Kroemer HK, Fromm MF, Eichelbaum M. Stereoselectivity in drug metabolism and action: effects of enzyme inhibition and induction.
Ther Drug Monit 1996;
18:388-92. [PMID:
8857556 DOI:
10.1097/00007691-199608000-00013]
[Citation(s) in RCA: 13] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Many synthetic drugs that contain a chiral center are marketed as racemates. Taking into account the composite nature of chiral rugs has improved our understanding of the dose/effect relationship of these compounds. It is widely accepted that drug metabolism is often responsible for stereoselective disposition and hence factors modulating the activity of drug-metabolizing enzymes can modify this effect. The present article highlights the influence of some of these factors (induction and inhibition of drug-metabolizing enzymes) on stereoselective drug disposition. The latter topic includes an enantiomer/enantiomer interaction that alters drug disposition and drug action.
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