Successful use of agomelatine in the treatment of major depression in a woman taking tamoxifen: a case report.

Abstract:

:The selective estrogen receptor modulator, tamoxifen, is extensively used for the endocrine treatment of all stages of hormone receptor-positive breast cancer. Tamoxifen is a mainly inactive prodrug, necessitating metabolism by the cytochrome P450 (CYP450) pathway, predominantly the Cytochrome P450 2D6 (CYP2D6), into the active metabolites 4-hydroxytamoxifen and, in particular, endoxifen to achieve its therapeutic effect. As several women treated with tamoxifen may experience depressive symptoms or may have a previous or actual major depressive episode with ongoing antidepressant treatment or need for a new-onset therapy, the coprescription of an antidepressant drug may be particularly problematic as several antidepressants are potent CYP2D6-inhibiting drugs. We herein report a case of a patient with major depression and concurrent tamoxifen therapy successfully treated with agomelatine monotherapy.

journal_name

Clin Neuropharmacol

authors

De Berardis D,Brucchi M,Serroni N,Valchera A,Fornaro M,Mazza M,Martinotti G,Di Giannantonio M

doi

10.1097/WNF.0000000000000009

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

31-3

issue

1

eissn

0362-5664

issn

1537-162X

pii

00002826-201401000-00007

journal_volume

37

pub_type

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