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Norfluoxetine is an active metabolite of the antidepressant fluoxetine.1 It is formed from fluoxetine by the cytochrome P450 (CYP) isoforms CYP2C9, CYP2C19, and CYP3A.2 Norfluoxetine inhibits serotonin (5-HT) uptake in rat brain synaptosomal membrane preparations (Ki = 44.7 nM) and isolated human platelets (IC50 = ~15 nM).1 It has been found in the tissues of fish exposed to wastewater effluent.3
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1. Norfluoxetine enantiomers as inhibitors of serotonin uptake in rat brain. Neuropsychopharmacology 8(4), 337-344 (1993).
2. Pharmacokinetics of selective serotonin reuptake inhibitors. Pharmacol. Ther. 85(1), 11-28 (2000).
3. Determination of select antidepressants in fish from an effluent-