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Any patient receiving amitriptyline and fluoxetine concurrently should be observed closely for adverse effects and consideration should be given to monitoring the plasma levels of the tricyclic antidepressant with dosage reduction where necessary.
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Its oral bioavailability is estimated at 66 – 21 , suggesting that retains greater bioavailability as a secondary amine than its parent drug amitriptyline, a tertiary amine.
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