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Hypericum-amitriptyline

164 bytes removed, 15:09, 4 August 2023
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* '''Day 1-14:'''Gradually decrease the dosage of hypericum. * '''Day 15:''' stop administration of hypericum.{{Stophyp}}
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* '''Day 15-30:''' a wash-out period of at least two weeks is necessary. {{TCAincrease25p3d}} * '''Day 31:''' start amitriptyline 25 mg/day.| info = {{TCAplasmalevelmonitoring}}* Occurrence The ratio of the serotonin syndrome amitriptyline/nortriptyline could change because of CPY2C19 induction. Sum plasmalevels are not likely to change because CYP2D6 is possible without wash-out periodbarely affected.* Hypericum induces enzymes of the CYP P-450 type and P-gp.{{caveSS}}{{HypericumInfo}}* Hypericum probably has MAO-inhibiting properties.}}