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Duloxetine-dosulepine

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Duloxetine
Type Antidepressant
Group SNRI
links
Medscape Duloxetine
PubChem 60835
PubMed Duloxetine
Kompas (Dutch) Duloxetine
Wikipedia Duloxetine
dosulepin
Type antidepressant
Group TCA
links
ATC-code N06AA16
PubChem 13473
PubMed dosulepin
Kompas (Dutch) dosulepin
Wikipedia dosulepin

Switch medication from duloxetine to dosulepine.[1] [2]

Nietinrijdenbord.png Stop duloxetine
  • Day 0: gradually reduce dosage of duloxetine to a maximum of 60 mg/ day, when this dosage is > 60 mg/day.
  • Day 1: reduce dosage of duloxetine to a maximum of 30 mg/day.
  • Day 8: stop administration of duloxetine.
Eenrichtingbord.png Start dosulepine

A wash-out period of one week is necessary.

  • Day 8-14: wash-out period.
  • Day 15: start administration of dosulepine in a low dosage of 25-50 mg/day.
Infobord.png More information
  • Duloxetine slows the metabolism of dosulepine by CYP2D6.
  • Caution is necessary at the start of administration of dosulepine.
  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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