Nortriptyline-mianserine

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Nortriptyline
Type Antidepressant
Group TCA
links
Medscape Nortriptyline
PubChem 4543
PubMed Nortriptyline
Kompas (Dutch) Nortriptyline
Wikipedia Nortriptyline
Mianserine
Type Antidepressant
Group other
links
PubChem 4184
PubMed Mianserine
Kompas (Dutch) Mianserine
Wikipedia Mianserine

Switch medication from nortriptyline to mianserine.[1] [2]

Nietinrijdenbord.png Stop nortriptyline
  • Before day 0: gradually reduce dosage of nortriptyline to a maximum of 50 mg/day.
  • Day 1: reduce dosage of nortriptyline to 25 mg/day.
  • Day 3: reduce dosage of nortriptyline to 10 mg/day.
Eenrichtingbord.png Start mianserine
  • Day 1: simultaneously start administration of mianserine in a low dosage of 30 mg/day.
  • Day 8: stop administration of nortriptyline and continue administration of mianserine.
  • If necessary, increase dosage of mianserine.


  1. 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
  2. Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
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