Drug Metabolism Flipped Flashcards
ADs: fluoxetine, sertraline, duloxetine, paroxetine, bupropion
2D6 inhibitor
Amiodarone
inhibits: 1A2, 2C8/9, 2D6, 3A4, Pgp
substrate: 3A4, Pgp
Apixaban/rivaroxaban
3A4 substrate
Atorvastatin/simvastatin
substrate: 3A4, Pgp
Atypical antipsychotics (aripiprazole, risperidone)
substrate: 2D6, 3A4
BZDs
substrate: 3A4
Carbamazepine
substrate: 3A4
Carbamazepine/phenytoin
inducer: 1A2, 2C8/9, 2C19, 3A4, Pgp
substrate: Pgp
Carvedilol
substrate: 2C8/9
inhibitor: Pgp
CCBs (amlodipine, verapamil, diltiazem)
substrate: 3A4
Cimetidine
inhibitor: 1A2, 2C19, 2D6, 3A4
Ciprofloxacin
inhibitor: 1A2
Citalopram
substrate: 2C19
Clarithromycin
substrate: 3A4
inhibitor: 3A4, Pgp
Clopidogrel
substrate: 2C19
inhibitor: 2C8/9
Codeine
substrate: 2D6
Cyclosporine, tacrolimus, siroliumus
substrate: 3A4
Dabigatran/rivaroxaban
substrate: Pgp
Dexamethasone
inducer: Pgp
Digoxin
substrate: Pgp
Diltiazem
substrate: Pgp
Diltiazem/verapamil
inhibitor: 3A4, Pgp
Duloxetine
substrate: 1A2
Estrogen
substrate: 3A4, Pgp
inhibitor: 1A2
Fluconazole
inhibitor: 2C8/9, 2C19, 3A4
Fluoxetine
inhibitor: 2C19
Fluoxetine, paroxetine, duloxetine
substrate: 2D6
Gemfibrozil
inhibitor: 2C19
Gemfibrozil/fenofibrate
inhibitor: 2C8/9
Grapefruit Juice
inhibitor: 3A4
Many chemo
substrate: Pgp
Metoprolol
substrate: 2D6
Metronidazole
inhibitor: 2C8/9
Most PPI (omeprazole)
substrate: 2C19
Non DHP CCBs (verapamil, diltiazem)
inhibitor: 3A4
OCPs
substrate: 3A4
Omeprazole
substrate: Pgp
Omeprazole/esomeprazole
inhibitor: 2C19
Opioids (hydrocodone, oxycodone)
substrate: 3A4
Paroxetine/sertraline
substrate: Pgp
PDE5 inhibitors (sildenafil, tadalafil, vardenafil)
substrate: 3A4
Phenytoin
substrate: 2C8/9, 2C19
Pioglitazone
substrate: 2C8/9
PIs (ritonavir)
3A4 substrate, inhibitor
Rifampin
inducer: 1A2, 2C8/9, 2C19, 3A4, Pgp
Smoking
inducer: 1A2
SSRI (citalopram, paroxetine, sertraline)
substrate: 3A4
St. Johns Wort
inducer: 2C8/9, 2C19, 3A4, Pgp
TCAs
substrate: 1A2, 2C8/9, 2C19, 2D6
THC
inducer: 1A2
Theophylline
substrate: 1A2, 3A4
TMP-SMX
inhibitor: 2C8/9
Valproate
inhibitor: 2C8/9
Warfarin
substrate: 2C8/9
Mirtazepine
substrate: 1A2, 2D6, 3A4
Melatonin Receptor Agonist
substrate: 1A2, 3A4
Conventional Antipsychotics (chlorpromazine, haloperidol)
2D6 substrate/inhibitor; 3A4 substrate
Atomoxetine
2D6 substrate
Buspirone
3A4 substrate
Venlafaxine
2D6, 3A4 substrate
Trazodone
3A4 substrate, Pgp inducer
NBRA (zolpidem, eszopiclone)
3A4 substrate
Celecoxib
2C9 substrate