Difference between revisions of "Sertraline-amitriptyline"

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(Created page with '{{Drugswitch | from = sertraline | to = amitriptyline | stop = * '''Day 0:''' gradually reduce dosage of sertraline to a maximum of 50 mg/day when this dosage is > 50 mg/day....')
 
 
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| to = amitriptyline  
 
| to = amitriptyline  
 
| stop =  
 
| stop =  
* '''Day 0:''' gradually reduce dosage of sertraline to a maximum of 50 mg/day when this dosage is > 50 mg/day.
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{{TCAdecrease25p3d}}
* '''Day 1:''' reduce dosage of sertraline to a maximum of 25 mg/day.
 
 
| start =  
 
| start =  
Caution is necessary.
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{{TCAincrease25p3d}}
* '''Day 1:''' simultaneously start administration of amitriptyline in a low dosage of 25 mg/day.
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| info =
* '''Day 8:''' stop administration of sertraline and only continue administration of amitriptyline in a dosage of 50 mg/day.
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{{TCAplasmalevelmonitoring}}
* Start low, go slow!
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}}
| info =  
 
* Sertraline dose-dependently slows the metabolism of amitriptyline via CYP2D6. }}
 

Latest revision as of 13:12, 30 June 2023

Sertraline
Type Antidepressant
Group SSRI
links
Medscape Sertraline
PubChem 68617
PubMed Sertraline
Kompas (Dutch) Sertraline
Wikipedia Sertraline
Amitriptyline
Type Antidepressant
Group TCA
links
ATC-code N06AA09
Medscape Amitriptyline
PubChem 2160
PubMed Amitriptyline
Kompas (Dutch) Amitriptyline
Wikipedia Amitriptyline

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

Nietinrijdenbord.png Stop sertraline
  • Day 1: Decrease with about 25% of the original dose per 3 days.
Eenrichtingbord.png Start amitriptyline
  • 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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