Literature DB >> 1415832

Accumulation of fluoxetine and norfluoxetine in human brain during therapeutic administration.

P F Renshaw1, A R Guimaraes, M Fava, J F Rosenbaum, J D Pearlman, J G Flood, P R Puopolo, K Clancy, R G Gonzalez.   

Abstract

In vivo 19fluorine nuclear magnetic resonance spectroscopy was used to measure the brain concentration of fluoxetine and norfluoxetine in five patients with obsessive-compulsive disorder and three with major depression. The mean brain:plasma ratio of the parent drug plus the metabolite was significantly elevated to 2.6 (SD = 1.0) (95% confidence interval = 1.9-3.3). This accumulation may have implications for understanding both the therapeutic and the toxic effects of fluoxetine.

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Year:  1992        PMID: 1415832     DOI: 10.1176/ajp.149.11.1592

Source DB:  PubMed          Journal:  Am J Psychiatry        ISSN: 0002-953X            Impact factor:   18.112


  13 in total

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Review 5.  The Role of Metabolites of Antidepressants in the Treatment of Depression.

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Review 8.  Fluoxetine. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in older patients with depressive illness.

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