- In general after long-term maintenance treatment, the best is to reduce the dose by about 25% every 4-6 weeks. An apt pharmaceutical dose (tablet, capsule, mixture) is not always available. In these cases one should be creative with dosing.
- Another, more risky, possibility is being at a certain dose to use the following scheme:
- 40 mg/day:
- Day 1: reduce dosage of citalopram to 30 mg/day.
- Day 8: reduce dosage of citalopram to 20 mg/day.
- Day 15: reduce dosage of citalopram to 10 mg/day.
- Day 22 stop the administration of citalopram.
- The UK Drug and Therapeutics Bulletin; 1999;37:49-52
- Editor: please note that not all dosages are available in pharmacy. So now and then you should be creative.
- Markowitz JS et al. An assessment of selective serotonin reuptake inhibitor discontinuation symptoms with citalopram. Int Clin Psychopharmacol. 2000 Nov;15(6):329-33
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