Difference between revisions of "Hypericum-amitriptyline"
From Psychiatrienet
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* '''Day 1-7:''' a wash-out period of one week is necessary. | * '''Day 1-7:''' a wash-out period of one week is necessary. | ||
− | + | * '''Day 8:''' start administration of amitriptyline in a dosage of 25 mg/day. | |
* If necessary, increase dosage of agomelatine to 50 mg/day. | * If necessary, increase dosage of agomelatine to 50 mg/day. | ||
* Start low, go slow. | * Start low, go slow. | ||
| info = | | info = | ||
* Hypericum slows the metabolism of amitriptyline via CYP3A4. This effect may persist up to two weeks after stopping hypericum.}} | * Hypericum slows the metabolism of amitriptyline via CYP3A4. This effect may persist up to two weeks after stopping hypericum.}} |
Revision as of 13:22, 7 May 2009
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Switch medication from hypericum to amitriptyline.[1] [2]
- Administration of hypericum can be stopped abruptly.
- Day 1-7: a wash-out period of one week is necessary.
- Day 8: start administration of amitriptyline in a dosage of 25 mg/day.
- If necessary, increase dosage of agomelatine to 50 mg/day.
- Start low, go slow.
- Hypericum slows the metabolism of amitriptyline via CYP3A4. This effect may persist up to two weeks after stopping hypericum.
- ↑ 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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