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Amitriptyline-fluoxetine

100 bytes removed, 8 March
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{{Drugswitch
| from = amitriptyline
| to = fluoxetine
| stop =
* '''Before day 0:''' gradually reduce dosage of amitriptyline to a maximum of 25-50 mg/day.* '''Day 1:''' reduce dosage of amitriptyline to 25 mg/day.* '''Day 3:''' reduce dosage of amitriptyline to 10 mg/day.{{TCAdecrease25p3d}}
| start =
* '''Day 1:6 and after''' simultaneously : 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 8After 3 weeks:''' stop administration of amitriptyline and continue administration If necessary, gradually increase dosage of fluoxetine. 
| info =
* Occurrence Safe target dose fluoxetine = 20 mg* Fluoxetine and norfluoxetine are inhibitors of serotonin syndrome is theoretically possibleCYP2D6 (strong) which metabolizes nortriptyline, so caution is necessary(a metabolite of amitriptyline).}}

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