Difference between revisions of "Tranylcypromine-amitriptyline"
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{{Drugswitch | {{Drugswitch | ||
| − | | from = tranylcypromine | + | | from = tranylcypromine |
| to = amitriptyline | | to = amitriptyline | ||
| stop = | | stop = | ||
| − | + | {{stopTranyl}} | |
| − | | start = | + | | start = |
| − | + | {{28Inc25p3d}} <ref name="informatorium">{{KNMP|tranylcypromine}}</ref> | |
| + | |caveat = | ||
| + | {{caveSS}} | ||
| info = | | info = | ||
| − | * Tranylcypromine | + | {{Tcrestore}}<ref name="informatorium">{{KNMP|tranylcypromine}}</ref> |
| + | * Tranylcypromine has to be phased out to avoid withdrawal symptoms.<ref>Dr. M.J.Blom et al. (2009) Gebruik van klassieke MAO-remmers</ref> | ||
| + | {{TCAplasmalevelmonitoring}} | ||
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Latest revision as of 15:47, 30 June 2023
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Switch medication from tranylcypromine to amitriptyline.[1] [2]
Stop tranylcypromine - Day 1: decrease the original dose with about 25% every 3 days.
- Day 9: stop administration of tranylcypromine.
Start amitriptyline- Day 23: Start and increase the dose with about 25% of the target dose every 3 days. [3]
Cave- Occurrence of the serotonin syndrome is possible without wash-out period.
More information- After the last dose of tranylcypromine it takes about 14 days to restore the activity of the MAO enzymes[3]
- Tranylcypromine has to be phased out to avoid withdrawal symptoms.[4]
- Plasma monitoring for TCA's is advisable, because of plasma-reponse relations, genetic polymorphism and under or overdosing.[5]
- ↑ 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
- ↑ Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
- ↑ 3.0 3.1 KNMP; Informatorium Medicamentorum 2023; Monografie "tranylcypromine" (Dutch)
- ↑ Dr. M.J.Blom et al. (2009) Gebruik van klassieke MAO-remmers
- ↑ (dutch) monografie.org tricyclische-antidepressiva
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