Switching from amitriptyline/nortriptyline to duloxetine requires cautious cross-tapering starting with low dose duloxetine. Recommended dosage adjustments in
Amitriptyline-nortriptyline Switch medication from amitriptyline to nortriptyline. The editors of psychiatrienet.nl take the greatest care to provide up-to-
Although amitriptyline is chemically distinct from nortriptyline, your body converts amitriptyline to nortriptyline to be used. There's an
Dose as per neuropathic pain. The benefit is from the antimuscarinic action of amitriptyline. (i.e. dry mouth) so switching to nortriptyline
Thus, switching to amitriptyline after nortriptyline toxicity should be avoided. Switching to other forms of antidepressants such as the
switches but is contraindicated when switching to or from a monoamine oxidase inhibitor. Therapeutic reference range: Amitriptyline plus nortriptyline 80 to
There may be an increased risk of anticholinergic burden when switching patients from nortriptyline to amitriptyline. Monitor for
It is less sedating compared to amitriptyline. Advice on switching to amitriptyline oral solution. The clinical alternative to nortriptyline is
Cautions and contraindications Dosing Switching Deprescribing Amitriptyline; Clomipramine; Imipramine; Lofepramine; Nortriptyline.
Comments