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March 26, 2026Expert Opinion on Drug Metabolism & Toxicology2 citations

An update on the pharmacokinetic and pharmacodynamic interactions between antidepressants and antiseizure medications

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ESEdoardo SpinaMBMaría Antonietta BarbieriMAMarika Alborghetti

Key Points

  • The aim is to clarify the interactions between antidepressants and antiseizure medications in terms of pharmacokinetics and pharmacodynamics.
  • Review of pharmacokinetic and pharmacodynamic mechanisms
  • Assessment of clinically significant drug-drug interactions (DDIs)
  • Evaluation of therapeutic monitoring strategies
  • Identified significant risks of DDIs between antidepressants and antiseizure medications
  • Highlighted the importance of therapeutic drug monitoring
  • Recommended consultation of interaction databases and clinical monitoring

Abstract

Antidepressants and ASMs are associated with a considerable risk of clinically significant DDIs. A thorough understanding of the underlying PK and PD mechanisms, combined with complementary strategies including therapeutic drug monitoring, consultation of interaction databases, and careful clinical monitoring, is essential to anticipate, prevent, and effectively manage adverse DDIs.

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Cite This Study

Spina et al. (2026) studied this question.

synapsesocial.com/papers/69c4ccd6fdc3bde448918820https://doi.org/10.1080/17425255.2026.2650188
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