Switch medication from trazodone to citalopram.[1]
[2]
Stop trazodone
- Before day 0: 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 mg/day.
- Day 8: stop administration of trazodone.
Start citalopram
- A wash-out period is not necessary.
- Day 1: simultaneously start administration of citalopram/escitalopram in a normal dosage of 20 mg/day, resp. 10 mg/day.
- Day 8: stop administration of trazodone and continue administration of citalopram/escitalopram.
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- Occurrence of serotonin syndrome is theoretically possible, so caution is necessary.
- Citalopram/escitalopram are a weak inhibitor of CYP2D6, which metabolizes trazodone.
- ↑ 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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Stop trazodone 
Start citalopram
More information