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Questions and Answers
Which substance is known to induce the enzyme 2A6?
Which substance is known to induce the enzyme 2A6?
- St.John's Wort
- Dexamethasone
- Carbamazepine (correct)
- Phenobarbital
Which drug is NOT an inducer of the enzyme 2D6?
Which drug is NOT an inducer of the enzyme 2D6?
- Phenobarbital
- Dexamethasone
- Modafinil (correct)
- Carbamazepine
Which of the following is categorized as an inducer for the enzyme 2C19?
Which of the following is categorized as an inducer for the enzyme 2C19?
- Isoniazid
- Enzalutamide (correct)
- Ritonavir
- Ethanol
Which food item is recognized as an inducer for the enzyme 1A2?
Which food item is recognized as an inducer for the enzyme 1A2?
Which of the following drugs is known to induce the enzyme 3A4?
Which of the following drugs is known to induce the enzyme 3A4?
Which substance is considered an inducer for the enzyme 2B6?
Which substance is considered an inducer for the enzyme 2B6?
Which of the following drugs induces the enzyme 2C9?
Which of the following drugs induces the enzyme 2C9?
Which drug is commonly recognized as an inducer of the enzyme 2E1?
Which drug is commonly recognized as an inducer of the enzyme 2E1?
Which of the following is known to potentially affect the metabolism of drugs?
Which of the following is known to potentially affect the metabolism of drugs?
Which medication is listed as affecting the levels of phenytoin?
Which medication is listed as affecting the levels of phenytoin?
What is one of the drugs that St. John's Wort interacts with?
What is one of the drugs that St. John's Wort interacts with?
Which drug is known to potentially decrease the efficacy of omeprazole?
Which drug is known to potentially decrease the efficacy of omeprazole?
Which medication might be influenced by the co-administration of pioglitazone?
Which medication might be influenced by the co-administration of pioglitazone?
Which of the following is an acceptable inhibitor for in vitro experiments targeting 2B6?
Which of the following is an acceptable inhibitor for in vitro experiments targeting 2B6?
Which of the following inhibitors is classified under the 2E1 category?
Which of the following inhibitors is classified under the 2E1 category?
Which of the following is not an acceptable inhibitor for 2C8?
Which of the following is not an acceptable inhibitor for 2C8?
Which medication is preferred for inhibition of 1A2?
Which medication is preferred for inhibition of 1A2?
Which of the following options is listed as an HIV antiviral that also acts as an inhibitor?
Which of the following options is listed as an HIV antiviral that also acts as an inhibitor?
Which of these medications is categorized under the 2D6 inhibitors?
Which of these medications is categorized under the 2D6 inhibitors?
Which drug is not indicated as a preferred inhibitor for 3A4?
Which drug is not indicated as a preferred inhibitor for 3A4?
Which of the following is an acceptable inhibitor for in vitro experiments under the 2C19 category?
Which of the following is an acceptable inhibitor for in vitro experiments under the 2C19 category?
Which of the following is a substrate for enzyme 1A2?
Which of the following is a substrate for enzyme 1A2?
Which drug is a substrate for enzyme 2D6?
Which drug is a substrate for enzyme 2D6?
Which of the following medications is associated with enzyme 3A4?
Which of the following medications is associated with enzyme 3A4?
What is a characteristic of Dapsone?
What is a characteristic of Dapsone?
Which drug is not listed as a substrate for any of the enzymes mentioned?
Which drug is not listed as a substrate for any of the enzymes mentioned?
Which medication is related to enzyme 2C9?
Which medication is related to enzyme 2C9?
Which of the following drugs are substrates for enzyme 2C19?
Which of the following drugs are substrates for enzyme 2C19?
Which drug is associated with enzyme 2B6?
Which drug is associated with enzyme 2B6?
Which of these drugs is not a substrate for enzyme 2E1?
Which of these drugs is not a substrate for enzyme 2E1?
Which drug is indicated as a substrate for multiple enzymes including 3A4, 5, 7?
Which drug is indicated as a substrate for multiple enzymes including 3A4, 5, 7?
What are substrates in the context of cytochrome P450 enzymes?
What are substrates in the context of cytochrome P450 enzymes?
Which of the following is an example of an inhibitor in drug interactions?
Which of the following is an example of an inhibitor in drug interactions?
What is the role of activators in drug metabolism?
What is the role of activators in drug metabolism?
Which enzyme is primarily associated with the metabolism of caffeine?
Which enzyme is primarily associated with the metabolism of caffeine?
Which of the following drugs is considered a substrate for the 2D6 enzyme?
Which of the following drugs is considered a substrate for the 2D6 enzyme?
Which drug is an example of a substrate for the 3A4 enzyme?
Which drug is an example of a substrate for the 3A4 enzyme?
Which of the following best describes the relationship between inhibitors and substrates?
Which of the following best describes the relationship between inhibitors and substrates?
Which substance is known to inhibit the enzyme 2D6?
Which substance is known to inhibit the enzyme 2D6?
Which drug is an example of an activator for enzyme metabolism?
Which drug is an example of an activator for enzyme metabolism?
What is the consequence of using an enzyme inhibitor along with a substrate?
What is the consequence of using an enzyme inhibitor along with a substrate?
Which medication may cause a significant interaction by acting as a substrate for multiple P450 enzymes?
Which medication may cause a significant interaction by acting as a substrate for multiple P450 enzymes?
Which enzyme is noted for metabolizing paroxetine?
Which enzyme is noted for metabolizing paroxetine?
Which of the following classes of drugs are generally affected by cytochrome P450 interactions?
Which of the following classes of drugs are generally affected by cytochrome P450 interactions?
What is the primary purpose of understanding P450 enzyme interactions in clinical prescribing?
What is the primary purpose of understanding P450 enzyme interactions in clinical prescribing?
Which of the following is a substrate of the enzyme 2D6?
Which of the following is a substrate of the enzyme 2D6?
Which drug is a substrate for CYP enzyme 3A4?
Which drug is a substrate for CYP enzyme 3A4?
Which of the following is not a substrate for CYP2C9?
Which of the following is not a substrate for CYP2C9?
Which of the following substances is a known inhibitor of HMG CoA reductase?
Which of the following substances is a known inhibitor of HMG CoA reductase?
Minaprine is classified under which enzyme substrate category?
Minaprine is classified under which enzyme substrate category?
Which of the following drugs is associated with the 2B6 enzyme?
Which of the following drugs is associated with the 2B6 enzyme?
Which drug affects steroid 6beta-OH activity?
Which drug affects steroid 6beta-OH activity?
Which of these is known to inhibit CYP2C8?
Which of these is known to inhibit CYP2C8?
Which drug is listed among the miscellaneous substrates?
Which drug is listed among the miscellaneous substrates?
Flashcards
CYP3A4, 3A5, and 3A7
CYP3A4, 3A5, and 3A7
CYP3 A4, 3A5, and 3A7 are all enzymes that can metabolize drugs.
Demethylation
Demethylation
The process of removing a methyl group from a molecule.
Drug Metabolism
Drug Metabolism
The process of breaking down drugs by enzymes in the body.
Flockhart Table
Flockhart Table
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CYP
CYP
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Pharmacokinetics
Pharmacokinetics
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Pharmacodynamics
Pharmacodynamics
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CYP3A4
CYP3A4
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Substrate List
Substrate List
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Drug Interaction
Drug Interaction
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CYP450 Enzymes
CYP450 Enzymes
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CYP2C9
CYP2C9
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CYP2C19
CYP2C19
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CYP2D6
CYP2D6
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The Flockhart Table
The Flockhart Table
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Drug-Drug Interaction
Drug-Drug Interaction
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CYP450 Induction/Inhibition
CYP450 Induction/Inhibition
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P450 enzyme Substrates
P450 enzyme Substrates
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P450 enzyme Inhibitors
P450 enzyme Inhibitors
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P450 enzyme Activators
P450 enzyme Activators
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Cytochrome P450 Enzymes
Cytochrome P450 Enzymes
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Amitriptyline (CYP1A2 substrate)
Amitriptyline (CYP1A2 substrate)
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Fluoxetine (CYP2D6 inhibitor)
Fluoxetine (CYP2D6 inhibitor)
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Rifampin (CYP3A4 activator)
Rifampin (CYP3A4 activator)
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Predicting Drug Interactions using P450 enzymes
Predicting Drug Interactions using P450 enzymes
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Drug Metabolism Products
Drug Metabolism Products
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Drug Metabolism: Reduced Effectiveness
Drug Metabolism: Reduced Effectiveness
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Drug Metabolism: Increased Effectiveness
Drug Metabolism: Increased Effectiveness
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Importance of Drug Metabolism Information
Importance of Drug Metabolism Information
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Complex Drug Interactions
Complex Drug Interactions
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Clinical Significance of Drug Interactions
Clinical Significance of Drug Interactions
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What is the definition of a substrate list in the Flockhart Table?
What is the definition of a substrate list in the Flockhart Table?
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What is CYP3A4?
What is CYP3A4?
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What happens when two drugs are substrates of the same CYP enzyme?
What happens when two drugs are substrates of the same CYP enzyme?
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How does the Flockhart Table help with drug interactions?
How does the Flockhart Table help with drug interactions?
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What is the Flockhart Table?
What is the Flockhart Table?
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Cytochrome P450 (CYP) Enzymes
Cytochrome P450 (CYP) Enzymes
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Enzyme inducers
Enzyme inducers
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CYP1A2 Enzyme
CYP1A2 Enzyme
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1A2
1A2
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2D6
2D6
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CYP2B6 Enzyme
CYP2B6 Enzyme
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CYP2C Enzymes
CYP2C Enzymes
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3A4,5,7
3A4,5,7
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Dietary Inducers of 1A2
Dietary Inducers of 1A2
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CYP2C19 Enzyme
CYP2C19 Enzyme
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Drug Inducers of 2B6, 2C8, 2C9, 2C19, or 2D6
Drug Inducers of 2B6, 2C8, 2C9, 2C19, or 2D6
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CYP2D6 Enzyme
CYP2D6 Enzyme
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CYP3A4, 5, 7 Enzymes
CYP3A4, 5, 7 Enzymes
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Drug Inducers of 2E1, 3A4, 5, 7
Drug Inducers of 2E1, 3A4, 5, 7
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Drug-Enzyme Interactions: A Summary
Drug-Enzyme Interactions: A Summary
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Study Notes
Flockhart Table
- The Flockhart Table is a tool to help understand drug interactions by looking at how drugs are metabolized.
- Substrates are drugs metabolized by an enzyme.
- Inhibitors prevent the enzyme from metabolizing substrates.
- Activators increase the enzyme's ability to metabolize substrates.
P450 Drug Interaction Table
- The table lists drugs categorized by the cytochrome P450 enzyme isoform they are substrates of.
- It provides information about drug interactions based on substrate, inhibitor, and activator properties.
- Drugs are listed by enzyme isoform (e.g., 1A2, 2B6, 2C8, 2C9, 2C19, 2D6, 2E1, 3A4, 5,7).
- The table categorizes the listed drugs as substrates, inhibitors, or activators. For example, caffeine is a substrate for CYP1A2.
- Examples of drug classes include antidepressants, antibiotics, anesthetics, anti-epileptics, etc.
- The table indicates whether a drug is a strong, moderate, or weak inhibitor, and whether it is a preferred or acceptable inhibitor.
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