Difference between revisions of "Imipramine-fluvoxamine"
From Psychiatrienet
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| to = fluvoxamine | | to = fluvoxamine | ||
| stop = | | stop = | ||
| − | * '''Before day | + | * '''Before day 1:''' gradually reduce dosage of imipramine to a maximum of 75 mg/day. |
* '''Day 1:''' reduce dosage of imipramine to 50 mg/day. | * '''Day 1:''' reduce dosage of imipramine to 50 mg/day. | ||
* '''Day 3:''' reduce dosage of imipramine to 25 mg/day. | * '''Day 3:''' reduce dosage of imipramine to 25 mg/day. | ||
Revision as of 12:56, 17 November 2009
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Switch medication from imipramine to fluvoxamine.[1] [2]
Stop imipramine - Before day 1: gradually reduce dosage of imipramine to a maximum of 75 mg/day.
- Day 1: reduce dosage of imipramine to 50 mg/day.
- Day 3: reduce dosage of imipramine to 25 mg/day.
Start fluvoxamine- Day 4: simultaneously start administration of fluvoxamine in a normal dosage of 50 mg/day.
- Day 8: stop administration of imipramine and continue administration of fluvoxamine in a dosage of 50-100 mg/day.
More information- Occurrence of serotonin syndrome is 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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