PG Flashcards

1
Q

ABCB1 is a

A

p-gp

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2
Q

how C-T 3435 (SNP) change the activity

A

change the rate of translocation
mis-folding of the protein
change the activity

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3
Q

how does that influence the dose

A

increase the conc in the brain
reduce the dose

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4
Q

guideline for the dose ?

A

not enough evidence

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5
Q

phenytoin is mostly metabolised by

A

CYP2C9

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6
Q

drugs which will be influenced by HLA-B 1502 mutation

A

phenytoin
carbamazepine
lamotrigine
phenobarbital

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7
Q

substances which will increase the activity for CYP2C9

A

SJW

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8
Q

alcohol will increase the serum conc for phenytoin Y/N

A

Y

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9
Q

Calcium containing antacids will increase the phenytoin plasma conc Y/N

A

N (decrease)

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10
Q

paroxetine is metabolised by

A

CYP2D6

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11
Q

paroxetine shows non-linear PK due to

A

the metabolites inhibit the CYP2D6

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12
Q

recommendation for CYP2D6 ultrarapid metaboliser

A

alternatives

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13
Q

for poor metaboliser

A

alternatives

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14
Q

sertraline only go through phase I metabolism Y/N

A

N

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15
Q

CYP2C9 plays a role in sertraline metabolism Y / N

A

N (CYP2C19)

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16
Q

routine test for CYP enzyme is NOT recommended Y/N

A

Y