*Check Liver & Renal functions
*Do not combine with MAOI (causes erotonin syndrome)
Mnemonics:
Parrot savors the ecstatic citrus fruit in the village
Paroxetine Sertraline Escitalopram Citalopram Fluoxetine Vilazodone
Citalopram
* The SSRIs are not thought to be as worrisome in patients with cardiac disease, as they do not appear to exert any effect on blood pressure, heart rate, cardiac conduction, or cardiac rhythm; however, dose-dependent QT prolongation has been reported with citalopram. Because of the risk for QT prolongation, citalopram is contraindicated in individuals with congenital long QT syndrome.
**The FDA advises that the dose of citalopram not exceed 40 mg/day because of the risk of potentially fatal QT prolongation. Furthermore, higher doses have not been shown to be more effective in treating depression.
***Escitalopram is an SSRI and S-enantiomer of citalopram
**** Elderly is always half the dosage
*Do not combine with MAOI (causes erotonin syndrome)
Generic
|
Brand
|
Dosage
|
Elderly***
|
Citalopram
|
Celexa
|
20-40mg qd*
|
20mg max (QTc)**
|
Escitalopram***
|
Lexapro
|
10mg qd
|
|
Fluoxetine
|
Prozac
|
20-60mg
90mgqweek Extended Release AM 20mg PM20mg |
10mg initial
|
Paroxetine
|
Paxil
|
20-50mg
|
10mg initial
|
Sertraline
|
Zoloft
|
25-50mg
|
|
Vilazodone
|
Viibryd
|
20-40mg
Start
10mg initial
|
Mnemonics:
Parrot savors the ecstatic citrus fruit in the village
Paroxetine Sertraline Escitalopram Citalopram Fluoxetine Vilazodone
Citalopram
* The SSRIs are not thought to be as worrisome in patients with cardiac disease, as they do not appear to exert any effect on blood pressure, heart rate, cardiac conduction, or cardiac rhythm; however, dose-dependent QT prolongation has been reported with citalopram. Because of the risk for QT prolongation, citalopram is contraindicated in individuals with congenital long QT syndrome.
**The FDA advises that the dose of citalopram not exceed 40 mg/day because of the risk of potentially fatal QT prolongation. Furthermore, higher doses have not been shown to be more effective in treating depression.
***Escitalopram is an SSRI and S-enantiomer of citalopram
**** Elderly is always half the dosage
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