Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Procedure Should Be Followed For Tapering The Dosage Of Cipralex?
Hi, Dr. Grief: My name is Leidiana Herandez and I m a pharmacy intern. We have a patient that has been on Cipralex 20 mg for 7 weeks and we need to switch her to Remeron RD 15 mg due to treatment failure. Could you please tell me in detail how should I taper down Cipralex? Thanks
Tue, 8 Apr 2014
Hi, sorry i am not Dr Grief, this is Dr Vaddadi answerring you.
Tapering ciplarex should be done over 4 weeks duration.
First, reduce the dose of ciplarex to 15 mg for 1st week.
At the begining of second week, make it 10 mg and start the patient simultaneously on 7.5 mg of remeron.
3 rd week - Reduce ciplarex to 5 mg and increase remeron to 15 mg
4 th week- stop cipralex totally and continue remeron.
By this method, we can avoid withdrawal symptoms, and reduce the sedation effect of mirtazapine (remeron).
hope this helped.
Tapering ciplarex should be done over 4 weeks duration.
First, reduce the dose of ciplarex to 15 mg for 1st week.
At the begining of second week, make it 10 mg and start the patient simultaneously on 7.5 mg of remeron.
3 rd week - Reduce ciplarex to 5 mg and increase remeron to 15 mg
4 th week- stop cipralex totally and continue remeron.
By this method, we can avoid withdrawal symptoms, and reduce the sedation effect of mirtazapine (remeron).
hope this helped.
I find this answer helpful
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Enantiopure drugs
Loading Online Doctors....