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Re: How should I titrate between Viibryd and Anafranil » Phidippus

Posted by Chairman_MAO on October 21, 2011, at 18:51:05

In reply to How should I titrate between Viibryd and Anafranil, posted by Phidippus on October 21, 2011, at 14:06:12

> I'm taking 200 mg of Clomipramine and starting on Viibryd. At what dose of Viibryd should I begin to taper off the Clomipramine?
>
> Eric

This is something that you should consult with your doctor and/or a pharmacist (pharmacologist) on. While I don't think there should be any pharmacokinetic interactions, I'm not sure that a cross-taper is appropriate at all. If your doctor says to do a cross-taper, then by all means, follow his instructions.

Is that what you're doing? Clomipramine and its active metabolite both have long half-lives. If you want a shot-in-the-dark guess, I would say do some sort of cross taper changing the dose every 4-7 days. Do not follow my advice blindly.


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