Which medication is least likely to cause withdrawal symptoms if a dose is missed?

Fluoxetine is known for its long half-life compared to other selective serotonin reuptake inhibitors (SSRIs) such as sertraline, paroxetine, and escitalopram. This extended half-life means that it remains in the body for a longer duration, which helps to maintain stable drug levels even if a dose is missed. As a result, fluoxetine is less likely to lead to withdrawal symptoms when a dose is skipped or not taken as scheduled.

In contrast, other SSRIs like paroxetine and sertraline have shorter half-lives and can lead to withdrawal symptoms more quickly if doses are missed. These symptoms may include dizziness, irritability, and anxiety, which are particularly associated with the more abrupt discontinuation of these medications. Escitalopram, while better than paroxetine in this regard, still has a shorter half-life compared to fluoxetine and can also cause withdrawal symptoms if a dose is missed.

Understanding the pharmacokinetics of these medications is crucial for managing treatment effectively. Therefore, fluoxetine's long half-life is a key reason why it is the medication least likely to cause withdrawal symptoms if a dose is missed.