Difference between revisions of "Amitriptyline-bupropion"

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* '''Before day 1:''' gradually reduce dosage of amitriptyline to a maximum of 100 mg/ day, when this dosage is > 100 mg/day.
+
* {{TCAdown}}
* '''Day 1-3:''' reduce dosage of amitriptyline to 50 mg/day.
 
* '''Day 4-7:''' reduce dosage of amitriptyline to 25 mg/day.
 
* '''Day 12:''' stop administration of amitriptyline.
 
 
| start =  
 
| start =  
 
* '''Day 14:''' start administration of bupropion in a dosage of 150 mg/day.
 
* '''Day 14:''' start administration of bupropion in a dosage of 150 mg/day.

Revision as of 13:00, 29 December 2009

Amitriptyline
Type Antidepressant
Group TCA
links
ATC-code N06AA09
Medscape Amitriptyline
PubChem 2160
PubMed Amitriptyline
Kompas (Dutch) Amitriptyline
Wikipedia Amitriptyline
Bupropion
Type Antidepressant
Group other
links
ATC-code N06AX12
Medscape Bupropion
PubChem 444
PubMed Bupropion
Kompas (Dutch) Bupropion
Wikipedia Bupropion

Switch medication from amitriptyline to bupropion.[1] [2]

Nietinrijdenbord.png Stop amitriptyline
  • Before day 1: if the dosage of this tricyclic antidepressant (TCA) is > 100 mg/day, gradually reduce by 50 mg per 3-4 days to a maximum of 100 mg/ day.
  • Day 1-3: administer 75 mg/day.
  • Day 4-6: administer 50 mg/day.
  • Day 7-9: administer 25 mg/day.
  • Day 10: stop administration.
Eenrichtingbord.png Start bupropion
  • Day 14: start administration of bupropion in a dosage of 150 mg/day.
Infobord.png More information
  • Bupropion is a strong inhibitor of CYP2D6, which metabolizes amitriptyline.
  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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