Abstract
Objective: Evidence exists to suggest that fluvoxamine is metabolized by CYP1A2. The present study was undertaken in order to further elucidate the role of CYP1A2 in fluvoxamine disposition.
Methods: Twelve healthy non-smoking male volunteers participated in this cross-over study. Six subjects received first fluvoxamine 50 mg as a single oral dose and, some weeks later, caffeine 200 mg as a single oral dose. The other six subjects received the drugs in reverse order. Serum concentrations of fluvoxamine, caffeine and paraxanthine were measured and standard pharmacokinetic parameters were calculated.
Results: There were no significant correlations between caffeine clearance and fluvoxamine oral clearance (r s = −0.30; P = 0.43) or between the paraxanthine/caffeine ratio in serum 6 h after caffeine intake and fluvoxamine oral clearance (r s = −0.18; P = 0.58).
Conclusion: CYP1A2 does not appear to be of major importance in the metabolism of fluvoxamine.
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Received: 10 July 1998 / Accepted in revised form: 4 October 1998
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Spigset, O., Hägg, S., Söderström, E. et al. Lack of correlation between fluvoxamine clearance and CYP1A2 activity as measured by systemic caffeine clearance. E J Clin Pharmacol 54, 943–946 (1999). https://doi.org/10.1007/s002280050579
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DOI: https://doi.org/10.1007/s002280050579