Switch medication from duloxetine to escitalopram.
- Before day 1: gradually reduce dosage of duloxetine to a maximum of 60 mg/day.
- Day 1: when a dosage of 60 mg/day is reached, stop administration.
- No wash-out period is needed.
- Day 2: start escitalopram in a normal dosage of 10 mg/day.
- Occurrence of the serotonin syndrome is not likely, but theoretically possible, so caution is necessary.
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