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9 Cards in this Set

  • Front
  • Back
hydrophilic drug metabolism
drug --> kidney --> urine
hydrophobic drug metabolism
drug --> liver --> hydrophilic metabolite --> kidney --> urine
esters (local anesthetic) metabolism
hydrolyzed by esterase in blood
location of cytochrome P450 system
smooth ER of hepatocytes
hydrophobic drug two stage metabolism
phase I: oxidation/reduction to make more polar

phase II: conjugation reactions to make more polar
cytochrome P450 enzymes
non-specific substrates

bind lipid soluble compds more easily

CYP3a in intestinal mucosa metabolizes some drugs
dilantin (anticonvulsive)
upregulates CYP 450 causing metabolism of warfarin
allopurinol + mercaptopurine
prevents mercaptopurine metabolism
factors that influence drug metabolism
liver disease (cirrhosis, hepatitis) red metabolism

cardiac disease reduces blood perfusion to liver

malignant hyperthermia (triggered anesthetics)