Other antidepressants

Question 1

Vilazodone/Viibryd

Answer 1

start at 10mg/day, up to 40mg/day (dosing up- start at 10mg, 20mg after a week, then 40mg after another week)
TAKE WITH FOOD

Question 2

Vortioxetine/Trintellix

Answer 2

Start at 10mg qd
May go down to 5mg qd
May go up to 15 or 20mg qd

Question 3

Mirtazapine/Remeron

Answer 3

Start at 15mg or 30mg qhs
Breaking a tab in half can help- 1/2 of a 15 mg tab may increase sedation (7.5mg）beyond what a 15 mg tab does
Max- 45 mg/day , but can go up to 90 mg/day in refractory symptoms

Question 4

Bupropion

Answer 4

Can stop abruptly without major withdrawal effects
SR- can start at 150mg qd for cravings