Trimipramine + Fluoxetine Interaction

Majorinteraction on record

Description

Fluoxetine inhibits P450 2D6, potentially increasing trimipramine plasma concentrations and causing toxicity. Sufficient time must elapse when switching from fluoxetine to trimipramine due to fluoxetine's long half-life.

Mechanism

Inhibition of cytochrome P450 2D6 metabolism

Source: NLP:trimipramine