Switch medication from duloxetine to amitriptyline.[1]
[2]
Stop duloxetine
- Day 1: Decrease with about 25% of the original dose per 3 days.
Start amitriptyline
- Day 1: Increase with about 25% of target dose per 3 days.
More information
- Plasma monitoring for TCA's is advisable, because of plasma-reponse relations, genetic polymorphism and under or overdosing.[3]
- ↑ 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.
- ↑ (dutch) monografie.org tricyclische-antidepressiva
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Stop duloxetine 
Start amitriptyline
More information