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Response to Agomelatine Treatment is Independent of Smoking Status and Dosage : Results From the AGOPSYCH Study

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2019

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Englisch, Susanne
Jung, Hanna Sophie
Lewien, Antje
Nowak, Ulrike
Braun, Hanna
Eisenacher, Sarah
Thiem, Jascha
Meyer-Lindenberg, Andreas
Zink, Mathias

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Pharmacopsychiatry. Georg Thieme Verlag. 2019, 52(3), pp. 142-146. ISSN 0031-7098. eISSN 1439-0795. Available under: doi: 10.1055/a-0606-5240

Zusammenfassung

Introduction: Cigarette smoking influences response to antidepressant treatment. It accelerates the metabolism of several cytochrome P450 (CYP) subtypes, including CYP1A2, and therefore bears the risk of pharmacokinetic interactions with psychotropic drugs using that pathway. Agomelatine is a substrate of CYP1A2; the association between nicotine use and agomelatine dosage, however, has never been studied before.

Methods: Smoking habits were correlated with agomelatine doses and treatment outcomes in a sample of 27 patients with lifetime diagnoses within the schizophrenia spectrum who received agomelatine treatment in addition to their stable antipsychotic treatment regimen because of depressive symptoms.

Results: No interactions were found between smoking status and agomelatine dosage, and treatment outcomes did not differ between smokers and nonsmokers.

Discussion: Agomelatine efficacy appears to be independent of dosage and smoking status, pointing toward mechanisms beyond mere dose-response relationships. Further research will be necessary to validate these findings.

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150 Psychologie

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agomelatine, nicotine, smoking, interaction, pharmacokinetics, CYP1A2, schizophrenia, depression

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ISO 690ENGLISCH, Susanne, Hanna Sophie JUNG, Antje LEWIEN, Anna BECKER, Ulrike NOWAK, Hanna BRAUN, Sarah EISENACHER, Jascha THIEM, Andreas MEYER-LINDENBERG, Mathias ZINK, 2019. Response to Agomelatine Treatment is Independent of Smoking Status and Dosage : Results From the AGOPSYCH Study. In: Pharmacopsychiatry. Georg Thieme Verlag. 2019, 52(3), pp. 142-146. ISSN 0031-7098. eISSN 1439-0795. Available under: doi: 10.1055/a-0606-5240
BibTex
@article{Englisch2019-03Respo-54114,
  year={2019},
  doi={10.1055/a-0606-5240},
  title={Response to Agomelatine Treatment is Independent of Smoking Status and Dosage : Results From the AGOPSYCH Study},
  number={3},
  volume={52},
  issn={0031-7098},
  journal={Pharmacopsychiatry},
  pages={142--146},
  author={Englisch, Susanne and Jung, Hanna Sophie and Lewien, Antje and Becker, Anna and Nowak, Ulrike and Braun, Hanna and Eisenacher, Sarah and Thiem, Jascha and Meyer-Lindenberg, Andreas and Zink, Mathias}
}
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