Korean J Psychopharmacol.  2009 Mar;20(2):63-77.

Use of Antidepressants in Patients with Breast Cancer

Affiliations
  • 1Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea. jsyoon@chonnam.ac.kr
  • 2Clinical Trial Center and Depression Clinical Research Center, Chonnam National University Hospital, Gwangju, Korea.
  • 3Mental Health Clinic, Chonnam National University Hwasun Hospital, Hwasun, Korea.
  • 4Department of Surgery, Chonnam National University Medical School, Gwangju, Korea.
  • 5Breast and Endocrine Tumor Clinic, Chonnam National University Hwasun Hospital, Hwasun, Korea.

Abstract

Depression is common among patients with breast cancer and has been found to influence quality of life and disease course as well as to increase fatigue, pain, and insomnia. Therefore, it is very important to treat depression among breast cancer patients with antidepressants in order to improve clinical outcomes. However, inconsistent results about the consequences of antidepressant use in patients with breast cancer have been reported. This article reviews and discusses the following issues : epidemiologic data about depression in patients with breast cancer; debates about the association between antidepressant use and breast cancer risk ; pharmacological interactions of antidepressants and medications for breast cancer, including tamoxifen and opioids ; data from clinical trials addressing the effect of antidepressants on depressive symptoms in patients with breast cancer; and data from clinical trials addressing the effect of antidepressants on cancer-related symptoms, including hot flashes, post-mastectomy pain syndrome, nausea, pruritus, fatigue, and sexual dysfunction. This review article contributes to a comprehensive understanding of the use of antidepressants in patients with breast cancer.

Keyword

Breast cancer; Depression; Antidepressants; Drug interaction; CYP 2D6

MeSH Terms

Analgesics, Opioid
Antidepressive Agents
Breast
Breast Neoplasms
Cytochrome P-450 CYP2D6
Depression
Drug Interactions
Fatigue
Hot Flashes
Humans
Nausea
Pruritus
Quality of Life
Sleep Initiation and Maintenance Disorders
Tamoxifen
Analgesics, Opioid
Antidepressive Agents
Cytochrome P-450 CYP2D6
Tamoxifen
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