Switch medication from citalopram to mianserine.[1]
[2]
Stop citalopram
- Gradually reduce dosage of citalopram/escitalopram to a maximum of 20 mg/ day resp. 10 mg/day, when this dosage is respectively > 20 mg/day and > 10 mg/day.
- When a dosage of 20 mg/day, resp. 10 mg/day, is reached, stop administration.
Start mianserine
- No wash-out period is needed.
- Start mianserine the next day in low dosage of 30 mg/day.
More information
- ↑ 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 citalopram 
Start mianserine
More information