Moclobemide to other antidepressants: switching in adults SPS - Specialist Pharmacy ServiceAbout Log in RegisterNHSGuidanceEventsPodcastsPlanningTrainingPublicationsTools SearchCOVID-19PGDsAdministeringCautions and contraindicationsDosingSwitchingMore Moclobemide to other antidepressants: switching in adultsPublished 17 February 2023Topics: Mental health and illness · Moclobemide · SwitchingHow to switch safely from moclobemide to other antidepressants. Seek specialist advice for complex switches.ContentsAdvice for all antidepressantsMoclobemide to agomelatineTaper, washout and switchMoclobemide to mirtazapineTaper, washout and switchMoclobemide to monoamine oxidase inhibitors (MAOI)Taper, washout and switch with specialist adviceMoclobemide to selective serotonin reuptake inhibitors (SSRIs
Moclobemide An official website of the United States government Here's how you know Log inAccess keysNCBI HomepageMyNCBI HomepageMain ContentMain NavigationBookshelfSearch databaseBooksAll DatabasesAssemblyBiocollectionsBioProjectBioSampleBooksClinVarConserved DomainsdbGaPdbVarGeneGenomeGEO DataSetsGEO ProfilesGTRHomoloGeneIdentical Protein GroupsMedGenMeSHNLM and EffectsSummary of Use during LactationMoclobemide is not approved for marketing in the United States by the U.S. Food and Drug Administration, but is available in other countries. Limited information indicates that maternal doses of moclobemide up to 900 mg daily produce low levels in milk. Although several breastfed infants apparently experienced no adverse effects during maternal use of moclobemide
Bioavailability of moclobemide from two formulation tablets in healthy humans. A ,,sine qua non" requirement for a generic formulation to be admitted for a medical use is to provide bioavailability studies in healthy subjects. Therefore, those studies were performed for 150 mg moclobemide tablets (Jelfa, Poland) versus 150 mg Aurorix (Hoffmann la Roche) reference tablets. An open-label, two -phase crossover study was conducted with 10 healthy subjects. Pharmacokinetic parameters (AUC, ke, t, C, t, t, V/f, Cl/f) obtained at the same time for moclobemide were supposed to be confronted with the literature data available for healthy volunteers. The plasma moclobemide levels as a function of time were calculated according to either an open one-compartment body model with lag time of absorption
Lack of efficacy of moclobemide or imipramine in the treatment of recurrent brief depression: results from an exploratory randomized, double-blind, placebo-controlled treatment study. 'Recurrent brief depression' (RBD) is a common, distressing and impairing depressive disorder for which there is no current proven pharmacological or psychological treatment. This multicentre, randomized, fixed-dose , parallel-group, placebo-controlled study of the reversible inhibitor of monoamine oxidase moclobemide (450 mg/day) and the tricyclic antidepressant imipramine (150 mg/day) evaluated the potential efficacy of active medication, when compared with placebo, in patients with recurrent brief depression, recruited in the mid-1990s. After a 2-4-week single-blind placebo run-in period, a total of 35 patients
) inhibitor – Moclobemide CYP2C19Note: Based on evidence, drug−gene combinations listed here have been included in clinical guidelines, but no treatment recommendations can be made. Therefore, PGx testing is not recommended. Up-to-date clinical guidance can be found in the Pharmacogenomic Knowledge Base (PharmGKB’s) Clinical Guideline Annotations.Table 4 lists drug−gene associations with a low level
and switchStop the first antidepressant; wait for a period (the “washout”), before starting the second. Individual switches We have advice on how to switch between individual antidepressants of different types. Browse our collection below. * Switching strategies for antidepressants * MAOI to other antidepressants: switching in adults * Moclobemide to other antidepressants: switching in adults * Trazodone this pageRelatedMAOI to other antidepressants: switching in adults Switching between or from a monoamine oxidase inhibitor (MAOI) is a complex switch and requires support from a specialist. General principles are described. Tranylcypromine · 17 February 2023 Moclobemide to other antidepressants: switching in adults Suggested methods for switching safely from moclobemide to other antidepressants. Switches requiring
is not recommended due to the high risk of serotonin syndrome.From all except fluoxetine and sertralineAfter stopping the SSRI, wait 7 days before starting moclobemide.From fluoxetineAfter stopping fluoxetine, wait 5 to 6 weeks before starting moclobemide. Clinicians should decide the duration of the washout period on a case-by-case basis.Fluoxetine may still cause medicine interactions 5 or 6 weeks after stopping , as fluoxetine and its active metabolite have a long half-life.From sertralineAfter stopping sertraline, wait 7 to 13 days before starting moclobemide. The manufacturer advises a 7 day washout period but 13 days may be considered to account for the long half-life of sertraline’s active metabolite. Clinicians should decide the duration of the washout period on a case-by-case basis.SSRIs to monoamine oxidase
or pregabalin.BibliographyReferences used in preparing this page.Show RelatedUsing gabapentin or pregabalin whilst breastfeedingGabapentin or pregabalin can be taken while breastfeeding and with infant monitoring. Recommendations apply to full term and healthy infants only.Safety in Breastfeeding · 1 March 2022Moclobemide to other antidepressants: switching in adultsHow to switch safely from moclobemide to other antidepressants
the TCA, wait 7 days before starting moclobemide.From clomipramineAfter stopping clomipramine, wait 7 to 21 days before starting moclobemide. The manufacturer for clomipramine suggests a washout period of 21 days whereas other sources suggest shorter periods. Clinicians should decide the duration of the washout period on a case-by-case basis.TCAs to monoamine oxidase inhibitors (MAOIs)Switching
in adultsSwitching between or from a monoamine oxidase inhibitor (MAOI) is always a complex switch and you should follow specialist advice.Tranylcypromine · 17 February 2023Moclobemide to other antidepressants: switching in adultsHow to switch safely from moclobemide to other antidepressants. Seek specialist advice for complex switches.Switching · 17 February 2023Trazodone to other antidepressants: switching
advice.Tranylcypromine · 17 February 2023Moclobemide to other antidepressants: switching in adultsHow to switch safely from moclobemide to other antidepressants. Seek specialist advice for complex switches.Switching · 17 February 2023Trazodone to other antidepressants: switching in adultsHow to switch safely from trazodone to other antidepressants. Seek specialist advice for complex switches.Trazodone · 17 February