Metabolism and pharmacokinetics of selective serotonin reuptake inhibitors.

Abstract:

:1. Five drugs with the predominant pharmacologic effect of inhibiting the neuronal reuptake of serotonin are available worldwide for clinical use. This class of psychoactive drugs, known as selective serotonin reuptake inhibitors (SSRIs), is comprised of fluoxetine, sertraline, paroxetine, fluvoxamine, and citalopram. 2. The SSRIs appear to share similar pharmacodynamic properties which translate to efficacy in the treatment of depression and anxiety syndromes. The drugs are differentiated by their pharmacokinetic properties with regard to stereochemistry, metabolism, inhibition of cytochrome enzymes, and participation in drug-drug interactions. Studies focusing on the relationship of plasma drug concentration to therapeutic and adverse effects have not confirmed the value of plasma concentration monitoring. 3. This review summarizes the metabolism and relevant pharmacokinetic properties of the SSRIs.

journal_name

Cell Mol Neurobiol

authors

DeVane CL

doi

10.1023/a:1006934807375

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

443-66

issue

4

eissn

0272-4340

issn

1573-6830

journal_volume

19

pub_type

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