Clinically important drug interactions potentially involving mechanism-based inhibition of cytochrome P450 3A4 and the role of therapeutic drug monitoring.

Author: LiChunguang, WangGuangji, XueCharlie Changli, YuXue-Qing, ZhouShu-Feng

Paper Details 
Original Abstract of the Article :
Cytochrome P450 (CYP) 3A4 is the most abundant enzyme of CYPs in the liver and gut that metabolizes approximately 50% currently available drugs. A number of important drugs have been identified as substrates, inducers, and/or inhibitors of CYP3A4. The substrates of CYP3A4 considerably overlap with t...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/18043468

データ提供:米国国立医学図書館(NLM)

Navigating the Desert of Drug Interactions

This study delves into the intricate world of drug interactions, a complex and potentially dangerous landscape akin to a vast desert. It focuses on the role of cytochrome P450 (CYP) 3A4, a major enzyme involved in drug metabolism, and the potential for mechanism-based inhibition, a process as subtle and unpredictable as a desert sandstorm. The study highlights the importance of understanding and managing drug interactions to ensure patient safety and optimize treatment outcomes.

The Shifting Sands of Drug Metabolism

The study discusses the clinically important mechanism-based CYP3A4 inhibitors, including various drugs and herbal components. This is like a map of the desert, identifying potential hazards and providing guidance for safe navigation. The study emphasizes the importance of close monitoring for possible drug interactions, especially when using drugs that are mechanism-based CYP3A4 inhibitors, a critical measure to avoid unforeseen consequences.

Safeguarding Patient Health

The study advocates for a sound knowledge of drug-induced, mechanism-based CYP3A4 inhibition, highlighting the crucial role of clinician education and awareness. It encourages the use of safe drug combinations, appropriate dosage adjustments, and therapeutic drug monitoring for drugs with narrow therapeutic indices, strategies as essential as finding a reliable source of water in a desert environment.

Dr. Camel's Conclusion

This study is a reminder of the complexities of drug interactions, a realm as vast and unpredictable as a desert landscape. It emphasizes the importance of vigilance, education, and proactive measures to ensure safe and effective drug therapy. The study's insights are a valuable guidepost for clinicians seeking to navigate the challenging terrain of drug interactions and safeguard patient health.

Date :
  1. Date Completed 2008-02-14
  2. Date Revised 2022-03-30
Further Info :

Pubmed ID

18043468

DOI: Digital Object Identifier

00007691-200712000-00002

Related Literature

SNS
PICO Info
in preparation
Languages

English

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