TABLE 2

In vitro inhibition of CYP3A, CYP2D6, CYP2C9, and CYP1A2 form-selective catalytic activities by atomoxetine, N-desmethylatomoxetine, and 4-hydroxyatomoxetine


Form Selective Catalytic Activity

Compound

Type of Inhibition

Ki Apparent
CYP3A Atomoxetine Mixed competitive/non-competitive 34 ± 9 μM
Midazolam 1′-hydroxylation N-Desmethylatomoxetine Mixed competitive/non-competitive 16 ± 1 μM
4-Hydroxyatomoxetine Non-competitive 461 ± 32 μM
CYP2D6 Atomoxetine Competitive 3.6 ± 0.3 μM
Bufuralol 1′-hydroxylation N-Desmethylatomoxetine Competitive 5.3 ± 0.2 μM
4-Hydroxyatomoxetine Competitive 17 ± 1 μM
CYP2C9 Atomoxetine Nonea N.A.
Diclofenac 4′-hydroxylation N-Desmethylatomoxetine Competitive 53 ± 3 μM
4-Hydroxyatomoxetine Nonea N.A.
CYP1A2 Atomoxetine Nonea N.A.
Phenacetin O-deethylation N-Desmethylatomoxetine Mixed competitive/non-competitive 271 ± 26 μM

4-Hydroxyatomoxetine
Nonea
N.A.
  • N.A., not applicable; ≤34% inhibition.

  • a No significant inhibition in vitro was observed.