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. 2015 Oct 8;55:249–255. doi: 10.1007/s40262-015-0315-x
Switching from potent cytochrome P450 (CYP) 2D6-inhibiting antidepressants to a weak CYP2D6-inhibiting antidepressant resulted in relevant rises in endoxifen systemic exposures in breast cancer patients.
The weak CYP2D6 inhibitor escitalopram seems to be a safe alternative in tamoxifen-treated patients requiring treatment with an antidepressant.
The potent CYP2D6-inhibiting antidepressants paroxetine and fluoxetine should be switched to escitalopram in tamoxifen-treated individuals.