From Psychiatrynet
Switch medication from duloxetine to escitalopram.
Stop duloxetine
- Gradually reduce dosage of duloxetine to a maximum of 60 mg/day.
- When a dosage of 60 mg/day is reached, stop administration.
Start escitalopram
- No wash-out period is needed.
- Start escitalopram the next day in a normal dosage of 10 mg/day.
More information
- Occurrence of the serotonin syndrome is not likely, but theoretically possible, so caution is necessary.
- This switch is currently being reviewed.
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Stop duloxetine 
Start escitalopram
More information
