Difference between revisions of "Fluvoxamine-duloxetine"

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(Created page with '{{Drugswitch | from = fluvoxamine | to = duloxetine | stop = * Gradually reduce dosage of fluvoxamine to a maximum of 50 mg/ day, when this dosage is > 50 mg/day. * When a d...')
 
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| to = duloxetine  
 
| to = duloxetine  
 
| stop =  
 
| stop =  
* Gradually reduce dosage of fluvoxamine to a maximum of 50 mg/ day, when this dosage is > 50 mg/day.  
+
* '''Before day 0:''' gradually reduce dosage of fluvoxamine to a maximum of 50 mg/day.
* When a dosage of 50 mg/day is reached, stop administration.
+
* '''Day 1:''' stop fluvoxamine.
| start =  
+
| start =
* No wash-out period is needed.  
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* '''Day 5:''' start duloxetine 30 mg/day.
* Start duloxetine the next day in normal dosage of 60 mg/day.}}
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* '''Day 14:''' increase administration of duloxetine to 60 mg/day.
 +
| info =
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* Fluvoxamine inhibits the metabolism of duloxetine through CYP1A2.
 +
* {{theorSS}}

Revision as of 08:33, 3 August 2009

{{Drugswitch | from = fluvoxamine | to = duloxetine | stop =

  • Before day 0: gradually reduce dosage of fluvoxamine to a maximum of 50 mg/day.
  • Day 1: stop fluvoxamine.

| start =

  • Day 5: start duloxetine 30 mg/day.
  • Day 14: increase administration of duloxetine to 60 mg/day.

| info =

  • Fluvoxamine inhibits the metabolism of duloxetine through CYP1A2.
  • Occurrence of the serotonin syndrome is not likely, but theoretically possible, so caution is necessary.