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Clomipramine-fluoxetine

174 bytes removed, 8 March
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{{Drugswitch
| from = clomipramine
| to = fluoxetine
| stop =
* '''Before day 0:''' gradually reduce dosage of clomipramine to a maximum of 50 mg/day.* '''Day 1:''' reduce dosage of clomipramine to 25 mg/day.* '''Day 3:''' reduce dosage of clomipramine 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 clomipramine and continue administration 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 is a strong inhibitor and norfluoxetine are inhibitors of CYP2D6(strong) and CYP3A4 (moderate), which metabolizes clomirpaminemetabolize (desmethyl)clomipramine. }}