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Drug Interactions Involving the Cytochrome P450 Enzymes: Analysis of Common Combinations of Antibiotics and Pain Relieving Drugs | OMICS International | Abstract
ISSN: 2157-7609

Journal of Drug Metabolism & Toxicology
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Research Article

Drug Interactions Involving the Cytochrome P450 Enzymes: Analysis of Common Combinations of Antibiotics and Pain Relieving Drugs

Saskia Preissner1*, Daniel Kuzman1 and Nicole Pischon2

1Department of Operative and Preventive Dentistry, Charité – Universitätsmedizin Berlin, Germany

2Department of Periodontology, Charité – Universitätsmedizin Berlin, Germany

*Corresponding Author:
Saskia Preissner
Department of Operative and Preventive Dentistry
Dental, Oral and Maxillary Medicine
Charité – Universitätsmedizin Berlin
Assmannshauser Str. 4-6, 14197 Berlin, Germany
Tel: +49-30-450-562675
Fax: +49-30-450-562932
E-mail: [email protected]

Received date: September 27, 2012; Accepted date: October 11, 2012; Published date: October 15, 2012

Citation: Preissner S, Kuzman D, Pischon N (2012) Drug Interactions Involving the Cytochrome P450 Enzymes: Analysis of Common Combinations of Antibiotics and Pain Relieving Drugs. J Drug Metab Toxicol 3:131. doi:10.4172/2157- 7609.1000131

Copyright: © 2012 Preissner S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Objective: For clinicians it is challenging to oversee complex drug interactions of multi-drug administration. Rheumatoid arthritis (RA) patients are frequently under long-term medication with multiple anti-inflammatory and pain-relieving drugs, which are mainly metabolized by the Cytochrome P450 enzymes (CYPs). Additionally, treatment of co-morbidities, such as inflammatory periodontal disease (PD) may have to involve further drug administration. The aim of this investigation was to analyze drug interactions in the therapy of RA and PD and to provide a resource for health professionals to easily check interactions and avoid potential side effects.

Methods: Information on drug administration in the therapy of RA and PD and expression data of human tissues regarding CYPs was gathered and/or analyzed from scientific literature and web resources. A literature compilation was developed and CYP interaction tables were generated.

Results: Side effects, such as enzyme overload or enzyme induction and inhibition may occur in the therapy of RA and PD. To overcome these problems, a web-interface was developed to optimize drug cocktails. The compilation provides manually curated information on the metabolism of 1,500 drugs including 100,000 PubMed references, covering a variety of co-morbidities. Moreover, based on the WHO classification system for drugs (ATCcodes), the knowledge base offers drug alternatives, avoiding CYP-related problems. The web-interface is publicly available:

Conclusions: After a detailed drug anamnesis, health professionals should use a web-interface to check drug interactions involving CYP metabolism, which may circumvent adverse side effects and optimize interdisciplinary drug therapy.

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