Evidence map›Paper›PMID 9429838›Full record

ReviewDrug safety1997

Drug interactions of clinical significance with selective serotonin reuptake inhibitors.

P B Mitchell

Abstract readReview
PubMed Publisher
In one paragraph

Review in Drug safety, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 76 citations in OpenAlex.

  1. The Serotonin Syndrome: From Molecular Mechanisms to Clinical Practice.International journal of molecular sciences · 2019
    Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Serotonin syndrome.Ochsner journal · 2013
    Review
  7. Brain dopamine and serotonin differ in regulation and its consequences.Proceedings of the National Academy of Sciences of the United States of America · 2012
    Article
  8. Bupropion induced serotonin syndrome: a case report.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2010
    Article
  9. Article
  10. Article
  11. Role of cytochrome P450 in drug interactions.Nutrition & metabolism · 2008
    Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

P B MitchellSchool of Psychiatry, University of New South Wales, Sydney, Australia. phil.mitchell@unsw.edu.au
Prince of Wales Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The selective serotonin (5-hydroxytryptamine; 5-HT) reuptake inhibitors (SSRIs) have internationally become the accepted 'benchmark' class of antidepressants. It has become clear, however, that there are a number of clinically significant interactions between SSRIs and other medications. The most frequently described interactions are pharmacokinetic, which are far more prevalent than pharmacodynamic interactions. This article details those medications that may interact significantly with the SSRIs, and provides clinical guidelines for minimising the likelihood of such complications. The most common pharmacokinetic interactions are caused by an inhibitory effect of the SSRIs on the hepatic cytochrome P450 (CYP) metabolic system. The SSRIs differ in their potency in inhibiting a number of important CYP isoenzymes (CYP1A2, CYP2C9/10, CYP2C19, CYP2D6 and CYP3A3/4). The major outcome of concern in relation to pharmacodynamic interactions is the development of the 'serotonin syndrome'. While combination of the SSRIs with the irreversible monoamine oxidase inhibitors is the most recognised cause of this syndrome, concurrent administration with moclobemide, tryptophan or selegiline (deprenyl) may also lead to a similar outcome.

Indexed as

Cytochrome P-450 Enzyme InhibitorsAntidepressive Agents, TricyclicBenzamidesDose-Response Relationship, DrugDrug InteractionsHumansIsoenzymesLithiumLiverMoclobemideMonoamine Oxidase InhibitorsSelective Serotonin Reuptake InhibitorsSelegilineSumatriptanTryptophanAntidepressive Agents, TricyclicBenzamidesCytochrome P-450 Enzyme InhibitorsIsoenzymesLithiumMoclobemideMonoamine Oxidase InhibitorsSelective Serotonin Reuptake InhibitorsSelegilineSumatriptanTryptophan

Identifiers

PMID9429838
OpenAlexW2012564745

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.