Difference between revisions of "Maprotiline-fluoxetine"
From Psychiatrienet
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| to = fluoxetine | | to = fluoxetine | ||
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| − | * '''Before day | + | * '''Before day 1:''' gradually reduce dosage of maprotiline to a maximum of 75 mg/day. |
* '''Day 1:''' reduce dosage of maprotiline to 50 mg/day. | * '''Day 1:''' reduce dosage of maprotiline to 50 mg/day. | ||
* '''Day 7:''' reduce dosage of maprotiline to 25 mg/day. | * '''Day 7:''' reduce dosage of maprotiline to 25 mg/day. | ||
Revision as of 13:01, 17 November 2009
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Switch medication from maprotiline to fluoxetine.[1] [2]
Stop maprotiline - Before day 1: gradually reduce dosage of maprotiline to a maximum of 75 mg/day.
- Day 1: reduce dosage of maprotiline to 50 mg/day.
- Day 7: reduce dosage of maprotiline to 25 mg/day.
- Day 14: stop dosage of maprotiline.
Start fluoxetine- Day 7: simultaneously start administration of fluoxetine in a normal dosage of 20 mg/day.
- Day 14: stop administration of maprotiline and continue administration of fluoxetine.
More information- Occurrence of serotonin syndrome is theoretically possible, so caution is necessary.
- Fluoxetine is a strong inhibitor of CYP2D6, which metabolizes maprotiline.
- ↑ 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.
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