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Paroxetine response

MedGen UID:
808064
Concept ID:
CN221255
Sign or Symptom
Synonyms: Brisdelle response; Paxil response; Pexeva response
Drug:
paroxetine
MedGen UID:
74439
Concept ID:
C0070122
Pharmacologic Substance
A serotonin uptake inhibitor that is effective in the treatment of depression. [from MeSH]
 
Gene (location): CYP2D6 (22q13.2)

Definition

Serotonin reuptake inhibitor antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and serotonin modulators with SSRI-like properties are pharmacotherapy options for major depressive and anxiety disorders. Inadequate response and treatment-related adverse events are known challenges in antidepressant therapy. Genetic variations in genes encoding the drug metabolizing enzymes, CYP2D6, CYP2C19 and CYP2B6, have been shown to alter antidepressant biotransformation, which may potentially affect dosing, efficacy, and tolerability. [from PharmGKB]

Term Hierarchy

Professional guidelines

PubMed

Bousman CA, Stevenson JM, Ramsey LB, Sangkuhl K, Hicks JK, Strawn JR, Singh AB, Ruaño G, Mueller DJ, Tsermpini EE, Brown JT, Bell GC, Leeder JS, Gaedigk A, Scott SA, Klein TE, Caudle KE, Bishop JR
Clin Pharmacol Ther 2023 Jul;114(1):51-68. Epub 2023 May 30 doi: 10.1002/cpt.2903. PMID: 37032427Free PMC Article
Crandall CJ, Mehta JM, Manson JE
JAMA 2023 Feb 7;329(5):405-420. doi: 10.1001/jama.2022.24140. PMID: 36749328
Cipriani A, Furukawa TA, Salanti G, Chaimani A, Atkinson LZ, Ogawa Y, Leucht S, Ruhe HG, Turner EH, Higgins JPT, Egger M, Takeshima N, Hayasaka Y, Imai H, Shinohara K, Tajika A, Ioannidis JPA, Geddes JR
Lancet 2018 Apr 7;391(10128):1357-1366. Epub 2018 Feb 21 doi: 10.1016/S0140-6736(17)32802-7. PMID: 29477251Free PMC Article

Curated

CPIC® Guideline for Serotonin Reuptake Inhibitor Antidepressants and CYP2D6, CYP2C19, CYP2B6, SLC6A4, and HTR2A, 2023

Recent clinical studies

Etiology

Dutt R, Shankar N, Srivastava S, Yadav A, Ahmed RS
Int J Psychiatry Clin Pract 2020 Jun;24(2):135-142. Epub 2020 Feb 5 doi: 10.1080/13651501.2020.1723642. PMID: 32022607
Mocking RJT, Nap TS, Westerink AM, Assies J, Vaz FM, Koeter MWJ, Ruhé HG, Schene AH
Psychoneuroendocrinology 2017 May;79:84-92. Epub 2017 Feb 21 doi: 10.1016/j.psyneuen.2017.02.019. PMID: 28262603
Tomita T, Yasui-Furukori N, Nakagami T, Kaneda A, Kaneko S
J Affect Disord 2012 Feb;136(3):1067-71. Epub 2011 Dec 6 doi: 10.1016/j.jad.2011.11.012. PMID: 22153922
Kaneda A, Yasui-Furukori N, Nakagami T, Sato Y, Kaneko S
J Affect Disord 2011 Dec;135(1-3):321-5. Epub 2011 Jul 23 doi: 10.1016/j.jad.2011.06.050. PMID: 21784533
Roy-Byrne PP, Perera P, Pitts CD, Christi JA
J Clin Psychiatry 2005 Oct;66(10):1228-33. doi: 10.4088/jcp.v66n1004. PMID: 16259535

Diagnosis

Dutt R, Shankar N, Srivastava S, Yadav A, Ahmed RS
Int J Psychiatry Clin Pract 2020 Jun;24(2):135-142. Epub 2020 Feb 5 doi: 10.1080/13651501.2020.1723642. PMID: 32022607
Mocking RJT, Nap TS, Westerink AM, Assies J, Vaz FM, Koeter MWJ, Ruhé HG, Schene AH
Psychoneuroendocrinology 2017 May;79:84-92. Epub 2017 Feb 21 doi: 10.1016/j.psyneuen.2017.02.019. PMID: 28262603
Kaneda A, Yasui-Furukori N, Nakagami T, Sato Y, Kaneko S
J Affect Disord 2011 Dec;135(1-3):321-5. Epub 2011 Jul 23 doi: 10.1016/j.jad.2011.06.050. PMID: 21784533
Marshall RD, Lewis-Fernandez R, Blanco C, Simpson HB, Lin SH, Vermes D, Garcia W, Schneier F, Neria Y, Sanchez-Lacay A, Liebowitz MR
Depress Anxiety 2007;24(2):77-84. doi: 10.1002/da.20176. PMID: 16892419
Lader M, Stender K, Bürger V, Nil R
Depress Anxiety 2004;19(4):241-8. doi: 10.1002/da.20014. PMID: 15274173

Therapy

Dutt R, Shankar N, Srivastava S, Yadav A, Ahmed RS
Int J Psychiatry Clin Pract 2020 Jun;24(2):135-142. Epub 2020 Feb 5 doi: 10.1080/13651501.2020.1723642. PMID: 32022607
Sugarman MA, Loree AM, Baltes BB, Grekin ER, Kirsch I
PLoS One 2014;9(8):e106337. Epub 2014 Aug 27 doi: 10.1371/journal.pone.0106337. PMID: 25162656Free PMC Article
Tomita T, Yasui-Furukori N, Nakagami T, Kaneda A, Kaneko S
J Affect Disord 2012 Feb;136(3):1067-71. Epub 2011 Dec 6 doi: 10.1016/j.jad.2011.11.012. PMID: 22153922
Kaneda A, Yasui-Furukori N, Nakagami T, Sato Y, Kaneko S
J Affect Disord 2011 Dec;135(1-3):321-5. Epub 2011 Jul 23 doi: 10.1016/j.jad.2011.06.050. PMID: 21784533
Roy-Byrne PP, Perera P, Pitts CD, Christi JA
J Clin Psychiatry 2005 Oct;66(10):1228-33. doi: 10.4088/jcp.v66n1004. PMID: 16259535

Prognosis

Mocking RJT, Nap TS, Westerink AM, Assies J, Vaz FM, Koeter MWJ, Ruhé HG, Schene AH
Psychoneuroendocrinology 2017 May;79:84-92. Epub 2017 Feb 21 doi: 10.1016/j.psyneuen.2017.02.019. PMID: 28262603
Mocking RJ, Verburg HF, Westerink AM, Assies J, Vaz FM, Koeter MW, Ruhé HG, Schene AH
Psychoneuroendocrinology 2015 Sep;59:1-13. Epub 2015 May 11 doi: 10.1016/j.psyneuen.2015.04.027. PMID: 26010860
Kaneda A, Yasui-Furukori N, Nakagami T, Sato Y, Kaneko S
J Affect Disord 2011 Dec;135(1-3):321-5. Epub 2011 Jul 23 doi: 10.1016/j.jad.2011.06.050. PMID: 21784533
Marshall RD, Lewis-Fernandez R, Blanco C, Simpson HB, Lin SH, Vermes D, Garcia W, Schneier F, Neria Y, Sanchez-Lacay A, Liebowitz MR
Depress Anxiety 2007;24(2):77-84. doi: 10.1002/da.20176. PMID: 16892419
Gruwez B, Dauphin A, Tod M
J Pharmacokinet Pharmacodyn 2005 Dec;32(5-6):663-83. doi: 10.1007/s10928-005-0006-6. PMID: 16307210

Clinical prediction guides

Dutt R, Shankar N, Srivastava S, Yadav A, Ahmed RS
Int J Psychiatry Clin Pract 2020 Jun;24(2):135-142. Epub 2020 Feb 5 doi: 10.1080/13651501.2020.1723642. PMID: 32022607
Mocking RJT, Nap TS, Westerink AM, Assies J, Vaz FM, Koeter MWJ, Ruhé HG, Schene AH
Psychoneuroendocrinology 2017 May;79:84-92. Epub 2017 Feb 21 doi: 10.1016/j.psyneuen.2017.02.019. PMID: 28262603
Sugarman MA, Loree AM, Baltes BB, Grekin ER, Kirsch I
PLoS One 2014;9(8):e106337. Epub 2014 Aug 27 doi: 10.1371/journal.pone.0106337. PMID: 25162656Free PMC Article
Kaneda A, Yasui-Furukori N, Nakagami T, Sato Y, Kaneko S
J Affect Disord 2011 Dec;135(1-3):321-5. Epub 2011 Jul 23 doi: 10.1016/j.jad.2011.06.050. PMID: 21784533
Roy-Byrne PP, Perera P, Pitts CD, Christi JA
J Clin Psychiatry 2005 Oct;66(10):1228-33. doi: 10.4088/jcp.v66n1004. PMID: 16259535

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • CPIC, 2023
      CPIC® Guideline for Serotonin Reuptake Inhibitor Antidepressants and CYP2D6, CYP2C19, CYP2B6, SLC6A4, and HTR2A, 2023

    Consumer resources

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