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Amitriptyline-fluoxetine

153 bytes removed, 8 March
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{{Drugswitch
| from = amitriptyline
| to = fluoxetine
| stop =
* '''Before day 1:''' gradually reduce dosage of amitriptyline to a maximum of 50 mg/day.* '''Day 1:''' reduce dosage of amitriptyline to 25 mg/day.* '''Day 8:''' stop dosage of amitriptyline.{{TCAdecrease25p3d}}
| start =
* '''Day 8:6 and after''' : At approximately 50-25% of the original TCA dosering start administration of fluoxetine in a normal dosage at 100% of 20 mg/daythe target dose.* '''Day 15After 3 weeks:''' if If necessary, gradually increase dosage of fluoxetine. 
| info =
* Occurrence of serotonin syndrome is theoretically possible, so caution is necessary.Safe target dose fluoxetine = 20 mg* Fluoxetine and norfluoxetine are inhibitors of CYP2D6 (strong) and CYP3A4 which metabolizes nortriptyline, (moderatea metabolite of amitriptyline), which metabolize amitriptyline.}}

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