Switch medication from escitalopram to vortioxetine.[1][2]
Stop escitalopram
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Day 1: Decrease dose to 50%
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Day 8: Stop
Start vortioxetine
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Day 1: Start with 50% of the target dose
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Day 8: Increase dose to 100% of the target dose
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Day 9 and after: Gradually increase dose as necessary
More information
- Safe target dose vortioxetine = 10 mg
- Occurrence of the serotonin syndrome is not likely, but theoretically possible, so caution is necessary.
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↑ 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
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↑ Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
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