ref>
+
* '''Day 14:''' Increase paroxetine to 100% of the target dose
 +
 
 
| info =  
 
| info =  
* {{theorSS}}
+
* Safe target dose paroxetine = 20 mg
* Paroxetine is a strong inhibitor of CYP2D6, which metabolizes vortioxetine. }}
+
* paroxetine is a strong CYP2D6 inhibitor, which metabolize vortioxetine.

Revision as of 12:46, 20 February 2025

{{Drugswitch | from = vortioxetine | to = paroxetine | stop =

  • Day 1: Decrease with about 25% of the original dose per 3 days.

| start =

  • Day 7 and after: At approximately 50-25% of the original vortioxetine dose start paroxetine at 50% of the target dose.
  • Day 14: Increase paroxetine to 100% of the target dose

| info =

  • Safe target dose paroxetine = 20 mg
  • paroxetine is a strong CYP2D6 inhibitor, which metabolize vortioxetine.