Switch medication from vortioxetine to dosulepine.[1]
[2]
Stop vortioxetine
- Day 1: Stop vortioxetine
- vortioxetine can be stopped abruptly[3] [4]
Start dosulepine
- Day 1: Increase with about 25% of target dose per 3 days.
More information
- Plasma monitoring for TCA's is advisable, because of plasma-reponse relations, genetic polymorphism and under or overdosing.[5]
- ↑ 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.
- ↑ CBG meb, accessed june 2023, SmPC Vortioxetine
- ↑ Multidisciplinair document Afbouwen Overige Antidepressiva 2023
- ↑ (dutch) monografie.org tricyclische-antidepressiva
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Stop vortioxetine 
Start dosulepine
More information