Dr. Mark Berber
Switching from one medication to another may be associated with withdrawal and rebound symptoms.
Switching antidepressants and/or antipsychotics requires careful guidance in order to avoid potential problems.
Discuss the best switch strategy with your physician.
When prescribing medication, I often use the mnemonic "OSCAR" as a guide to sensible prescribing. The mnemonic highlights the 5 steps towards rational pharmacotherapy. These steps are:
O Optimize: Diagnosis, Dose, Duration of trial, Adherence
S Switch: To another agent if the initial medication fails
C Combine: Use 2 antidepressants at same time
A Augment: Add agent to "boost" effect of initially prescribed antidepressant
R Review all the steps taken so far to ensure prescribing was rational