Switch medication from duloxetine to paroxetine.[1]
[2]
Stop duloxetine
- Before day 0: gradually reduce dosage of duloxetine to a maximum of 60 mg/ day.
- Day 1: reduce a dosage of 60 mg/day to 30 mg/day.
- Day 8: stop duloxetine.
Start paroxetine
- Day 8: start paroxetine the next day in a normal dosage of 20 mg/day.
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- Paroxetine and duloxetine could slow each others metabolism by 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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Stop duloxetine 
Start paroxetine
More information