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OK Dave but half life of venlafaxine is much shorter than paroxetine

July 1 2009 at 9:50 AM
Anonymous 


Response to short half life of paroxetine and venlafaxine make these two drugs more problematic

Antidepressant Half Life Information

 

  Sep-01
drug generic name company type max mg/day Half life, hrs
Anafranil clomipramine Novartis TCAD 250 21(19-37)
Asendis amoxapine Wyeth TCAD 300 no info
Cipramil Lundbeck SSRI 60 36 (28 - 42)
Elderly patients may metabolise more slowly and need lower dose
Edronax Pharmacia SNRI 12 8
Efexor venlafaxine Wyeth SSNRI 375 5 (5 to 11)
    "    XL Wyeth SSNRI 225 20 to 22
Faverin Solvay SSRI 300 21
Lentizol amitriptyline hyd. Pfizer 200 15 (10 - 28)
Nortriptyline, the most important metabolite, has a half-life of 36 hours (18-60 hours). 
It has a polymorphically controlled metabolism (debrisoquine metabolism). In subjects
with a slow metabolism (in Switzerland about 9% of the population) high therapeutic
 doses can lead to toxic plasma levels very quickly.
Lustral, sertraline Pfizer SSRI 200 26 (22 to 33)
Prothiaden dothiepin hyd. Knoll TCAD 150 19 to 33
Prozac fluoxetine Dista SSRI 7 to 9 DAYS
Approx. 7% of people have difficulty metabolising fluoxetine and it then increases rapidly
Seroxat paroxetine GSK SSRI 50 21 to 26
Sinequan doxepin Pfizer TCAD 100x3 p.d. 28 to 52
Surmontil trimipramine Futuna TCAD 300 24
Tofranil imipramine Novartis TCAD 200 19
Elderly shown to have slower metabolism giving half life of 28 hours.
Young me shown to have higher metabolism giving half life of 16 hours.
Triptafen phenothiazine Goldshield TCAD 4 tabs daily 30
Zispin mirtazapine Organon N&S enhancer 45 20 to 40

http://www.clinical-depression.co.uk/half_life.htm


 
 
Responses

  1. Healy's position by extraction - is venlafaxine worst withdrawal - Anonymous on Jul 1, 12:59 PM
    1. I'm not sure that this is Dr Healy's position because... - paula on Jul 3, 9:34 AM
     

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