Difference between revisions of "Trazodone-nortriptyline"

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| to = nortriptyline  
 
| to = nortriptyline  
 
| stop =  
 
| stop =  
* '''Before day 1:'''  gradually reduce dosage of trazodone to a maximum of 150 mg/day, when this dosage is > 150 mg/day.
+
{{TCAdecrease25p3d}}
* '''Day 1:''' reduce dosage of trazodone to 75-100 mg/day.
 
* '''Day 8:''' stop administration of trazodone.
 
 
| start =  
 
| start =  
No wash-out period is needed.
+
{{TCAincrease25p3d}}
* '''Day 1:''' simultaneously start administration of nortriptyline in a dosage of 10-25 mg/day.
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| info =
* '''Day 8:''' stop administration of trazodone and continue administration of nortriptyline in a dosage of 25-50 mg/day.
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{{TCAplasmalevelmonitoring}}
* Start low, go slow.
 
| info =  
 
* The content of trazodone in the tablet, for example 100 mg or 150 mg, determines which exact doses are given. 
 
{{review}}
 
 
}}
 
}}

Latest revision as of 13:20, 30 June 2023

Trazodone
Type Antidepressant
Group other
links
Medscape Trazodone
PubChem 5533
PubMed Trazodone
Kompas (Dutch) Trazodone
Wikipedia Trazodone
Nortriptyline
Type Antidepressant
Group TCA
links
Medscape Nortriptyline
PubChem 4543
PubMed Nortriptyline
Kompas (Dutch) Nortriptyline
Wikipedia Nortriptyline

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

Nietinrijdenbord.png Stop trazodone
  • Day 1: Decrease with about 25% of the original dose per 3 days.
Eenrichtingbord.png Start nortriptyline
  • Day 1: Increase with about 25% of target dose per 3 days.
Infobord.png More information
  • Plasma monitoring for TCA's is advisable, because of plasma-reponse relations, genetic polymorphism and under or overdosing.[3]
  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.
  3. (dutch) monografie.org tricyclische-antidepressiva
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