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- W1495637560 abstract "Abstract In this chapter, the metabolism of psychotropic drugs is explained. The most important enzymes are the polymorphic cytochrome P450 enzymes CYP2D6, CYP2C19, and CYP2C9. The functional impact of other drug‐metabolizing enzymes including CYP1A2, CYP2A6, CYP2B6, CYP3A4, CYP3A5, and CYP3A7 or phase II enzymes in psychopharmacology is less, but some agents are cleared predominantly by the latter pathways. The clinical importance of drug metabolism is mainly determined by alteration of the individual activity of a relevant drug‐metabolizing enzyme. This is frequently the case in drug–drug interactions leading to enzyme inhibition or enzyme induction. Alternatively, individual patient factors such as pharmacogenetic polymorphisms may contribute to variability in CYP isozyme activity. In this chapter, specific metabolism of antidepressant and antipsychotic drugs is presented for the main CYP enzymes CYP2D6, CYP2C19, CYP2C9, and CYP1A2 and the impact of genetic polymorphisms in these enzymes is pointed out. As many psychotropic drugs are metabolized to equally active metabolites, more than one CYP isoform may be important in metabolism and exposure data of both metabolite and parent drug have to be taken into account. For many antidepressants or antipsychotic drugs, therapeutic drug monitoring is practiced regularly." @default.
- W1495637560 created "2016-06-24" @default.
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- W1495637560 date "2012-01-31" @default.
- W1495637560 modified "2023-10-12" @default.
- W1495637560 title "Metabolism of Psychotropic Drugs" @default.
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- W1495637560 doi "https://doi.org/10.1002/9780470921920.edm130" @default.
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