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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
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
Dr.Camel's Paper Summary Blogラクダ博士について
ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。
* ラクダ博士による解説は、あくまで論文の要点をまとめたものであり、原論文の完全な代替となるものではありません。詳細な内容については、必ず原論文をご参照ください。
* ラクダ博士は架空のキャラクターであり、実際の医学研究者や医療従事者とは一切関係がありません。
* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。
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 :
- Date Completed 2008-02-14
- Date Revised 2022-03-30
Further Info :
Related Literature
English
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