Rapid screening for polymorphisms in dextromethorphan and mephenytoin metabolism.

Autor: Guttendorf, RJ, Britto, M, Blouin, RA, Foster, TS, John, W, Pittman, KA, Wedlund, PJ
Zdroj: British Journal of Clinical Pharmacology; 1990, Vol. 29 Issue 4, p373-380, 8p
Abstrakt: 1. The phenotyping parameters for dextromethorphan and mephenytoin were assessed in 48 normal male volunteers following administration of each metabolic probe drug on separate occasions and together according to a randomized 3-way crossover design. 2. Neither the urinary S-/R- mephenytoin ratio nor the dextromethorphan metabolic ratio were altered significantly by coadministration of the probe drugs. 3. Five-hundred and nineteen subjects were screened for expression of mephenytoin 4- hydroxylase and dextromethorphan O-demethylase activity following the coadministration of mephenytoin and dextromethorphan. The activity was determined in each case by methods not requiring any quantitative measurements. 4. Nineteen (3.7%) of the subjects were identified as poor metabolizers (PMs) of mephenytoin and 35 subjects (6.7%) as PMs of dextromethorphan. 5. All PMs of dextromethorphan were confirmed by more rigorous evaluation of the metabolic ratio. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index