Difference between revisions of "Trazodone-fluvoxamine"
From Psychiatrienet
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| to = fluvoxamine | | to = fluvoxamine | ||
| stop = | | stop = | ||
| − | * '''Before day | + | * '''Before day 1:''' gradually reduce dosage of trazodone to a maximum of 150 mg/day, when this dosage is > 150 mg/day. |
* '''Day 1:''' reduce dosage of trazodone to 75-100 mg/day. | * '''Day 1:''' reduce dosage of trazodone to 75-100 mg/day. | ||
* '''Day 8:''' stop administration of trazodone. | * '''Day 8:''' stop administration of trazodone. | ||
Revision as of 16:06, 20 November 2009
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Switch medication from trazodone to fluvoxamine.[1] [2]
Stop trazodone - Before day 1: gradually reduce dosage of trazodone to a maximum of 150 mg/day, when this dosage is > 150 mg/day.
- Day 1: reduce dosage of trazodone to 75-100 mg/day.
- Day 8: stop administration of trazodone.
Start fluvoxamine- A wash-out period is not necessary, but care is needed.
- Day 8: start administration of fluvoxamine in a normal dosage of 50 mg/day.
- Occurrence of serotonin syndrome is theoretically possible, so caution is necessary.
More information- The content of trazodone in the tablet, for example 100 mg or 150 mg, determines which exact doses are given.
- ↑ 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
- ↑ Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
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