rdf:type |
|
lifeskim:mentions |
|
pubmed:issue |
6
|
pubmed:dateCreated |
2000-1-12
|
pubmed:abstractText |
A pharmacokinetic interaction between the selective serotonin reuptake inhibitor citalopram and a tricyclic antidepressant, clomipramine, was noted in a patient treated for major depression and obsessive-compulsive disorder. After the addition of citalopram, a desmethylclomipramine plasma level increase and an 8-hydroacy-desmethylclomipramine plasma level decrease were observed. The CYP2D6 phenotype, determined when the patient received the antidepressant comedication, characterized a poor metabolizer status (dextromethorphan metabolic ratio >0.3), despite a heterozygous genotype containing a wild-type allele with extensive metabolic capacity and a mutant non-functional allele (CYP2D6*1A/CYP2D6*4A). This case seems to be one of the first descriptions of the clinical relevance of a CYP2D6 heterozygous genotype in a patient treated with antidepressant.
|
pubmed:language |
eng
|
pubmed:journal |
|
pubmed:citationSubset |
IM
|
pubmed:chemical |
|
pubmed:status |
MEDLINE
|
pubmed:month |
Nov
|
pubmed:issn |
0176-3679
|
pubmed:author |
|
pubmed:issnType |
Print
|
pubmed:volume |
32
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
232-4
|
pubmed:dateRevised |
2004-11-17
|
pubmed:meshHeading |
pubmed-meshheading:10599932-Adult,
pubmed-meshheading:10599932-Antidepressive Agents,
pubmed-meshheading:10599932-Antidepressive Agents, Tricyclic,
pubmed-meshheading:10599932-Citalopram,
pubmed-meshheading:10599932-Clomipramine,
pubmed-meshheading:10599932-Cytochrome P-450 CYP2D6,
pubmed-meshheading:10599932-Drug Interactions,
pubmed-meshheading:10599932-Drug Therapy, Combination,
pubmed-meshheading:10599932-Female,
pubmed-meshheading:10599932-Genotype,
pubmed-meshheading:10599932-Humans,
pubmed-meshheading:10599932-Obsessive-Compulsive Disorder,
pubmed-meshheading:10599932-Phenotype
|
pubmed:year |
1999
|
pubmed:articleTitle |
Citalopram: an interaction study with clomipramine in a patient heterozygous for CYP2D6 genotype.
|
pubmed:affiliation |
Department of Clinical Psychiatry and Medical Psychology, University Hospital of Besançon, France. emmanuel.haffen@ufc-chu.univ-fcomte.fr
|
pubmed:publicationType |
Journal Article,
Case Reports
|