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. |