Mirtazapine-nortriptyline
From Psychiatrienet
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Switch medication from mirtazapine to nortriptyline.[1] [2]
Stop mirtazapine - Before day 1: gradually reduce dosage of mirtazapine to a maximum of 30 mg/ day.
- Day 1: reduce a dosage of 30 mg/day to 15 mg/day.
Start nortriptylineNo wash-out period is needed.
- Day 1: simultaneously start administration of nortriptyline in a dosage of 50 mg/day.
- Day 8: stop administration of mirtazapine and continue administration of nortriptyline. If necessary, increase dosage of nortriptyline.
- "Start low, go slow" is not required, but 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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