• Thumbnail for CYP3A4
    (abbreviated CYP3A4) (EC 1.14.13.97) is an important enzyme in the body, mainly found in the liver and in the intestine, which in humans is encoded by CYP3A4 gene...
    80 KB (7,794 words) - 21:26, 15 July 2024
  • Thumbnail for Suvorexant
    strong CYP3A4 inhibitors is not recommended due to potential for increased suvorexant exposure while concomitant use of suvorexant with strong CYP3A4 inducers...
    94 KB (8,941 words) - 16:56, 16 September 2024
  • Thumbnail for Azithromycin
    pancytopenia, and organ failure. CYP3A4 is an enzyme that metabolizes many drugs in the liver. Some drugs can inhibit CYP3A4, which means they reduce its...
    59 KB (5,330 words) - 01:15, 10 September 2024
  • Thumbnail for Macrolide
    results. US FDA-approved: Azithromycin – unique; does not extensively inhibit CYP3A4 Clarithromycin Dirithromycin – discontinued but was US FDA approved Erythromycin...
    25 KB (2,795 words) - 18:38, 6 August 2024
  • Thumbnail for Omeprazole
    Omeprazole (category CYP3A4 inhibitors)
    possible because omeprazole is an inhibitor of the enzymes CYP2C19 and CYP3A4. Clopidogrel is an inactive prodrug that partially depends on CYP2C19 for...
    42 KB (3,798 words) - 03:37, 17 September 2024
  • Thumbnail for Grapefruit–drug interactions
    inhibit key drug metabolizing enzymes, such as cytochrome P450 3A4 (CYP3A4). CYP3A4 is a metabolizing enzyme for almost 50% of drugs, and is found in the...
    55 KB (5,720 words) - 16:53, 17 August 2024
  • serious drug interactions due to strong CYP3A4 inhibition by ergotamine. Ergotamine is a vasoconstrictive CYP3A4 substrate. Bellergal was widely used during...
    9 KB (936 words) - 12:31, 14 July 2024
  • Thumbnail for Daridorexant
    impairment. Concomitant use of daridorexant with strong CYP3A4 inhibitors and moderate to strong CYP3A4 inducers is not recommended and should be avoided due...
    48 KB (4,078 words) - 11:27, 24 July 2024
  • Thumbnail for Trazodone
    enzymes, including CYP3A4, CYP2D6, and CYP1A2. Its active metabolite meta-chlorophenylpiperazine (mCPP) is known to be formed by CYP3A4 and metabolized by...
    105 KB (9,933 words) - 15:41, 7 September 2024
  • Thumbnail for Dextromethorphan
    metabolizers. Dextromethorphan is also metabolized by CYP3A4. N-demethylation is primarily accomplished by CYP3A4, contributing to at least 90% of the MEM formed...
    51 KB (4,637 words) - 11:59, 13 September 2024
  • Thumbnail for Lercanidipine
    cells. The substance is metabolised by the liver enzyme CYP3A4. In a study, the strong CYP3A4 inhibitor ketoconazole increased the maximal blood plasma...
    15 KB (1,415 words) - 13:41, 16 April 2024
  • Thumbnail for Cilostazol
    Cilostazol (category CYP3A4 inhibitors)
    Cilostazol is metabolized by CYP3A4 and CYP2C19, two isoenzymes of the cytochrome P450 system. Drugs that inhibit CYP3A4, such as itraconazole, erythromycin...
    9 KB (689 words) - 06:23, 24 January 2023
  • Thumbnail for Triamcinolone
    of the liver enzyme CYP3A4 speed up metabolization of triamcinolone and can therefore reduce its effectiveness. Conversely, CYP3A4 inhibitors such as ketoconazole...
    19 KB (1,498 words) - 19:56, 10 August 2024
  • Thumbnail for Dofetilide
    predominantly by CYP3A4 enzymes predominantly in the liver and GI tract. This means that it is likely to interact with drugs that inhibit CYP3A4, such as erythromycin...
    12 KB (1,255 words) - 22:26, 10 May 2024
  • Thumbnail for Tofisopam
    Tofisopam (category CYP3A4 inhibitors)
    schizophrenia. Tofisopam has been shown to act as an inhibitor of the liver enzyme CYP3A4, and some researches suspect that this could cause dangerous drug interactions...
    9 KB (733 words) - 06:09, 9 February 2024
  • Thumbnail for Fluticasone propionate
    Fluticasone propionate is broken down by CYP3A4 (cytochrome P450 3A4), and has been shown to interact with strong CYP3A4 inhibitors such as ritonavir and ketoconazole...
    17 KB (1,038 words) - 11:16, 19 August 2024
  • Thumbnail for Rivaroxaban
    CYP3A4 and P-glycoprotein inhibitors group. Therefore, it is important to monitor for bleeding when concurrently on rivaroxaban and moderate CYP3A4 and...
    29 KB (2,608 words) - 01:33, 1 September 2024
  • Thumbnail for Hydrocodone
    oxycodone. Hydrocodone is metabolized by the cytochrome P450 enzymes CYP2D6 and CYP3A4, and inhibitors and inducers of these enzymes can modify hydrocodone exposure...
    59 KB (5,325 words) - 07:30, 7 September 2024
  • Thumbnail for Atorvastatin
    rarely with other CYP3A4 inhibitors, such as amiodarone and aprepitant. Often, bosentan, fosphenytoin, and phenytoin, which are CYP3A4 inducers, can decrease...
    99 KB (9,417 words) - 01:25, 7 September 2024
  • Thumbnail for Miconazole
    Miconazole (category CYP3A4 inhibitors)
    increased concentrations of drugs that are metabolized by the liver enzymes CYP3A4 and CYP2C9, because miconazole inhibits these enzymes. Such interactions...
    14 KB (1,111 words) - 07:21, 9 September 2024
  • Thumbnail for Buspirone
    cocaine. Buspirone has been shown in vitro to be metabolized by the enzyme CYP3A4. This finding is consistent with the in vivo interactions observed between...
    42 KB (3,643 words) - 01:15, 16 September 2024
  • ISOZYMES". "The Life Raft Group: Long List of Inhibitors and Inducers of CYP3A4 and CYP2D6". "DRUGBANK Online: Cytochrome P-450 Enzyme Inhibitors". "MEDICATIONS...
    9 KB (78 words) - 09:09, 12 November 2023
  • Thumbnail for Solifenacin
    the liver by the cytochrome P450 enzyme CYP3A4. When administered concomitantly with drugs that inhibit CYP3A4, such as ketoconazole, the metabolism of...
    16 KB (1,542 words) - 21:55, 16 September 2024
  • Thumbnail for Naringin
    Naringin inhibits some drug-metabolizing cytochrome P450 enzymes, including CYP3A4 and CYP1A2, which may result in drug-drug interactions. Ingestion of naringin...
    9 KB (830 words) - 07:14, 22 June 2024
  • Thumbnail for Mexazolam
    alleviating anxiety at one week follow-up. Mexazolam is metabolised via the CYP3A4 pathway. HMG-CoA reductase inhibitors including simvastatin, simvastatin...
    5 KB (356 words) - 08:26, 9 September 2024
  • Thumbnail for Domperidone
    exclusively metabolized by CYP3A4/5, though minor contributions by CYP1A2, CYP2D6, and CYP2C8 have been reported. CYP3A4 is the major enzyme involved...
    63 KB (5,650 words) - 21:49, 16 September 2024
  • Thumbnail for Norketamine
    is the major active metabolite of ketamine, which is formed mainly by CYP3A4. Similarly to ketamine, norketamine acts as a noncompetitive NMDA receptor...
    12 KB (1,150 words) - 02:18, 14 September 2024
  • Thumbnail for Oxycodone
    to inhibition of CYP3A4 and CYP2D6. Rifampicin greatly reduces plasma concentrations of oxycodone due to strong induction of CYP3A4. There is also a case...
    124 KB (11,470 words) - 18:20, 12 September 2024
  • Thumbnail for Tadalafil
    of PDE5 inhibitors. Tadalafil is metabolized predominantly by the liver CYP3A4 enzyme system. Penile erection during sexual stimulation is caused by increased...
    35 KB (3,239 words) - 08:48, 12 September 2024
  • Thumbnail for Flunitrazepam
    lipophilic and is metabolised by the liver via oxidative pathways. The enzyme CYP3A4 is the main enzyme in its phase 1 metabolism in human liver microsomes....
    38 KB (3,723 words) - 22:39, 11 September 2024