Difference between revisions of "Amitriptyline-duloxetine"

From Psychiatrienet
Jump to: navigation, search
 
(5 intermediate revisions by 3 users not shown)
Line 1: Line 1:
 
{{Drugswitch  
 
{{Drugswitch  
 
| from = amitriptyline  
 
| from = amitriptyline  
| to = duloxetine
+
| to = duloxetine  
 
| stop =  
 
| stop =  
* '''Day 0:''' gradually reduce dosage of amitriptyline to a maximum of 50-100 mg/day, when this dosage is > 100 mg/day.
+
{{TCAdecrease25p3d}}
* '''Day 1-7:''' reduce dosage of amitriptyline to 25-50 mg/day.
+
| start = {{StartAntidepressant}}
* '''Day 8:''' stop administration of amitriptyline.
+
| info =
| start =  
+
* Safe target dose duloxetine = 60 mg
* '''Day 8-14:''' a wash-out period of one week is necessary.
 
* '''Day 15:''' start administration of duloxetine in a normal dosage of 60 mg/day.
 
 
 
| info =
 
* Occurrence of serotonin syndrome is theoretically possible, so caution is necessary.
 
* Duloxetine is an inhibitor of CYP2D6, which metabolizes amitriptyline.
 
{{review}}
 
 
}}
 
}}

Latest revision as of 10:53, 30 June 2023

Amitriptyline
Type Antidepressant
Group TCA
links
ATC-code N06AA09
Medscape Amitriptyline
PubChem 2160
PubMed Amitriptyline
Kompas (Dutch) Amitriptyline
Wikipedia Amitriptyline
Duloxetine
Type Antidepressant
Group SNRI
links
Medscape Duloxetine
PubChem 60835
PubMed Duloxetine
Kompas (Dutch) Duloxetine
Wikipedia Duloxetine

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

Nietinrijdenbord.png Stop amitriptyline
  • Day 1: Decrease with about 25% of the original dose per 3 days.
Eenrichtingbord.png Start duloxetine
  • Day 1: Start with 50% of the target dose
  • Day 8: Increase dose to 100% of the target dose
  • Day 9 and after: Gradually increase dose as necessary
Infobord.png More information
  • Safe target dose duloxetine = 60 mg
  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.
The editors of psychiatrienet.nl take the greatest care to provide up-to-date and accurate information on this site. Nevertheless, mistakes and omissions cannot be entirely excluded. No rights devolve from the information provided. The editors and other providers of information to this site accept no responsibility for the content of this site or for the information provided therein; neither do they accept responsibility for possible damages which may derive from the use of the information on this site or from the linked sites. The editorial board accepts no responsibility for the content of the (linked) sites, for access to them, or for the products and services on these sites, nor for the occurrence of errors, viruses, and/or disruptions in service.