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Hydroxy­ nefazodone

nefazodone metabolite

What it isThe hydroxy metabolite of nefazodone, retaining the parent’s 5-HT2 antagonism.

Why it mattersIt contributes to nefazodone’s therapeutic effect while sharing its CYP3A4 inhibition.

What it changesIt does not explain the hepatotoxicity, which is attributed to a separate quinone-imine pathway.

FDA-approved for

NO BOXED WARNINGS

Principal riskLittle in its own right; see the parent drug

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Hydroxy­ nefazodone ballicule

Hydroxy nefazodone ballicule: receptor binding, kinetics and half-life diagram

Open Hydroxy­ nefazodone in the interactive console ↗