Drug Metabolism and Grapefruit Juice Interaction

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Which dietary factor inhibits CYP3A4, leading to toxicity of midazolam, cyclosporine, and diazepam?

Grapefruit juice

Which genetic factor results from the presence of two or more variant forms of a specific DNA sequence among different individuals or populations?

Genetic polymorphisms

Which environmental factor induces CYP1A1 and CYP1A2, affecting the metabolism of theophylline?

Cigarette smoke

Which substance inhibits CYP3A4, leading to an increased toxic effect of nifedipine, clarithromycin, and simvastatin?

<p>Grapefruit juice</p> Signup and view all the answers

Which enzyme is responsible for the 4-hydroxylation of phenytoin in Phase I metabolism?

<p>CYP2C9</p> Signup and view all the answers

In Phase II Metabolism, which enzyme is responsible for conjugating a molecule of glucuronic acid to phenytoin to increase its aqueous solubility?

<p>Glucuronosyltransferase</p> Signup and view all the answers

Which enzyme is primarily responsible for carrying out most oxidation reactions in drug metabolism?

<p>Cytochrome P450</p> Signup and view all the answers

Where are cytochrome P450 enzymes primarily located within the cell?

<p>Endoplasmic reticulum</p> Signup and view all the answers

How does hyperthermia affect drug metabolism involving CYP450 enzymes?

<p>Reduces drug metabolism by inhibiting the activity of CYP450 enzymes</p> Signup and view all the answers

What effect does active liver disease have on drug metabolism involving CYP450 enzymes?

<p>Reduces drug metabolism due to impaired enzyme function</p> Signup and view all the answers

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