Article
Augmentation of Endoxifen Exposure in Tamoxifen-Treated Women Following SSRI Switch.
Clinical pharmacokinetics - 1 Feb 2016
Binkhorst Lisette, Bannink Marjolein, de Bruijn Peter, Ruit Jan, Droogendijk Helga, van Alphen Robbert J, den Boer Tilly D, Lam Mei Ho, Jager Agnes, van Gelder Teun, Mathijssen Ron H J
Abstract excerpt
BACKGROUND AND OBJECTIVE: The anti-oestrogen tamoxifen requires metabolic activation to endoxifen by cytochrome P450 (CYP) enzymes, predominantly CYP2D6. Potent CYP2D6-inhibiting antidepressants can seriously disrupt tamoxifen metabolism, probably influencing the efficacy of tamoxifen. For this reason, paroxetine and fluoxetine are recommended not to be used with tamoxifen in breast cancer patients. We...
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