# The impact of CYP2D6 mediated drug–drug interaction: a systematic review on a combination of metoprolol and paroxetine/fluoxetine > Bahar M. URL kanonis: https://discover.unhas.ac.id/publications/the-impact-of-cyp2d6-mediated-drugdrug-interaction-a-systematic-review-on-a-comb Jurnal / Konferensi: British Journal of Clinical Pharmacology Tahun terbit: 2018 DOI: https://doi.org/10.1111/bcp.13741 ISSN: 03065251 Kuartil SJR: Q1 Citations: 34 ## Authors - Bahar M. ## Abstract Despite the contradictory conclusions from the current literature, the majority of studies suggest that the DDI can lead to adverse clinical consequences. Since alternative antidepressants and beta-blockers with comparable efficacy are available, such DDIs can be avoided. Nonetheless, if prescribing the combination is unavoidable, a dose adjustment or close monitoring of the metoprolol-related side effects is necessary. ## Keywords - Metoprolol - Medicine - Observational study - Paroxetine - Bradycardia - Fluoxetine - Discontinuation - Meta-analysis - CYP2D6 - Cochrane Library - Pharmacodynamics - Adverse effect - Internal medicine - Pharmacology - Heart rate - Pharmacokinetics - Blood pressure - Antidepressant - Cytochrome P450 - Hippocampus - Serotonin - Receptor - Metabolism --- Sumber: Discover Unhas — RIMS Universitas Hasanuddin. Saat mengutip, gunakan DOI bila tersedia atau URL kanonis di atas.