Difference between revisions of "Mirtazapine-nortriptyline"
From Psychiatrienet
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| − | * | + | * Start administration of nortriptyline in a dosage of 50 mg/day. |
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| − | + | * No wash-out period is needed. | |
| + | * "Start low, go slow" is not required, but caution is necessary. | ||
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Revision as of 10:45, 14 October 2015
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Switch medication from mirtazapine to nortriptyline.[1] [2]
Stop mirtazapine - Before day 1: Gradually reduce dosage of mirtazapine to a maximum of 30 mg/day, when this dosage is > 30 mg/day.
- Day 1: Reduce dosage of mirtazapine to 15 mg/day.
- Day 8: Stop administration of mirtazapine.
Start nortriptyline- Day 2: Start with normal dosage and increase with about 25% (up to 50%) every 3 days to target dose.
- Start administration of nortriptyline in a dosage of 50 mg/day.
More information- No wash-out period is needed.
- "Start low, go slow" is not required, but 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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