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Drug interactions

Mechanisms of drug interactions

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Cytochrome P450 system interactions 

The cytochrome P450 system is a collection of liver enzymes that make up a key pathway for drug metabolism. The system is a major source of important drug interactions.

Cytochrome P450 inducers

Reduce the concentration of drugs metabolised by the cytochrome P450 system.

CRAPS out drugs: Carbamazepine, Rifampicin, bArbituates, Phenytoin, St Johns wart

Cytochrome P450 inhibitors

Increase the concentration of drugs metabolised by the cytochrome P450 system.

Some Certain Silly Compounds Annoyingly Inhibit Enzymes, Grrrrrrr: Sodium valproate, Ciprofloxacin, Sulphonamides, Cimetidine, Antifungals, Amiodarone, Isoniazid, Erythromycin/clarithromycin/azithromycin, Grapefruit juice

Cytochrome P450 substrates

Drugs metabolised by the P450 system that are affected by cytochrome P450 inducers/inhibitors.

COWPATS: Ciclosporin, Carbamazepine, Citalopram, Oral contraceptive pill, Warfarin, Phenytoin, Protease inhibitors, Acetylcholinesterase inhibitors (e.g. donepezil), Theophylline, Statins, Steroids

High risk drugs

Always look for interactions in the BNF.

  • Narrow therapeutic range drugs
    • Examples (Guys With Large Dongles Totally Make Perfect Internet Connections): Gentamicin, Warfarin, Lithium, Digoxin, Theophylline, Methotrexate, Phenytoin, Insulin, Ciclosporin
    • Interactions are particularly important for narrow therapeutic range drugs because small changes in their concentrations can cause severe toxicity
  • Cytochrome P450 inducers/inhibitors
    • Examples: see above
    • Many interactions!
  • Highly protein-bound drugs
    • Examples (Protein Bound Drugs Normally Fight When Available Space is Sparse): Phenytoin, Benzodiazepines, Digoxin, NSAIDs, Furosemide, Warfarin, Amiodarone, Sulfonylureas/sulfonamides, Statins
    • Often displace each other from protein binding sites, which increases the proportion of the displaced drug in its unbound (active) form
  • Drugs affecting physiology
    • Examples: antihypertensives, hypoglycaemics, anticoagulants
    • Affect the physiological environment and are more likely to have interactions
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