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Irritable bowel syndrome - Management
What dose should I prescribe?
- Treatment with a TCA should be started at a low dose (5 mg to 10 mg equivalent of amitriptyline), which should be taken once at night and reviewed regularly. The dose may be increased, but should not usually need to exceed 30 mg.
- The following doses of SSRIs have been studied and are therefore recommended:
- Citalopram 10 mg to 20 mg daily.
- Fluoxetine 20 mg daily.
- Paroxetine 10 mg to 20 mg daily.
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