PCL201H1 Lecture 19: Lecture 19 Biotransformation IV
Document Summary
Induction/inhibition of enzyme activity affects drug biotransformation capacity. Important for drugs with narrow therapeutic index (e. g. warfarin (blood thinner), Potent inducers of drug-metabolizing enzymes: tcdd (environmental toxicant) Metabolism of inducer is accelerated at high doses. Cyp1a1 activity in human placenta is high in smokers. The process of enzyme induction refers to increase in gene transcription. Phenobarbital decreases plasma [dicumarol], efficacy: dicumarol (blood thinner, phenobarbital (cyp inducer, sedative, therapeutic efficacy affected with dose of phenobarbital, drug-drug interaction: one drug induces the metabolism of another drug. Hepatic toxicity of acetaminophen is decreased by inhibitors of the constitutive. Androstone receptor (car), the receptor that mediates p450 induction by phenobarbital and related compounds. Car mediates cyp induction by a herbal preparation. Indinavir (treats hiv) and st. john"s wort: st. john"s wort decreases the bioavailability of indinavir, st. john"s wort interacts with cyclosporin (immunosuppresser, makes sure heart transplant not rejected, st. john"s wort metabolizes cyclosporin.