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Human & Experimental Toxicology
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Cardiovascular and neurological toxicity of venlafaxine

David Blythe

Intensive Care Unit, Sir Charles Gairdner Hospital, Verdun Street, Nedlands, Perth, Western Australia 6009

L Peter Hackett

Clinical Pharmacology and Toxicology Laboratory, Western Australian Centre for Pathology and Medical Research, Hospital Avenue, Nedlands, Perth, Western Australia 6009

  1. 1 We report a case of venlafaxine overdose and describe pharmacokinetic data on drug disposition.
  2. 2 Case report. Serial venlafaxine levels were measured and drug half-life calculated and compared to data at therapeutic concentrations. Metabolite concentrations were also measured and the potential for toxicity described with reference to individual variation in such metabolism
  3. 3 Venlafaxine can cause significant cardiac and neurotoxicity. Its potential for causing such toxicity may be dependent on whether an individual has the extensive metaboliser cytochrome CYP2D6 phenotype or the poor metaboliser phenotype

Key Words: venlafaxine • cardiotoxicity • neurotoxicity • pharmacokinetics

Human & Experimental Toxicology, Vol. 18, No. 5, 309-313 (1999)
DOI: 10.1191/096032799678840165


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