Switch medication from nortriptyline to maprotiline.[1]
[2]
Stop nortriptyline
- Gradually reduce dosage of nortriptylin to a maximum of 50 mg/day.
- When a dosage of 50 mg/day is reached, stop administration.
Start maprotiline
- No wash-out period is needed.
- Start administration of maprotiline the next day in a normal dosage of 25-75 mg/day.
More information
- Both drugs are a TCA with anticholinergic properties, so a switch to a relatively high starting dose can be made.
- Actually maprotiline is a TCA with a carbon bridge, so it is also called TetraCyclicAntidepressant.
- This switch is currently being reviewed.
- ↑ 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 nortriptyline 
Start maprotiline
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