
pmid: 32186829
Interruption or abrupt discontinuation of the use of antidepressants may lead to withdrawal symptoms. These are most common with selective serotonin reuptake inhibitors (SSRIs) and serotonin-noradrenaline reuptake inhibitors (SNRIs).There is insufficient scientific evidence about the prevalence of antidepressant withdrawal symptoms and how to optimally discontinue antidepressants. The multidisciplinary document 'Discontinuation of SSRIs & SNRIs' offers a rationale and suggestions for the gradual tapering of these antidepressants. The following factors are consistently named as risk factors for the occurrence of withdrawal symptoms: (a) the patient experiences withdrawal symptoms in case of non-compliance or skipped doses; (b) a previous attempt to stop was unsuccessful; and (c) the patient is being treated with higher doses than the smallest effective dose of SSRIs or SNRIs. In patients with one or more risk factors, a tapering schedule with non-linear dose-reduction steps should be considered. The speed at which these steps are taken, should be adjusted depending on occurrence of withdrawal symptoms. Shared decision-making by patient and physician is the best way to select a tapering schedule.
Radboudumc 13: Stress-related disorders DCMN: Donders Center for Medical Neuroscience, Depressive Disorder, Norepinephrine, Serotonin, Risk Factors, Humans, Psychiatry - Radboud University Medical Center, Serotonin and Noradrenaline Reuptake Inhibitors, Antidepressive Agents, Selective Serotonin Reuptake Inhibitors, Substance Withdrawal Syndrome
Radboudumc 13: Stress-related disorders DCMN: Donders Center for Medical Neuroscience, Depressive Disorder, Norepinephrine, Serotonin, Risk Factors, Humans, Psychiatry - Radboud University Medical Center, Serotonin and Noradrenaline Reuptake Inhibitors, Antidepressive Agents, Selective Serotonin Reuptake Inhibitors, Substance Withdrawal Syndrome
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