Difference between revisions of "Fluoxetine-vortioxetine"

From Psychiatrienet
Jump to: navigation, search
Line 3: Line 3:
 
| to = vortioxetine  
 
| to = vortioxetine  
 
| stop =  
 
| stop =  
* '''Before day 1:''' gradually reduce dosage of escitalopram to a maximum of 10 mg/day, when this dosage is  > 10 mg/day.  
+
* '''Before day 1:''' reduce dosage of fluoxetine to 20 mg/day, when this dosage is  > 20 mg/day.  
* '''Day 1:''' when a dosage of 10 mg/day is reached, stop administration
+
* '''Day 1:''' stop administration
 
| start =  
 
| start =  
* A wash-out period is not necessary, but care is needed.
+
* '''Day 1-21:''' A wash-out period is needed.  
* '''Day 1:''' start administration of vortioxetine in a dosage of 10 mg/day.
+
* '''Day 22:''' Start vortioxetine in a dosage of 10 mg/day.
| info =
+
* '''After day 28 :''' If necessary, increase gradually the dosage of vortioxetine.
* Fluoxetine is a strong inhibitor of CYP2D6, which metabolizes vortioxetine.
+
| info =  
* Occurrence of serotonin syndrome is theoretically possible, so caution is necessary.
+
* Fluoxetine slows the metabolism of vortioxetine via CYP2D6, so caution is necessary for at least four weeks after stopping fluoxetine.
* Patients could be directly switched from a SSRI or a SNRI to vortioxetine 10 mg/day. One week after initiation with vortioxetine, the dosage could be increased from 10 mg/day to 20 mg/day.<ref>[http://www.ncbi.nlm.nih.gov/pubmed/25087600 Montgomery SA et al. A randomised, double-blind study in adults with major depressive disorder with an inadequate response to a single course of selective serotonin reuptake inhibitor or serotonin-noradrenaline reuptake inhibitor treatment switched to vortioxetine or agomelatine. Hum Psychopharmacol. 2014 Sep;29(5):470-82.]</ref>
+
* {{theorSS}
 
}}
 
}}

Revision as of 14:23, 12 March 2015

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

  • Before day 1: reduce dosage of fluoxetine to 20 mg/day, when this dosage is > 20 mg/day.
  • Day 1: stop administration

| start =

  • Day 1-21: A wash-out period is needed.
  • Day 22: Start vortioxetine in a dosage of 10 mg/day.
  • After day 28 : If necessary, increase gradually the dosage of vortioxetine.

| info =

  • Fluoxetine slows the metabolism of vortioxetine via CYP2D6, so caution is necessary for at least four weeks after stopping fluoxetine.
  • {{theorSS}

}}