Difference between revisions of "Paroxetine-duloxetine"
From Psychiatrienet
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| to = duloxetine | | to = duloxetine | ||
| stop = | | stop = | ||
| − | {{ | + | {{downparox}}. |
| start = | | start = | ||
* No wash-out period is needed. | * No wash-out period is needed. | ||
Revision as of 12:10, 27 July 2009
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Switch medication from paroxetine to duloxetine.[1] [2]
Stop paroxetine - Day -7: reduce dosage of paroxetine to 20 mg/day, if this dosage is > 20 mg/day.
- Day 0: dosage of paroxetine is 20 mg/day.
- Day 1: reduce dosage of paroxetine to 10 mg/day.
- Day 8: reduce dosage of paroxetine to 5 mg/day.
- Day 15: stop administration of paroxetine..
Start duloxetine- No wash-out period is needed.
- Start duloxetine the next day in normal dosage of 60 mg/day.
More information- Occurrence of the serotonin syndrome is not likely, but theoretically possible, so caution is necessary.
- ↑ 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
- ↑ Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
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