Difference between revisions of "Nortriptyline-duloxetine"
From Psychiatrienet
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* '''Day 1:''' simultaneously start administration of duloxetine in a normal dosage of 60 mg/day. | * '''Day 1:''' simultaneously start administration of duloxetine in a normal dosage of 60 mg/day. | ||
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* Duloxetine is a inhibitor of CYP2D6, which metabolizes nortriptyline. | * Duloxetine is a inhibitor of CYP2D6, which metabolizes nortriptyline. | ||
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Revision as of 14:20, 2 November 2015
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Switch medication from nortriptyline to duloxetine.[1] [2]
Stop nortriptyline - Day 1: reduce dosage to 50%.
- Day 8: stop
Start duloxetine- Day 1: simultaneously start administration of duloxetine in a normal dosage of 60 mg/day.
- Day 8: stop administration of nortriptyline and continue administration of duloxetine.
More information- Duloxetine is a inhibitor of CYP2D6, which metabolizes nortriptyline.
- ↑ 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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