Interaction of proton pump inhibitors with cytochromes P450: consequences for drug interactions.

Article Details

Citation

Meyer UA

Interaction of proton pump inhibitors with cytochromes P450: consequences for drug interactions.

Yale J Biol Med. 1996 May-Jun;69(3):203-9.

PubMed ID
9165689 [ View in PubMed
]
Abstract

Omeprazole, lansoprazole and pantoprazole are metabolized by several human cytochromes P450, most prominently by CYP2C19 and CYP3A4. Only pantoprazole is also metabolized by a sulfotransferase. Differences in the quantitative contribution of these enzymes and in the relative affinities of the substrates explain some of the observed interactions with carbamazepin, diazepam, phenytoin and theophylline and of the impact of the CYP2C19 (mephenytoin) genetic polymorphism. Of these drugs, pantoprazole has the lowest potential for interactions, both in vitro and in human volunteer studies.

DrugBank Data that Cites this Article

Drug Enzymes
DrugEnzymeKindOrganismPharmacological ActionActions
PantoprazoleCytochrome P450 2C19ProteinHumans
Unknown
Substrate
Inhibitor
Details
PantoprazoleCytochrome P450 3A4ProteinHumans
Unknown
Substrate
Details
Drug Reactions
Reaction
Details
Details
Details