Skip to main content
Log in

Femoxetine and cimetidine: Interaction in healthy volunteers

  • Originals
  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

The possibility of a pharmacokinetic interaction between femoxetine and cimetidine has been evaluated in 8 healthy volunteers. Two volunteers received single doses of femoxetine, and 6 were given multiple doses of femoxetine for 7 days with and without concurrent cimetidine.

No influence of cimetidine was observed on the kinetics of single doses of femoxetine, but after multiple doses the plasma concentration of femoxetine was significantly increased. Similarly, the AUC at steady state tended to be increased, but not to a significant extent. Concurrent cimetidine did not cause a reduction in the AUC of the active desmethyl metabolite.

It is recommended that femoxetine is given in reduced doses (e.g. 400 mg) when administered with cimetidine.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Buus Lassen J, Squires RF, Christensen JA, Molander L (1975) Neurochemical and pharmacological studies on a new 5HT-uptake inhibitor, FG 4963, with potential antidepressant properties, Psychopharmacologia (Berl) 42: 21–26

    Google Scholar 

  2. Buus Lassen J, Petersen E, Kjellberg B, Olsson SO (1975) Comparative studies of a new 5HT-uptake inhibitor and some tricyclic thymoleptics. Eur J Pharmacol 32: 108–115

    Google Scholar 

  3. Buus Lassen J, Squires RF (1976) Potentiation of nialamide-induced hypermotility in mice by lithium and the 5HT-uptake inhibitors chlorimipramine and FG 4963. Neuropharmacology 15: 665–668

    Google Scholar 

  4. Buus Lassen J, Squires RF (1977) Inhibition of both MAO-A and MAO-B required for the production of hypermotility in mice with the 5HT-uptake inhibitors chlorimipramine and femoxetine. Neuropharmacology 16: 485–488

    Google Scholar 

  5. Bøjholm S, Børup C, Kvist J, Petersen I-M, Le Fèvre Honoré P (1979) A double-blind study of femoxetine and amitriptyline in patients with endogenous depression. Nord Psykiat T 33: 455–460

    Google Scholar 

  6. Dahl L-E, Lundin L, le Fèvre Honoré P, Dencker SJ (1982) Antidepressant effect of femoxetine and desipramine and relationship to the concentration of amine metabolites in the cerebrospinal fluid. Acta Psychiatr Scand 66: 9–17

    Google Scholar 

  7. Reebye PN, Yiptong C, Samsoon J, Schulsinger F, Fabricius J (1982) A controlled double blind study of femoxetine and amitriptyline in patients with endogenous depression. Pharmacopsychiatry 15: 164–169

    Google Scholar 

  8. Tamminen T, Salminen JK, Skrumsager BK (1982) A double-blind controlled trial of the selective serotonin uptake inhibitor femoxetine and amitriptyline in depression. Nord Psykiatr T 36: 335–339

    Google Scholar 

  9. Lund J, Christensen JA, Bechgaard E, Molander L, Larsson H (1979) Pharmacokinetics of femoxetine in man. Acta Pharmacol Toxicol 44: 177–184

    Google Scholar 

  10. Hansen BA, Mengel H, Keiding S, Lund J (1984) Femoxetine clearance in patients with liver cirrhosis. Acta Pharmacol Toxicol 55: 386–390

    Google Scholar 

  11. Larsson H, Lund J (1981) Metabolism of femoxetine. Acta Pharmacol Toxicol 48: 424–432

    Google Scholar 

  12. Klotz U, Reimann JW (1984) Drug interactions through binding to cytochrome P450: The experience with H2-receptor blocking agents. Pharm Res 2: 59–62

    Google Scholar 

  13. Hetzel D, Birkett D, Miners J (1979) Cimetidine interaction with warfarin. Lancet 2: 539

    Google Scholar 

  14. Silver BA, Bell WR (1979) Cimetidine potentiation of the hypoprothrombinemic effect of warfarin. Ann Intern Med 90: 348–349

    Google Scholar 

  15. Wallin BA, Jacknowitz A, Raich PC (1979) Cimetidine and the effect of warfarin. Ann Intern Med 90: 993

    Google Scholar 

  16. Willoughby JMT (1979) Cimetidine. Interaction with oral anticoagulants in man. Lancet 2: 317–319

    Google Scholar 

  17. Roberts RK, Grice J, Wood L, Petroff V, McGuffie C (1981) Cimetidine impairs the elimination of theophylline and antipyrine. Gastroenterology 81: 19–21

    Google Scholar 

  18. Hetzel DJ, Bochner F, Hallpike JR, Shearman DJC, Hann CS (1981) Cimetidine interaction with phenytoin. Br Med J 282: 1512

    Google Scholar 

  19. Abernethy DR, Greenblatt DJ, Divoll M, Moschitto LJ, Harmatz JS, Shader RI (1983) Interaction of cimetidine with triazolobenzodiazepines, alprazolam and triazolam. Psychopharmacology 80: 275–278

    Google Scholar 

  20. Desmond PV, Patwardhan RV, Schenker S, Speeg KV (1980) Cimetidine impairs elimination of chlordiazepoxide (Librium) in man. Ann Intern Med 93: 266–268

    Google Scholar 

  21. Klotz U, Reimann I (1980) Delayed clearance of diazepam due to cimetidine. N Engl J Med 302: 1012–1014

    Google Scholar 

  22. May DC, Jarboe CH, Van Bakel AB, Williams WM (1982) Effects of cimetidine on caffeine disposition in smokers and nonsmokers. Clin Pharmacol Ther 31: 656–661

    Google Scholar 

  23. Smith MS, Benyunes MC, Bjornsson TD, Shand DG, Pritchett LC (1984) Influence of cimetidine on verapamil kinetics and dynamics. Clin Pharmacol Ther 36: 551–555

    Google Scholar 

  24. Henaner SA, Hollister LE (1983) Cimetidine interaction with imipramine and nortriptyline. Clin Pharmacol Ther 35: 183–187

    Google Scholar 

  25. Abernethy DR, Greenblatt DJ, Shader RJ (1984) Imipraminecimetidine interaction: Impairment of clearance and enhanced absolute bioavailability. J Pharmacol Exp Ther 229: 702–705

    Google Scholar 

  26. Amsterdam JD, Brunswick DJ, Potter L, Kaplan MJ (1984) Cimetidine-induced alterations in desipramine plasma concentrations. Psychopharmacology 83: 373–375

    Google Scholar 

  27. Bech P (1981) Rating scales for affective disorders: Their validity and consistency. (Thesis). Acta Psychiatr Scand 295 [Suppl]

  28. Bechgaard E, Lund J (1977) Determination of FG 4963 in biological fluids using competition for adsorption to glass. J Chromatogr 133: 147–152

    Google Scholar 

  29. Bechgaard E, Christensen JA, Christensen O, Lund J (1978) Data transmission using frequency modulation in an automated gas chromatographic system. Anal Chim Acta 99: 189–192

    Google Scholar 

  30. Bechgaard E, Keiding S, Lund J, Christiansen LA (1983) Hepatic elimination of femoxetine in pig. Acta Pharmacol Toxicol 52: 1–7

    Google Scholar 

  31. Larsen NE, Hesselfeldt P, Rune S, Hvidberg EF (1979) Cimetidine assay in human plasma by liquid chromatography. J Chromatogr 163: 57–63

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schmidt, J., Sørensen, A.S., Gjerris, A. et al. Femoxetine and cimetidine: Interaction in healthy volunteers. Eur J Clin Pharmacol 31, 299–302 (1986). https://doi.org/10.1007/BF00981127

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00981127

Key words

Navigation