Table 1

Interaction between cytochrome P450 (CYP) enzymes and clozapine

EnzymeInvolved in metabolism of clozapineInhibited by clozapine; in vitro data only
In vitroIn vivo
Case reportsCase series
CYP1A1
CYP1A2+++
CYP2C8+/−
CYP2C9+ (NC)+ (NC)
CYP2C19+
CYP2D6+/−+/−+/−+ (NC)
CYP2E1
CYP3A4++
  • Note: All studies were performed on humans or human tissue. + = data support role; − = data do not support role; +/− = data are contradictory; NC = likely not clinically relevant. Space left blank if no data available. The above footnotes apply to all tables in this article.