Abstract.
Concentrations of serum clozapine, c-reactive protein (CRP) and alpha1 acid glycoprotein were greatly increased during a bacterial pneumonia in a 53-year-old woman. As the pneumonia subsided, and CRP and alpha1 acid glycoprotein normalised, serum clozapine concentration also decreased to the previous level. An increased serum clozapine and a lowered N-desmethylclozapine to clozapine ratio during the infection suggest a decreased cytochrome P 450 (CYP)1A2 activity. Cytokine-mediated CYP1A2 suppression is discussed.
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Accepted in revised form: 14 May 2002
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Raaska, .K., Raitasuo, .V., Arstila, .M. et al. Bacterial pneumonia can increase serum concentration of clozapine. Eur J Clin Pharmacol 58, 321–322 (2002). https://doi.org/10.1007/s00228-002-0486-x
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DOI: https://doi.org/10.1007/s00228-002-0486-x