Title : Methadone Metabolism and Drug-Drug Interactions: In Vitro and In Vivo Literature Review.

Pub. Date : 2018 Dec

PMID : 30205091






5 Functional Relationships(s)
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1 Methadone undergoes N-demethylation by multiple cytochrome P450 (CYP) enzymes including CYP3A4, CYP2B6, CYP2C19, CYP2D6, CYP2C9, and CYP2C8. Methadone cytochrome P450 family 4 subfamily F member 3 Homo sapiens
2 Methadone undergoes N-demethylation by multiple cytochrome P450 (CYP) enzymes including CYP3A4, CYP2B6, CYP2C19, CYP2D6, CYP2C9, and CYP2C8. Methadone cytochrome P450 family 4 subfamily F member 3 Homo sapiens
3 In general, CYP inhibitors altered methadone exposure with no adverse effects. Methadone cytochrome P450 family 4 subfamily F member 3 Homo sapiens
4 CYP inducers generally decreased methadone exposure with some reports of withdrawal symptoms in the subjects. Methadone cytochrome P450 family 4 subfamily F member 3 Homo sapiens
5 For certain antiviral medicines which are dual inhibitor(s) and inducer(s) for CYP enzymes, their effect on methadone pharmacokinetics can change with time since the effect of induction is usually delayed compared to the effect of inhibition. Methadone cytochrome P450 family 4 subfamily F member 3 Homo sapiens