Switch medication from hypericum to nortriptyline.
- Administration of hypericum can be stopped abruptly.
- Day 1-7: a wash-out period of one week is necessary.
- Day 8: start administration of nortriptyline in a dosage of 25 mg/day.
- If necessary, increase dosage of nortriptyline to 50 mg/day after 3 days.
- Occurrence of the serotonin syndrome is possible without wash-out period.
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