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Effect of rifampicin and clarithromycin on the CYP3A activity in patients with Mycobacterium avium complex
Author(s) -
Norimichi Akiyama,
Naoki Inui,
Kazutaka Mori,
Yutaro Nakamura,
Hiroshi Hayakawa,
Shimako Tanaka,
Shinya Uchida,
Noriyuki Namiki,
Hiroshi Watanabe,
Takafumi Suda
Publication year - 2019
Publication title -
journal of thoracic disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.682
H-Index - 60
eISSN - 2077-6624
pISSN - 2072-1439
DOI - 10.21037/jtd.2019.09.06
Subject(s) - clarithromycin , cyp3a , rifampicin , medicine , nontuberculous mycobacteria , mycobacterium avium intracellulare infection , mycobacterium , pharmacology , pharmacokinetics , microbiology and biotechnology , cyp3a4 , antibiotics , cytochrome p450 , biology , tuberculosis , pathology , metabolism
The prevalence of pulmonary infections caused by nontuberculous mycobacteria (NTM) is increasing worldwide. Furthermore, the treatment of infections caused by the Mycobacterium avium-intracellulare complex (MAC) remains challenging. The cytochrome P450 (CYP) enzyme inducer, rifampicin, and the CYP inhibitor, clarithromycin, have clinical activity against MAC and key drugs in the treatment of MAC infection. The interaction of rifampicin and clarithromycin may influence the therapeutic process.

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