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Re: Fluoxetine (Prozac) vs Fluvoxamine (Luvox)

Posted by linkadge on May 18, 2020, at 8:24:10

In reply to Re: Fluoxetine (Prozac) vs Fluvoxamine (Luvox), posted by tensor on May 17, 2020, at 18:15:41

Some interactions just mean there may need to be a dose adjustment. You can slowly introduce a new agent and watch for side effects. Fluoxetine can increase the levels of nortriptyline, but it doesn't necessarily mean you need to stop nortriptyline altogether. If you know how too much nortriptyline feels, then you could reduce the dose, if needed.

Alternatively, you could temporarily stop nortriptyline and introduce fluoxetine. Then you could slowly reintroduce nortriptyline (from 0mg upwards) until you notice the effect you're looking for. That way your nortriptyline levels are less likely to spike.


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