Difference between revisions of "Clomipramine-nortriptyline"

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(Created page with '{{Drugswitch | from = clomipramine | to = nortriptyline | stop = * Gradually reduce dosage of clomipramine to a maximum of 75 mg/day. * When a dosage of 75 mg/day is reached...')
 
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| to = nortriptyline  
 
| to = nortriptyline  
 
| stop =  
 
| stop =  
* Gradually reduce dosage of clomipramine to a maximum of 75 mg/day.  
+
* '''Before day 0:''' gradually reduce dosage of clomipramine to a maximum of 75 mg/day, when this dosage is > 75 mg/day.  
* When a dosage of 75 mg/day is reached, stop administration.
+
* '''Day 1:''' reduce dosage of clomipramine to 50 mg/day.
 +
* '''Day 8:''' reduce dosage of clomipramine to 25 mg/day.
 +
* '''Day 15:''' stop administration of clomipramine.
 
| start =  
 
| start =  
* No wash-out period is needed.
+
'''Day 8:''' start administration of nortriptyline in a dosage of 25 mg/day. 
* Start administration of nortriptyline the next day in a normal dosage of 50 mg/day.}}
+
* '''Day 15:''' increase dosage of nortriptyline to 50 mg/day.
 +
* '''Day 22:''' increase dosage of nortriptyline.
 +
}}

Revision as of 13:28, 28 July 2009

Clomipramine
Type Antidepressant
Group TCA
links
ATC-code N06AA04
Medscape Clomipramine
PubChem 2801
PubMed Clomipramine
Kompas (Dutch) Clomipramine
Wikipedia Clomipramine
Nortriptyline
Type Antidepressant
Group TCA
links
Medscape Nortriptyline
PubChem 4543
PubMed Nortriptyline
Kompas (Dutch) Nortriptyline
Wikipedia Nortriptyline

Switch medication from clomipramine to nortriptyline.[1] [2]

Nietinrijdenbord.png Stop clomipramine
  • Before day 0: gradually reduce dosage of clomipramine to a maximum of 75 mg/day, when this dosage is > 75 mg/day.
  • Day 1: reduce dosage of clomipramine to 50 mg/day.
  • Day 8: reduce dosage of clomipramine to 25 mg/day.
  • Day 15: stop administration of clomipramine.
Eenrichtingbord.png Start nortriptyline

Day 8: start administration of nortriptyline in a dosage of 25 mg/day.

  • Day 15: increase dosage of nortriptyline to 50 mg/day.
  • Day 22: increase dosage of nortriptyline.


  1. Switches are based on literature references on this page and expert opinions of the authors. The authors have used pharmacokinetic and receptor affinity properties to determine the switch schedules
  2. Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
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