Tamoxifen: Tamoxifen use in breast cancer patients in addition to the antidepressant paroxetine are more likely to die prematurely. This shows a 12 year population in Canada in 2430 women over 66 years with breast cancer. Article posted February 10, 2010
February 10, 2010: Source: BMJ. 2010 Feb 8; 340: c693. doi: 10.1136/bmj.c693
Women with breast cancer who used tamoxifen and also often the antidepressant paroxetine appear to have a significantly increased risk of premature death than tamoxifen alone vroiuwen use. Approx. 1 in 18 women dies earlier paroxetine tamoxifen use in addition to their breast cancer, the researchers said. This shows a 12 year female population in Canada for 66 years and older. The risk of death after 5 years was for women who used paroxetine side tamoxifen 91% while this percentage only tamoxifen users was 75%. This study enrolled 2430 women with breast cancer and tamoxifen use part.
After adjusting for age, duration of tamoxifen treatment, etc., the mortality rate for tamoxifen alone or use. 25%, 50% and 75%. Grope for the regularly used paroxetine were these percentages were respectively: 24%, 54% and 91% increased risk of death from breast cancer (P <0.05 for each comparison). Other antidepressants in addition to tamoxifen were found to have no effect on premature death, the researchers said.
The study was published Monday in the British Medical Journal. Here is the abstract.
BMJ. 2010 Feb 8; 340: c693. doi: 10.1136/bmj.c693.
Selective serotonin reuptake inhibitors and breast cancer mortality in women Receiving Tamoxifen: a population-based cohort study.
CM Kelly , Juurlink DN , Gomes T , Duong-Hua M , Pritchard KI , Austin PC , Paszat LF .
Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Canada.
OBJECTIVE: To Rise Characterization whether some selective serotonin reuptake inhibitor (SSRI) anti-depressants reducing tamoxifen's effectiveness by inhibiting its bioactivation by cytochrome P450 2D6 (CYP2D6).
DESIGN: Population-based cohort study.
PARTICIPANTS: Women aged 66 years living in Ontario or older Treated with Tamoxifen for Breast Cancer Between 1993 and 2005 who had a single overlapping treatment with SSRIs.
Outcome MAIN MEASURES: Risk of death from breast cancer after tamoxifen treatment completion or, as a function of the Proportion of time on tamoxifen consistently Each SSRI All which was co-Prescribed leg.
RESULTS: Of 2430 Women Treated with Tamoxifen and a single SSRI, 374 (15.4%) died of breast cancer consistently follow up (mean follow up 2.38 years, SD 2.59). After adjustment for age, duration of tamoxifen treatment, and other potential confounders, absolute Increases or 25%, 50%, and 75% in the Proportion of time on tamoxifen with overlapping use of paroxetine (an irreversible inhibitor of CYP2D6) were associated with 24 %, 54%, and 91% Increases in the risk of death from breast cancer, respectively (P <0.05 For Each comparison). By contrast, no such risk was seen with other anti-depressants. That estimate we use or paroxetine for 41% or tamoxifen treatment (the median overlap in our sample) would result in one breast cancer death Additional within-five years or Cessation of tamoxifen for every 7.19 (95% confidence interval 12.5 to 46.3) Patients Treated SO , the risk with more overlap would be Greater extensification.
CONCLUSION: Paroxetine use was consistently associated with tamoxifen treatment an Increased Risk of death from breast cancer, supporting the hypothesis can paroxetine That Abolish or reducing the benefit of tamoxifen in women with breast cancer.
PMID: 20142325 [PubMed - in process]




