Если вы длительно принимали мелипрамин (от 3-х месяцев и больше), то вот "идеальная" схема для снижения и перехода. Но обычно можно и быстрее. Только сделать перерыв сутки.
- Before day 1: gradually reduce dosage of imipramine to a maximum of 75 mg/ day, when this dosage is > 75 mg/day.
- Day 1-3: reduce dosage of imipramine to 50 mg/day.
- Day 4-7: reduce dosage of imipramine to 25 mg/day.
- Day 8: stop administration of imipramine.
- Day 1: simultaneously start administration of escitalopram in a normal dosage of 10 mg/day.
- Citalopram/escitalopram are a weak inhibitor of CYP2D6, which metabolizes imipramine.
- Occurrence of the serotonin syndrome is not likely, but theoretically possible, so caution is necessary.
http://wiki.psychiat...ne-escitalopram