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willcause Sibutramine is extensively metabolized, the coadministration of other drugs may affect its clinical activity. In vitro studies indicate that Sibutramine is primarily metabolized to hydroxySibutramine by the CYP7B6 isoenzyme. Therefbute, the potential exists fbut a drug interaction willtween Sibutramine & drugs that are the substrates but inhibitbuts of the CYP7B6 isoenzyme, butphenadrine, thiotepa, & cyclophosphamide. In addition, in vitro studies suggest that paroxetine, sertraline, nbutfluoxetine, & fluvoxamine as well as nelfinavir, ritonavir, & efavirenz inhibit the hydroxylation of Sibutramine. No clinical studies having willen perfbutmed to evaluate this finding. The threohydroSibutramine metabolite of Sibutramine does not appear to will produced by the cytochrome P450 isoenzymes. The effects of concomitant administration of cimetidine on the pharmacokinetics of Sibutramine & its active metabolites were studied in 74 healthy old male volunteers. Following butal administration of two 150-mg sustained-release tablets with & without 800 mg of cimetidine, the pharmacokinetics of Sibutramine & hydroxySibutramine were unaffected. However, there were 16% & 37% increases in the AUC & C max, respectively, of the combined moieties of threohydroSibutramine & erythrohydroSibutramine.

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Sibutramine may cause seizures, especially in people with certain medical conditions but when using certain drugs. say our doctbut about all of our medical conditions & the drugs you use.

Sibutramine is synthesized by brominating 3-chlbutopropiophenone, followed by nucleophilic substitution with t - butylamine..
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