4.3.3 Selective serotonin re-uptake inhibitors
Sertraline may be used for Obsessive Compulsive Disorder
Escitalopram is not included in the formulary, but is sometimes used by secondary care for Generalised Anxiety Disorder (GAD)
First choice for the elderly, but see MHRA dose restrictions below.
MHRA Update December 2011. Citalopram and escitalopram: QT interval prolongation For citalopram, restrictions on the maximum daily doses now apply:
- 40 mg for adults;
- 20 mg for patients older than 65 years;
- 20 mg for those with hepatic impairment.
8mg (4 drops) may be considered equivalent to a 10mg tablet
- First Line Drugs
- Second Line Drugs
- Specialist Initiated or Recommended Drugs
- Specialist Initiated Drugs with Shared Care Guidelines
- Specialist Only Drugs
- Mixed Status