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Switching antidepressants
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> based on Maudsley hospital guidelines |switch from|to|| |Citalopram, Escitaolopram, Sertraline, Paroxetine|SSRI|withdraw 1st before starting 2nd| |Fluoxetine|SSRI|withdraw and leave gap 4-7/7 (long half life) before starting at low dose| |SSRI|Tricyclic|cross taper(reduce one while starting other) excpet for Fluoxetine that must be withdrawn fully first| |Citalopram, Escitaolopram, Sertraline, Paroxetine|Venlafaxine|cross taper cautiously, low dose and inc slowly| |Fluoxetine|Venlafaxine|withdraw one before starting next at low dose and inc slowly|
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slimindex, Depression, PsychDrugs, index