Two-way pharmacokinetic interaction studies between saxagliptin and cytochrome P450 substrates or inhibitors: simvastatin, diltiazem extended-release, and ketoconazole
Author(s) -
Chirag Patel,
Li Li,
Suzette Girgis,
David M. Kornhauser,
Ernst U. Frevert,
David W. Boulton
Publication year - 2011
Publication title -
clinical pharmacology advances and applications
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.685
H-Index - 27
ISSN - 1179-1438
DOI - 10.2147/cpaa.s15227
Subject(s) - ketoconazole , diltiazem , simvastatin , pharmacology , pharmacokinetic interaction , pharmacokinetics , saxagliptin , cyp3a4 , cyp3a , cytochrome p450 , chemistry , drug interaction , cytochrome , drug drug interaction , medicine , biochemistry , metabolism , enzyme , calcium , antifungal , metformin , dermatology , insulin , organic chemistry , sitagliptin
Many medicines, including several cholesterol-lowering agents (eg, lovastatin, simvastatin), antihypertensives (eg, diltiazem, nifedipine, verapamil), and antifungals (eg, ketoconazole) are metabolized by and/or inhibit the cytochrome P450 (CYP) 3A4 metabolic pathway. These types of medicines are commonly coprescribed to treat comorbidities in patients with type 2 diabetes mellitus (T2DM) and the potential for drug-drug interactions of these medicines with new medicines for T2DM must be carefully evaluated.
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