Standard dosage | 10 mg daily to 40 mg daily |
Contraindications | concomitant use with a monoamine oxidase inhibitor (MAOi), IV methylene blue, linezolid may lead to increased risk of serotonin syndrome |
Main drug interactions | other medications that may prolong QTc interval, primarily metabolized by CYP2C19, 2D6, and 3A4. Weak inhibitor of 2D6. |
Main side effects | diaphoresis, nausea, xerostomia, dizziness, headache, insomnia, somnolence, tremor, prolonged QTc interval, rare worsening depression |
Special points | special consideration should be placed on risk of QTc prolongation, especially on 40 mg daily dose, strong caution against doses exceeding 20 mg in the elderly |
Cost | inexpensive |
Standard dosage | 5 mg daily to 20 mg daily |
Contraindications | concomitant use with a monoamine oxidase inhibitor (MAOi), IV methylene blue, linezolid may lead to increased risk of serotonin syndrome |
Main drug interactions | metabolized by CYP2C19, 3A4 |
Main side effects | diaphoresis, diarrhea, nausea, headache, insomnia, somnolence |
Special points | relatively selective SSRI and fewer drug interactions than others |
Cost | relatively more expensive compared to other oral medications |
Standard dosage | 25 mg daily to 200 mg daily |
Contraindications | concomitant use of disulfiram, concomitant use with a monoamine oxidase inhibitor (MAOi), IV methylene blue, linezolid may lead to increased risk of serotonin syndrome |
Main drug interactions | metabolized by CYP450 2C19, inhibitor of 2D6, 3A4 |
Main side effects | diarrhea, indigestion, nausea, dizziness, headache, insomnia, somnolence, re- duced libido, fatigue, rash, hyponatremia |
Special points | also has mild dopaminergic actions |
Cost | inexpensive |
Standard dosage | oral 12.5 mg daily to 400 mg a day divided by twice a day or three times a day |
Contraindications | concomitant use with a monoamine oxidase inhibitor (MAOi), IV methylene blue, linezolid may lead to increased risk of serotonin syndrome, concomitant use with saquinavir/ritonavir |
Main drug interactions | extensive CYP450 3A4 metabolism |
Main side effects | nausea, headache, somnolence, blurred vision, fatigue, prolonged QT, rare seizures |
Special points | has sedating properties and may be helpful for patients with insomnia or agitation, may cause worsening of cognition at higher doses |
Cost | inexpensive |