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Difference between revisions of "Duloxetine-doxepine"

 
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| to = doxepin
 
| to = doxepin
 
| stop =  
 
| stop =  
* '''Day 0:''' gradually reduce dosage of duloxetine to a maximum of 60 mg/ day, when this dosage is > 60 mg/day.
+
{{TCAdecrease25p3d}}
* '''Day 1:''' reduce dosage of duloxetine to a maximum of 30 mg/day.
 
 
| start =  
 
| start =  
No wash-out period is needed.
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{{TCAincrease25p3d}}
* '''Day 1:''' simultaneously start administration of doxepin in a low dosage of 25 mg/day.
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| info =
* '''Day 8:''' stop administration of duloxetine and increase the dosage of doxepin to 50 mg/day.
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{{TCAplasmalevelmonitoring}}
| info =  
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}}
* Duloxetine slows the metabolism of doxepin by CYP2D6.
 
* Caution is necessary at the start of administration of doxepin. }}
 

Latest revision as of 12:51, 30 June 2023

Duloxetine
Type Antidepressant
Group SNRI
links
Medscape Duloxetine
PubChem 60835
PubMed Duloxetine
Kompas (Dutch) Duloxetine
Wikipedia Duloxetine
Doxepin
Type antidepressant
Group TCA
links
ATC-code N06AA12
Medscape Doxepin
PubChem 3158
PubMed Doxepin
Drugs.com doxepin
Kompas (Dutch) Doxepin
Wikipedia Doxepin

Switch medication from duloxetine to doxepin.[2] [3]

Nietinrijdenbord.png Stop duloxetine
  • Day 1: Decrease with about 25% of the original dose per 3 days.
Eenrichtingbord.png Start doxepin
  • 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.[4]
  1. 1.0 1.1 1.2 1.3 1.4 KNMP; Informatorium Medicamentorum 2023; Monografie "doxepine" (Dutch)
  2. 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
  3. Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
  4. (dutch) monografie.org tricyclische-antidepressiva
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