Precursor to metabolite: Nefazodone to mCPP
Nefazodone is converted to mCPP by CYP3A4.
Visual mnemonic: Nefazodone mascot
Visual mnemonic: mCPP mascot
The pair
- Nefazodone — SARI with rare fatal hepatotoxicity; brand withdrawn, generic still available.
- mCPP — Trazodone and nefazodone metabolite; 5-HT2C agonist causing anxiety and dysphoria; accumulates when CYP2D6 is inhibited.
Anything that inhibits or induces CYP3A4 shifts the balance between Nefazodone and mCPP.
Nefazodone · mCPP · Open Nefazodone in the interactive console ↗