Article
Non-response to maprotiline caused by ultra-rapid metabolism that is different from CYP2D6?
European journal of clinical pharmacology - 1 Jan 1997
Vormfelde S V, Bitsch A, Meineke I, Gundert-Remy U M, Gleiter C H
Abstract excerpt
CASE: We are reporting about a patient with major depression who failed to respond to pharmacotherapy due to ultra-rapid metabolism of maprotiline. Under daily oral doses of 175 mg maprotiline, the patient's metabolic ratio (MR) for maprotiline in plasma was 9.2 (expected MRp: 2.4) and the clearance of maprotiline (CLM) was 4190 ml.min-1 (expected CLM = 1220 in extensive metabolisers of CYP2D6). RESULTS: The...
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