TABLE 4

Predicted magnitude of in vivo P450 inhibition (CLi/CLi′) by different combinations of fluoxetine and norfluoxetine enantiomers using the additive (eq. 8) and the inhibitor-inhibitor interaction (eq. 9) models

CYP2C19CYP3A4
AdditiveInhibitor-Inhibitor InteractionAdditiveInhibitor-Inhibitor Interaction
(R)- and (S)-Fluoxetine881.51.5
(R)- and (S)-Norfluoxetine13132.12.1
(R)-Enantiomers10102.12.1
(S)-Enantiomers12121.51.5
All enantiomers20202.62.5