Switch medication from moclobemide to hypericum.[1]
[2]
Stop moclobemide
- Before day 1: gradually decrease the dosage of moclobemide to a maximum of 300 mg/day.
- Day 1: reduce dosage of moclobemide to 150 mg/day.
- Day 8: stop administration of moclobemide.
Start hypericum
- Day 8-10: a wash-out period of two days is necessary.
- Day 11: start hypericum after this period in a dosage of 300 mg three times a day (900 mg/day).
More information
- Occurence of the serotonin syndrome is theoretically possible if no wash-out period is applied.
- This switch is currently being reviewed.
- ↑ 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 moclobemide 
Start hypericum
More information