Title : Blockade of HERG and Kv1.5 by ketoconazole.

Pub. Date : 1998 Aug

PMID : 9694927






3 Functional Relationships(s)
Download
Sentence
Compound Name
Protein Name
Organism
1 We previously showed that terfenadine blocked HERG (Human Ether-a-Gogo Related Gene), an important component of the repolarizing cardiac delayed rectifier IK with concentration needed to obtain 50% of the block (IC50) in the therapeutic range (300 nM). Terfenadine potassium voltage-gated channel subfamily H member 2 Homo sapiens
2 We conclude that ketoconazole may potentiate the effects of terfenadine first by an indirect pharmacokinetic action to elevate plasma levels and second by a direct pharmacodynamic action on HERG currents. Terfenadine potassium voltage-gated channel subfamily H member 2 Homo sapiens
3 These potential dual actions on HERG currents suggest that precautions should be taken in long-term ketoconazole treatment, particularly for patients who have decreased liver function or are on a drug regimen requiring simultaneous medications that use cytochrome-P450 for breakdown, such as terfenadine or erythromycin, or Class III antiarrhythmic drugs. Terfenadine potassium voltage-gated channel subfamily H member 2 Homo sapiens