Switching Antipsychotics
To see the consequences of a switch between antipsychotics click in the crosstable below: the switch is made "from" (vertical) "to" (horizontal).
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During switching: don't reduce anticholinergics; consider adding oxazepam. Read: General considerations concerning switching antipsychotics.
Rest AP = Chlorprothixene, Flupentixol, Fluphenazine Loxapine, Pericyazine, Perphenazine,Promazine, Trifluoperazine, Ziprasidone, Zuclopentixol.
Partial agonist = Aripiprazole, Brexpiprazole, Cariprazine.
| ↓ from | to → | Am | Cp | Hp | Lu | Ol | Pp | Pa | Pf | Pi | Qu | Rd | Sd | Sr | RA | Da | Di | Df | Dh | Do | Dp | Dr | Dz | Mz |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Am | Amisulpride | — | AmCp | AmHp | AmLu | AmOl | AmPp | AmPa | AmPf | AmPi | AmQu | AmRd | AmSd | AmSr | AmRA | — | — | — | — | — | — | — | — | AmMz |
| Cp | Clozapine | CpAm | — | CpHp | CpLu | CpOl | CpPp | CpPa | CpPf | CpPi | CpQu | CpRd | CpSd | CpSr | CpRA | — | — | — | — | — | — | — | — | CpMz |
| Hp | Haloperidol | HpAm | HpCp | — | HpLu | HpOl | HpPp | HpPa | HpPf | HpPi | HpQu | HpRd | HpSd | HpSr | HpRA | — | — | — | HpDh | — | — | — | — | HpMz |
| Lu | Lurasidone | LuAm | LuCp | LuHp | — | LuOl | LuPp | LuPa | LuPf | LuPi | LuQu | LuRd | LuSd | LuSr | LuRA | — | — | — | — | — | — | — | — | LuMz |
| Ol | Olanzapine | OlAm | OlCp | OlHp | OlLu | — | OlPp | OlPa | OlPf | OlPi | OlQu | OlRd | OlSd | OlSr | OlRA | — | — | — | — | OlDo | — | — | — | OlMz |
| Pp | Paliperidone | PpAm | PpCp | PpHp | PpLu | PpOl | — | PpPa | PpPf | PpPi | PpQu | PpRd | PpSd | PpSr | PpRA | — | — | — | — | — | PpDp | PpDr | — | PpMz |
| Pa | Partial agonist | PaAm | PaCp | PaHp | PaLu | PaOl | PaPp | PaPa | PaPf | PaPi | PaQu | PaRd | PaSd | PaSr | PaRA | PaDa | — | — | — | — | — | — | — | PaMz |
| Pf | Penfluridol | PfAm | PfCp | PfHp | PfLu | PfOl | PfPp | PfPa | — | PfPi | PfQu | PfRd | PfSd | PfSr | PfRA | — | — | — | — | — | — | — | — | PfMz |
| Pi | Pimozide | PiAm | PiCp | PiHp | PiLu | PiOl | PiPp | PiPa | PiPf | — | PiQu | PiRd | PiSd | PiSr | PiRA | — | — | — | — | — | — | — | — | PiMz |
| Qu | Quetiapine | QuAm | QuCp | QuHp | QuLu | QuOl | QuPp | QuPa | QuPf | QuPi | — | QuRd | QuSd | QuSr | QuRA | — | — | — | — | — | — | — | — | QuMz |
| Rd | Risperidone | RdAm | RdCp | RdHp | RdLu | RdOl | RdPp | RdPa | RdPf | RdPi | RdQu | — | RdSd | RdSr | RdRA | — | — | — | — | — | RdDp | RdDr | — | RdMz |
| Sd | Sertindole | SdAm | SdCp | SdHp | SdLu | SdOl | SdPp | SdPa | SdPf | SdPi | SdQu | SdRd | — | SdSr | SdRA | — | — | — | — | — | — | — | — | SdMz |
| Sr | Sulpiride | SrAm | SrCp | SrHp | SrLu | SrOl | SrPp | SrPa | SrPf | SrPi | SrQu | SrRd | SrSd | — | SrRA | — | — | — | — | — | — | — | — | SrMz |
| RA | Rest AP | RAAm | RACp | RAHp | RALu | RAOl | RAPp | RAPa | RAPf | RAPi | RAQu | RARd | RASd | RASr | RARA | — | RADi | RADf | — | — | — | — | RADz | RAMz |
| Da | Aripiprazole_LA | DaAm | DaCp | DaHp | DaLu | DaOl | DaPp | DaPa | DaPf | DaPi | DaQu | DaRd | DaSd | DaSr | DaRA | — | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DaMz |
| Di | Flupenthixol_LA | DiAm | DiCp | DiHp | DiLu | DiOl | DiPp | DiPa | DiPf | DiPi | DiQu | DiRd | DiSd | DiSr | DiRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | — | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DiMz |
| Df | Fluphenazine_LA | DfAm | DfCp | DfHp | DfLu | DfOl | DfPp | DfPa | DfPf | DfPi | DfQu | DfRd | DfSd | DfSr | DfRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | — | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DfMz |
| Dh | Haloperidol_LA | DhAm | DhCp | DhHp | DhLu | DhOl | DhPp | DhPa | DhPf | DhPi | DhQu | DhRd | DhSd | DhSr | DhRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | — | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DhMz |
| Do | Olanzapine_LA | DoAm | DoCp | DoHp | DoLu | DoOl | DoPp | DoPa | DoPf | DoPi | DoQu | DoRd | DoSd | DoSr | DoRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | — | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DoMz |
| Dp | Paliperidone_ER | DpAm | DpCp | DpHp | DpLu | DpOl | DpPp | DpPa | DpPf | DpPi | DpQu | DpRd | DpSd | DpSr | DpRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DpDp | DpDr | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DpMz |
| Dr | Risperidone_LA | DrAm | DrCp | DrHp | DrLu | DrOl | DrPp | DrPa | DrPf | DrPi | DrQu | DrRd | DrSd | DrSr | DrRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DrDp | — | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | DrMz |
| Dz | Zuclopenthixol_LA | DzAm | DzCp | DzHp | DzLu | DzOl | DzPp | DzPa | DzPf | DzPi | DzQu | DzRd | DzSd | DzSr | DzRA | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | [[{{{med99}}}-{{{med99}}}|{{{afk99}}}{{{afk99}}}]] | — | DzMz |
| Mz | Zuclopenthixol_MA | MzAm | MzCp | MzHp | MzLu | MzOl | MzPp | MzPa | MzPf | MzPi | MzQu | MzRd | MzSd | MzSr | MzRA | — | — | — | — | — | — | — | MzDz | — |
ER = extended release (Palmeux® + Xeplion® + Trivecta® + Byannli®), LA = long acting, MA = medium acting