Difference between revisions of "Vortioxetine-fluoxetine"

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| to = fluoxetine
 
| to = fluoxetine
 
| stop =  
 
| stop =  
{{stopVortioxetine}}
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{{TCAdecrease25p3d}}
 
| start =  
 
| start =  
* A wash-out period of 2 weeks is necessary, because of CYP2D6-inhibition.
+
* '''Day 6 and after''': At approximately 50-25% of the original vortioxetine dose start fluoxetine at 100% of the target dose.
* '''Day 23:''' start administration of fluoxetine in a normal dosage of 20 mg/day.
+
* ''' After 3 weeks:''' If necessary, gradually increase dosage of fluoxetine.
 
| info =  
 
| info =  
* {{theorSS}}
+
* Safe target dose fluoxetine = 20 mg
* Fluoxetine is a strong inhibitor of CYP2D6, which metabolizes vortioxetine.
+
* Fluoxetine and norfluoxetine are inhibitors of CYP2D6 (strong), which metabolizes vortioxetine
<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> }}
 

Revision as of 14:10, 20 February 2025

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

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

| start =

  • Day 6 and after: At approximately 50-25% of the original vortioxetine dose start fluoxetine at 100% of the target dose.
  • After 3 weeks: If necessary, gradually increase dosage of fluoxetine.

| info =

  • Safe target dose fluoxetine = 20 mg
  • Fluoxetine and norfluoxetine are inhibitors of CYP2D6 (strong), which metabolizes vortioxetine