Difference between revisions of "Amitriptyline-bupropion"
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* '''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
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Switch medication from amitriptyline to bupropion.[1] [2]
- 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.
- Day 14: start administration of bupropion in a dosage of 150 mg/day.
- Bupropion is a strong inhibitor of CYP2D6, which metabolizes amitriptyline.
- ↑ 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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