Difference between revisions of "Nortriptyline-fluvoxamine"
From Psychiatrienet
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* '''Day 1:''' simultaneously start administration of fluvoxamine in a normal dosage of 50 mg/day. | * '''Day 1:''' simultaneously start administration of fluvoxamine in a normal dosage of 50 mg/day. | ||
| − | * '''Day 8:''' stop administration of nortriptyline and continue administration of fluvoxamine. | + | * '''Day 8:''' stop administration of nortriptyline and continue administration of fluvoxamine in a dosage of 50-100 mg/day. |
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* Occurrence of serotonin syndrome is theoretically possible, so caution is necessary. | * Occurrence of serotonin syndrome is theoretically possible, so caution is necessary. | ||
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Revision as of 21:07, 5 May 2009
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Switch medication from nortriptyline to fluvoxamine.[1] [2]
Stop nortriptyline - Before day 0: gradually reduce dosage of nortriptyline to a maximum of 50-100 mg/day.
- Day 1: reduce dosage of nortriptyline to 50 mg/day.
- Day 3: reduce dosage of nortriptyline to 25 mg/day.
Start fluvoxamine- Day 1: simultaneously start administration of fluvoxamine in a normal dosage of 50 mg/day.
- Day 8: stop administration of nortriptyline and continue administration of fluvoxamine in a dosage of 50-100 mg/day.
More information- Occurrence of serotonin syndrome is theoretically possible, so caution is necessary.
- ↑ 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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