Increased Anticholinergic Agent Use With Co-prescription of CYP2D6-Inhibiting SSRIs and Risperidone, but not Aripiprazole: A Nationwide Cohort Study

Co-prescription of strong CYP2D6-inhibiting SSRIs with risperidone, but not aripiprazole, is associated with a significant increase in anticholinergic use, providing large-scale, real-world evidence of a clinically meaningful DDI. These findings underscore the importance of considering SSRI metabolic profiles to mitigate EPS risk in patients treated with risperidone.

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Publication Details

Journal
Schizophrenia Bulletin
Published
2025-10-03
DOI
https://doi.org/10.1093/schbul/sbaf189
Primary Topic
Pharmacogenetics and Drug Metabolism
Type
article
Field-Weighted Citation Impact
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article

Increased Anticholinergic Agent Use With Co-prescription of CYP2D6-Inhibiting SSRIs and Risperidone, but not Aripiprazole: A Nationwide Cohort Study

Yil‐Seob Lee, Hyounggyoon Yoo, Wonsuk Shin, Sra Jung et al.
Schizophrenia Bulletin
Pharmacogenetics and Drug Metabolism
article

Increased Anticholinergic Agent Use With Co-prescription of CYP2D6-Inhibiting SSRIs and Risperidone, but not Aripiprazole: A Nationwide Cohort Study

Yil‐Seob Lee, Hyounggyoon Yoo, Wonsuk Shin, Sra Jung, Min‐Kyoung Kim, M.K. Hong, Dong Hyeon Lee
article en

Abstract

Co-prescription of strong CYP2D6-inhibiting SSRIs with risperidone, but not aripiprazole, is associated with a significant increase in anticholinergic use, providing large-scale, real-world evidence of a clinically meaningful DDI. These findings underscore the importance of considering SSRI metabolic profiles to mitigate EPS risk in patients treated with risperidone.

Schizophrenia Bulletin
Samsung Medical Center (KR), CHA University Bundang Medical Center (KR), CHA University (KR)
Openalex Percentile: Top 59%
Pharmacogenetics and Drug Metabolism
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