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Amitriptyline-paroxetine

176 bytes removed, 13:33, 20 February 2025
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| to = paroxetine
| stop =
* '''Before day 0:''' gradually reduce dosage of amitriptyline to a maximum of 25-50 mg/day.* '''Day 1:''' reduce dosage of amitriptyline to 25 mg/day.* '''Day 3:''' reduce dosage of amitriptyline to 10 mg/day.{{TCAdecrease25p3d}}
| start =
* '''Day 1:7 and after''' simultaneously : At approximately 50-25% of the original TCA dose start administration of paroxetine in a normal dosage at 50% of 20 mg/daythe target dose.* '''Day 814:''' stop administration Increase paroxetine to 100% of amitriptyline and continue administration of paroxetine.the target dose 
| info =
* Occurrence of serotonin syndrome Safe target dose paroxetine = 20 mg* paroxetine is theoretically possiblea strong CYP2D6 inhibitor, so caution is necessarywhich metabolize amitriptyline.}}

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