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* Gradually reduce dosage of fluoxetine to a maximum of 20 mg/ day, when this dosage is > 20 mg/day. {{stopFluoxetine1}}* When a dosage of 20 mg/day is reached, stop administration.
Caution is necessary.* '''Day 1-35:''' a wash-out period of five weeks is necessarybecause of the long half live.* '''Day 36:''' start tranylcypromine the next day in a normal low dosage of 20 mg/dayfor one week.* '''Day 43:''' after this week gradually increase the dosage of tranylcypromine.| info caveat = * A switch from fluoxetine to tranylcypromine is not obvious, given the necessary prolonged wash-out period in this case.{{caveSS}}|info=* Occurrence Desmethylfluoxetine has a half live of serotonin syndrome is reported when about one week so a long wash-out period (of five weeks) is not considerednecessary.}}
| to = tranylcypromine
| stop =
| start =
