Very long half-life of paroxetine following intoxication in an extensive cytochrome P4502D6 metabolizer

Details

Serval ID
serval:BIB_A9FB304D3F98
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Very long half-life of paroxetine following intoxication in an extensive cytochrome P4502D6 metabolizer
Journal
Therapeutic drug monitoring
Author(s)
Hilleret H., Voirol P., Bovier P., Giannakopoulos P., Zullino D., Baumann P., Giroud C., Rivier L., Eap C.B.
ISSN
0163-4356
Publication state
Published
Issued date
2002
Peer-reviewed
Oui
Volume
24
Number
4
Pages
567-569
Language
english
Notes
Publication types: Case Reports ; Journal Article - Publication Status: ppublish
Abstract
A very long half-life of paroxetine (195 h instead of the usual value of around 16 h) was measured after an overdose with 2 g paroxetine and 1 g clorazepate in a patient who was an extensive cytochrome P4502D6 metabolizer. The patient recovered well without any clinically significant complications. A consequence of the close monitoring of paroxetine levels in this patient was that it was decided not to reintroduce any other antidepressant despite her suicide attempt, until normal levels of paroxetine had been reached, which took over 1 month.
Keywords
Anti-Anxiety Agents, Antidepressive Agents, Second-Generation, Anxiety, Clorazepate Dipotassium, Cytochrome P-450 CYP2D6, Depressive Disorder, Drug Interactions, Female, Half-Life, Humans, Middle Aged, Overdose, Paroxetine, Suicide, Attempted
Pubmed
Web of science
Create date
10/03/2008 11:53
Last modification date
20/08/2019 16:14
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