Dosulepine-escitalopram
From Psychiatrienet
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Switch medication from dosulepine to escitalopram.[1] [2]
Stop dosulepine - Before day 1: gradually reduce dosage of dosulepine to a maximum of 75 mg/ day, when this dosage is > 75 mg/day.
- Day 1-3: reduce dosage of dosulepine to 50 mg/day.
- Day 4-7: reduce dosage of dosulepine to 25 mg/day.
- Day 8: stop administration of dosulepine.
Start escitalopram- Day 9: start administration of escitalopram in a normal dosage of 10 mg/day.
More information- Occurrence of the serotonin syndrome is not likely, but theoretically possible, so caution is necessary.
- Escitalopram is a weak inhibitor of CYP2D6, which metabolizes dosulepine.
- ↑ 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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