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Re: duloxetine/agomelatine combination therapy?

Posted by mtdewcmu on April 14, 2011, at 14:35:07

In reply to Re: duloxetine/agomelatine combination therapy? » mtdewcmu, posted by sigismund on April 14, 2011, at 14:00:03

> There is an interaction with Luvox and agomelatine perhaps?
>
> Some cyp thing?

There is a pretty good chance that there is at least a mild interaction. Here is some text I've copied from rxlist.com:

"it appears that fluvoxamine inhibits several cytochrome P450 isoenzymes that are known to be involved in the metabolism of other drugs such as: CYP1A2 (e.g., warfarin, theophylline, propranolol, tizanidine), CYP2C9 (e.g., warfarin), CYP3A4 (e.g., alprazolam), and CYP2C19 (e.g., omeprazole)."

I have noticed that psychiatrists seem not to care much about these interactions among antidepressants, though. Like I think mixing Wellbutrin and Remeron (which I'm on) causes you to have raised blood levels of Remeron (its between two of my meds, not 100% sure which, but don't feel like looking it up). However, I found this out on my own, and no pdoc has ever mentioned it. I told one pdoc and he didn't appear to care.


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