Drug interactions

paroxetine + tamoxifen

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Overview

Severity: Major · Evidence level: High

↓ endoxifen → reduced efficacy.

Mechanism of action

CYP2D6 inhibition.

Clinical management

Avoid strong CYP2D6 inhibitors; choose venlafaxine, citalopram.

Drug reference

References

Frequently asked questions

Can I take paroxetine with tamoxifen?

The interaction is rated: Major. ↓ endoxifen → reduced efficacy.

How serious is the interaction between paroxetine and tamoxifen?

The interaction is rated: Major. Evidence level: High.

How is the interaction between paroxetine and tamoxifen managed?

Avoid strong CYP2D6 inhibitors; choose venlafaxine, citalopram.

Why do paroxetine and tamoxifen interact?

CYP2D6 inhibition.

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