Difference between revisions of "Sertraline-amitriptyline"
From Psychiatrienet
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| to = amitriptyline | | to = amitriptyline | ||
| stop = | | stop = | ||
| − | * ''' | + | * '''Before day 1:''' gradually reduce dosage of sertraline to a maximum of 50 mg/day when this dosage is > 50 mg/day. |
* '''Day 1:''' reduce dosage of sertraline to a maximum of 25 mg/day. | * '''Day 1:''' reduce dosage of sertraline to a maximum of 25 mg/day. | ||
* '''Day 8:''' stop administration of sertraline. | * '''Day 8:''' stop administration of sertraline. | ||
Revision as of 14:57, 20 November 2009
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Switch medication from sertraline to amitriptyline.[1] [2]
Stop sertraline - Before day 1: gradually reduce dosage of sertraline to a maximum of 50 mg/day when this dosage is > 50 mg/day.
- Day 1: reduce dosage of sertraline to a maximum of 25 mg/day.
- Day 8: stop administration of sertraline.
Start amitriptylineCaution is necessary.
- Day 1: simultaneously start administration of amitriptyline in a low dosage of 25 mg/day.
- Day 8: continue administration of amitriptyline in a dosage of 50 mg/day.
- Start low, go slow!
More information- Sertraline dose-dependently slows the metabolism of amitriptyline via CYP2D6.
- Occurrence of the serotonin syndrome is not likely, but 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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