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Difference between revisions of "Duloxetine-clomipramine"

 
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| to = clomipramine  
 
| to = clomipramine  
 
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* '''Before day 1:''' gradually reduce dosage of duloxetine to a maximum of 60 mg/ day, when this dosage is > 60 mg/day.
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{{TCAdecrease25p3d}}
* '''Day 1:''' reduce dosage of duloxetine to a maximum of 30 mg/day.
 
* '''Day 8:''' stop administration of duloxetine.
 
 
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| start =  
* '''Day 11:''' start administration of clomipramine in a low dosage 25 mg/day.
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{{TCAincrease25p3d}}
* '''Day 15:''' increase dosage of clomipramine.
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| info =
| info =  
 
 
* {{theorSS}}
 
* {{theorSS}}
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{{TCAplasmalevelmonitoring}}
 
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Latest revision as of 16:45, 30 June 2023

Duloxetine
Type Antidepressant
Group SNRI
links
Medscape Duloxetine
PubChem 60835
PubMed Duloxetine
Kompas (Dutch) Duloxetine
Wikipedia Duloxetine
Clomipramine
Type Antidepressant
Group TCA
links
ATC-code N06AA04
Medscape Clomipramine
PubChem 2801
PubMed Clomipramine
Kompas (Dutch) Clomipramine
Wikipedia Clomipramine

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

Nietinrijdenbord.png Stop duloxetine
  • Day 1: Decrease with about 25% of the original dose per 3 days.
Eenrichtingbord.png Start clomipramine
  • Day 1: Increase with about 25% of target dose per 3 days.
Infobord.png More information
  • Occurrence of the serotonin syndrome is not likely, but theoretically possible, so caution is necessary.
  • 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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