75.有關基因多型性(genetic polymorphism)對藥動學影響之敘述,下列何者正確?
(A)CYP2C9之基因多型性會顯著影響phenytoin之代謝
(B)CYP2C19之基因多型性會顯著影響propranolol之代謝
(C)CYP2D6之基因多型性會顯著影響omeprazole之藥動學性質
(D)CYP1A2之基因多型性會顯著影響codeine之代謝
統計: A(5156), B(1090), C(706), D(446), E(0) #2179959
詳解 (共 8 筆)
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是寫說2D6是主要 2C19是次要 可能要記一下
|
Enzymes |
Substretes |
Inhibitors |
Inducers |
|
CYP1A2 |
Amitriptyline Clomipramine Clozapine Fluvoxamine Imipramine Theophylline R-Warfarin Caffeine |
Amiodarone Cimetidine Ciprofloxacin Fluvoxamine |
Omeprazole Broccoli Brussels sprouts Cigarette Smoking |
|
CYP2B6 |
Bupropion Midazolam Tamoxifen Verapamil |
Ketoconazole |
Dexamethasone Phenobarbital Rifampin Valproic acid |
|
CYP2C9 |
Celecoxib Diazepam Diclofenac Fluoxetine Fluvastatin Glibenclamide Glimepiride Glipizide Ibuprofen Irbesartan Losartan Meloxicam Naproxen Phenytoin S-Warfarin |
Amiodarone Fluconazole Isoniazid |
Rifampin Secobarbital |
|
CYP2C19 |
Amitriptyline Citalopram Clopidogrel Diazepam Lansoprazole Omeprazole Pantoprazole Proguanil Propanolol R-Warfarin |
Chloramphenicol Cimetidine Ketoconazole Lansoprazole Omeprazole Oxcarbazepine Pantoprazole |
Carbamazepine Rifampin |
|
CYP2D6 |
Amitriptyline Carvedilol Chlorphenamine Chlorpromazine Clomipramine Codeine Dextromethorphan Donepezil Duloxetine Fluoxetine Haloperidol Imipramine Metoclopramide Metoprolol Ondansetron Oxycodone Paroxetine Propranolol Tamoxifen Timolol Tramadol Venlafaxine |
Amiodarone Bupropion Celecoxib Cimetidine Citalopram Clomipramine Duloxetine Escitalopram Fluoxetine Levomepromazine Paroxetine Quinidine Sertraline Terbinafine |
Rifampin |
|
CYP2E1 |
Acetaminophen Chlorzoxazone Enflurane Ethanol Halothane Sevoflurane |
Disulfiram |
Ethanol Isoniazid |
|
CYP3A4 |
Amiodarone Amlodipine Antipyrine Aripiprazole Atorvastatin Buspirone Ciclosporin Clarithromycin Dexamethasone Diazepam Diltiazem Domperidone Erythromycin Estradiol Felodipine Fentanyl Finasteride Hydrocortisone Indinavir Lercanidipine Lopinavir Methadone Nelfinavir Nifedipine Progesterone Ritonavir Saquinavir Sildenafil Simvastatin Tacrolimus Testosterone Verapamil Vindesine R-Warfarin |
Cimetidine Clarithromycin Diltiazem Erythromycin Fluconazole Indinavir Itraconazole Ketoconazole Nelfinavir Ritonavir Saquinavir Verapamil Grapefruit Juice |
Carbamazepine Efavirenz Glucocorticoid Nevirapine Oxcarbazepine Phenobarbital Phenytoin Pioglitazone Rifampin St John’s Wort |
|
P-gp |
Cyclosporin Etoposide Fexofenadine Paclitaxel Terfenadine Vinblastine |
Amiodarone Azithromycin Carvedilol Clarithromycin Digoxin Erythromycin Itraconazole Ketoconazole Propafenone Quinidine Ritonavir Spironolactone Verapamil |
Carbamazepine Dexamethasone Nifedipine Phenobarbital Phenytoin Rifampin St.John's Wort |
抗癲癇藥好夥伴很常搞混的兩項
valproic acid 抑制2C9、體重增加(肥婆valpro體重太重了會壓到2C9)
phenytoin為2C9受質、體重減輕(體重很輕可以phe飛起來 但是被肥婆壓到2C9)