Difference between revisions of "Fluoxetine-nortriptyline"

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Revision as of 19:33, 3 May 2009

Fluoxetine
Type Antidepressant
Group SSRI
links
Medscape Fluoxetine
PubChem 3386
PubMed Fluoxetine
Kompas (Dutch) Fluoxetine
Wikipedia Fluoxetine
Nortriptyline
Type Antidepressant
Group TCA
links
Medscape Nortriptyline
PubChem 4543
PubMed Nortriptyline
Kompas (Dutch) Nortriptyline
Wikipedia Nortriptyline

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

Nietinrijdenbord.png Stop fluoxetine
  • Gradually reduce dosage of fluoxetine to a maximum of 20 mg/ day, when this dosage is > 20 mg/day.
  • When a dosage of 20 mg/day is reached, stop administration.
Eenrichtingbord.png Start nortriptyline

Caution is necessary for at least four weeks.

  • Day 1: start administration of nortriptyline in a low dosage of 20 mg/day.
  • Day 8: increase dosage of nortriptyline to 30 mg/day.
  • Day 15: increase dosage of nortriptyline to 50 mg/day.
Infobord.png More information
  • Fluoxetine slows the metabolism of nortriptyline via CYP2D6.
  • Start low, go slow for 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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