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Clomipramine-citalopram

708 bytes added, 21:49, 5 May 2009
Created page with '{{Drugswitch | from = clomipramine | to = citalopram | stop = * '''Before day 0:''' gradually reduce dosage of clomipramine to a maximum of 50 mg/day. * '''Day 1:''' reduce d...'
{{Drugswitch
| from = clomipramine
| to = citalopram
| stop =
* '''Before day 0:''' gradually reduce dosage of clomipramine to a maximum of 50 mg/day.
* '''Day 1:''' reduce dosage of clomipramine to 25 mg/day.
* '''Day 3:''' reduce dosage of clomipramine to 10 mg/day.
| start =
* '''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 clomipramine and continue administration of citalopram/escitalopram.
| info =
* Occurrence of serotonin syndrome is theoretically possible, so caution is necessary.
* Citalopram/escitalopram are a weak inhibitor of CYP2D6, which metabolizes clomipramine. }}
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