switching antidepressant (vortioxetine to serotonin and noradrenaline reuptake inhibitors (SNRIs) (e.g. duloxetine or venlafaxine)) in adults

Last edited 04/2023 and last reviewed 04/2023

Vortioxetine to serotonin and noradrenaline reuptake inhibitors (SNRIs)

  • is limited experience with this switch so extra caution is required to avoid serotonin syndrome
Direct switch
  • a direct switch, i.e. stopping one antidepressant and then starting the new antidepressant the following day, is normally possible
Stop, washout and switch
  • alternatively, stop vortioxetine; wait for a period before starting the SNRI. Clinicians should decide the duration of the washout period on a case-by-case basis

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