問題詳情

68.下列何者可能降低cyclosporine之藥效?
(A)diltiazem
(B)indinavir
(C)fluvoxamine
(D)ticlopidine

參考答案

答案:D
難度:困難0.233
書單:沒有書單,新增

用户評論

陳厚德】評論

(A) diltiazem:P-gp inh.

HO】評論

cyclosporine and ticlopidine coadministration may result in a reduction of cyclosporine levels . Ticlopidine may cause an induction of the cytochrome P450 3A4 system, resulting in an increase in the rate of cyclosporine metabolism.在cyclosporine 的仿單中也確實有(A)diltiazem是CYP3A4抑制劑(B)indinavir為CYP3A4受體,會競爭導致Cyclosporine代謝減少(C)fluvoxamine同樣是CYP3A4抑制劑

passpass】評論

Micromedex68.下列何者最不會降低cyclosporine的療效?(A)葡萄柚汁(B)貫葉連翹(St. John's wort)(C)制酸劑(D)cholestyramine編輯私有筆記及自訂標籤

帕拉迪島巨人】評論

A 3A4 inhibitorB 3A4 inhibitorC 1A2代謝D 2C19

dd5252011】評論

p-gp substrate與CYP 3A4相近,除了digoxin及dabigatran僅為p-gp substrate,另選項ABC都是歷年常考的inhibitor(藥物併用增加藥效),故選D