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how do enzyme inducers affect cytochrome p450?
increase effect of cytochrome p450 so decrease the effect of the drugs
how do enzyme inhibitors affect cytochrome p450?
decrease the effect of cytochrome p450 so decreases the effect of the drugs
how does cytochrome p450 break down drugs?
oxidative metabolism - cytochrome p450 monooxygenase system
where does the oxidative metabolism mainly take place?
the liver
what are some common CYP450 inhibitors?
MO DEVICES GA
Metronidazole
Omepraxole
Disulfiram
Erythromycin (macrolides)
Valproate
Isoniazide
Ciprofloxacin (quinolones)
Ethanol (acute)
Sulphonamides (sulfamethoxazole/trimethoprim, sulfasalazine, and sulfisoxazole)
Grapefruit juice
Antifungals
THESE INCREASE EFFECT OF DRUG
what are some common CYP450 inducers?
PCCARBSSS
Phenytoin
Carbamezapine
Corticosteroids
Alcohol (chronic)
Rifampicin
Barbiturates
Sulponylurea
Smoking
St Johns wart
THESE DECREASE THE EFFECT OF THE DRUG