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afya Switching antidepressants

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<<forEachTiddler  where 'tiddler.tags.contains(context.inTiddler.title)'
sortBy 
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write '"*[["+tiddler.title+"]]\n"'>>
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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|SSRI|Tricyclic|cross taper(reduce one while starting other) excpet for Fluoxetine that must be withdrawn fully first|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|