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13 Cards in this Set

  • Front
  • Back
Important binding proteins
albumin

•Acid glycoproteins

name 3 drugs that bind to albumin

phenytoin,salicylates, and disopyramide are extensively bound to plasma albumin
which drugs bind to Alpha1-acid glycoprotein
drugssuch as quinidine, lidocaine, and propranolol
>90% bound drugs
lSalicylates, Phenytoin, Warfarin, Tiagabine, Valproic Acid, Stiripentol, Tolbutamide
•Phase 1 reactions
–Provide a more chemically reactivegroup to increase polarity of the drug molecule and a site for phase 2metabolism
Oxidative metabolism
Microsomal Cytochrome P450 (CYP)
•;the most abundantly expressed and involved in the metabolism of about 50% ofclinically used drugs
CYP3A4
Carbamazepine (anticonvulsant)
Potent enzyme inducer(стимуляция) and exhibits autoinduction

1)Metabolisedby CYP3A4 ~

name metabolized Fosphenytoin
–Phenytoin (antiepylepyic)
Enalapril
Enalaprila (decrease bp)
Paracetamol
N-acetyl-p-benzoquinonimin
Eslicarbazepineacetate
Eslicarbazepine

at which half life drug will be eliminated by 95%

4-5