General Information of Drug (ID: DM08E9O)

Drug Name
Diazepam
Synonyms
diazepam; Valium; 439-14-5; Diazemuls; Ansiolisina; Sibazon; Relanium; Faustan; Apaurin; Stesolid; Seduxen; Methyldiazepinone; Valitran; Tranqdyn; Seduksen; Relaminal; Quiatril; Quetinil; Dipezona; Diazetard; Diazepan; Calmpose; Tranimul; Tensopam; Serenack; Paranten; Kiatrium; Domalium; Condition; Bialzepam; Ansiolin; Unisedil; Stesolin; Serenamin; Ruhsitus; Renborin; Quievita; Tranquirit; Serenzin; Neurolytril; Liberetas; Diacepan; Ceregulart; Calmocitene; Bensedin; Atensine; Apozepam; Umbrium; Sonacon; Sedipam; Levium; Diapam; Atilen; Assival; Amiprol; Diazepam (intranasal, epilepsy)
Indication
Disease Entry ICD 11 Status REF
Epilepsy 8A60-8A68 Approved [1], [2]
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 284.74
Topological Polar Surface Area (xlogp) 3
Rotatable Bond Count (rotbonds) 1
Hydrogen Bond Donor Count (hbonddonor) 0
Hydrogen Bond Acceptor Count (hbondacc) 2
ADMET Property
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 1: high solubility and high permeability [3]
Bioavailability
99% of drug becomes completely available to its intended biological destination(s) [4]
Clearance
The drug present in the plasma can be removed from the body at the rate of 0.38 mL/min/kg [5]
Elimination
0.5% of drug is excreted from urine in the unchanged form [3]
Half-life
The concentration or amount of drug in body reduced by one-half in 42 hours [5]
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 2.00784 micromolar/kg/day [6]
Unbound Fraction
The unbound fraction of drug in plasma is 0.023% [5]
Vd
Fluid volume that would be required to contain the amount of drug present in the body at the same concentration as in the plasma 1 L/kg [5]
Water Solubility
The ability of drug to dissolve in water is measured as 0.057 mg/mL [3]
Chemical Identifiers
Formula
C16H13ClN2O
IUPAC Name
7-chloro-1-methyl-5-phenyl-3H-1,4-benzodiazepin-2-one
Canonical SMILES
CN1C(=O)CN=C(C2=C1C=CC(=C2)Cl)C3=CC=CC=C3
InChI
InChI=1S/C16H13ClN2O/c1-19-14-8-7-12(17)9-13(14)16(18-10-15(19)20)11-5-3-2-4-6-11/h2-9H,10H2,1H3
InChIKey
AAOVKJBEBIDNHE-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
3016
ChEBI ID
CHEBI:49575
CAS Number
439-14-5
DrugBank ID
DB00829
TTD ID
D07JVL
VARIDT ID
DR00999
INTEDE ID
DR0480
ACDINA ID
D00190

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Translocator protein (TSPO) TTPTXIN TSPO_HUMAN Agonist [7], [8]

Drug Transporter (DTP)
DTP Name DTP ID UniProt ID MOA REF
P-glycoprotein 1 (ABCB1) DTUGYRD MDR1_HUMAN Substrate [9]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 3A4 (CYP3A4)
Main DME
DE4LYSA CP3A4_HUMAN Substrate [10]
Cytochrome P450 2C9 (CYP2C9) DE5IED8 CP2C9_HUMAN Substrate [11]
Mephenytoin 4-hydroxylase (CYP2C19)
Main DME
DEGTFWK CP2CJ_HUMAN Substrate [12]
Cytochrome P450 1A2 (CYP1A2) DEJGDUW CP1A2_HUMAN Substrate [13]
Cytochrome P450 3A5 (CYP3A5) DEIBDNY CP3A5_HUMAN Substrate [14]
Cytochrome P450 2B6 (CYP2B6) DEPKLMQ CP2B6_HUMAN Substrate [15]
Cytochrome P450 2C8 (CYP2C8) DES5XRU CP2C8_HUMAN Substrate [16]
Cytochrome P450 3A7 (CYP3A7) DERD86B CP3A7_HUMAN Substrate [17]
Prostaglandin G/H synthase 1 (COX-1) DE073H6 PGH1_HUMAN Substrate [18]
Cytochrome P450 2C18 (CYP2C18) DEZMWRE CP2CI_HUMAN Substrate [19]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Same Disease as Diazepam
DDI Drug Name DDI Drug ID Severity Mechanism Disease REF
Stiripentol DMMSDOY Moderate Decreased metabolism of Diazepam caused by Stiripentol mediated inhibition of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [94]
Fosphenytoin DMOX3LB Moderate Increased metabolism of Diazepam caused by Fosphenytoin mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [95]
Coadministration of a Drug Treating the Disease Different from Diazepam (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Sodium bicarbonate DMMU6BJ Minor Altered absorption of Diazepam due to GI dynamics variation caused by Sodium bicarbonate. Acidosis [5C73] [96]
Oliceridine DM6MDCF Major Additive CNS depression effects by the combination of Diazepam and Oliceridine. Acute pain [MG31] [97]
Emapalumab DMZG5WL Moderate Altered metabolism of Diazepam due to Emapalumab alters the formation of CYP450 enzymes. Adaptive immunity immunodeficiency [4A01] [98]
Siltuximab DMGEATB Moderate Altered metabolism of Diazepam due to Siltuximab alters the formation of CYP450 enzymes. Anemia [3A00-3A9Z] [98]
Dronedarone DMA8FS5 Moderate Decreased clearance of Diazepam due to the transporter inhibition by Dronedarone. Angina pectoris [BA40] [99]
Posaconazole DMUL5EW Moderate Decreased metabolism of Diazepam caused by Posaconazole mediated inhibition of CYP450 enzyme. Aspergillosis [1F20] [100]
Dalfopristin DM4LTKV Moderate Decreased metabolism of Diazepam caused by Dalfopristin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [101]
Clarithromycin DM4M1SG Moderate Decreased metabolism of Diazepam caused by Clarithromycin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [102]
Troleandomycin DMUZNIG Moderate Decreased metabolism of Diazepam caused by Troleandomycin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [102]
Lapatinib DM3BH1Y Moderate Decreased clearance of Diazepam due to the transporter inhibition by Lapatinib. Breast cancer [2C60-2C6Y] [103]
Alpelisib DMEXMYK Moderate Increased metabolism of Diazepam caused by Alpelisib mediated induction of CYP450 enzyme. Breast cancer [2C60-2C6Y] [104]
Dihydrocodeine DMB0FWL Major Additive CNS depression effects by the combination of Diazepam and Dihydrocodeine. Chronic pain [MG30] [105]
Remifentanil DMZTXCH Major Additive CNS depression effects by the combination of Diazepam and Remifentanil. Corneal disease [9A76-9A78] [97]
Mifepristone DMGZQEF Moderate Decreased metabolism of Diazepam caused by Mifepristone mediated inhibition of CYP450 enzyme. Cushing syndrome [5A70] [106]
Ivacaftor DMZC1HS Moderate Decreased clearance of Diazepam due to the transporter inhibition by Ivacaftor. Cystic fibrosis [CA25] [107]
Ethanol DMDRQZU Moderate Additive CNS depression effects by the combination of Diazepam and Ethanol. Cystitis [GC00] [108]
MK-8228 DMOB58Q Moderate Decreased metabolism of Diazepam caused by MK-8228 mediated inhibition of CYP450 enzyme. Cytomegaloviral disease [1D82] [109]
Esketamine DMVU687 Moderate Additive CNS depression effects by the combination of Diazepam and Esketamine. Depression [6A70-6A7Z] [106]
SODIUM CITRATE DMHPD2Y Minor Altered absorption of Diazepam due to GI dynamics variation caused by SODIUM CITRATE. Discovery agent [N.A.] [96]
Itraconazole DMCR1MV Moderate Decreased metabolism of Diazepam caused by Itraconazole mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [100]
Miconazole DMPMYE8 Moderate Decreased metabolism of Diazepam caused by Miconazole mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [100]
Ketoconazole DMPZI3Q Moderate Decreased metabolism of Diazepam caused by Ketoconazole mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [100]
Bumetanide DMRV7H0 Moderate Additive hypotensive effects by the combination of Diazepam and Bumetanide. Heart failure [BD10-BD1Z] [110]
Boceprevir DMBSHMF Moderate Decreased metabolism of Diazepam caused by Boceprevir mediated inhibition of CYP450 enzyme. Hepatitis virus infection [1E50-1E51] [111]
Telaprevir DMMRV29 Moderate Decreased metabolism of Diazepam caused by Telaprevir mediated inhibition of CYP450 enzyme. Hepatitis virus infection [1E50-1E51] [112]
Isoniazid DM5JVS3 Moderate Decreased metabolism of Diazepam caused by Isoniazid mediated inhibition of CYP450 enzyme. HIV-infected patients with tuberculosis [1B10-1B14] [113]
Rifampin DMA8J1G Minor Increased metabolism of Diazepam caused by Rifampin mediated induction of CYP450 enzyme. HIV-infected patients with tuberculosis [1B10-1B14] [114]
Rifapentine DMCHV4I Moderate Increased metabolism of Diazepam caused by Rifapentine mediated induction of CYP450 enzyme. HIV-infected patients with tuberculosis [1B10-1B14] [115]
Fosamprenavir DM4W9B3 Moderate Decreased metabolism of Diazepam caused by Fosamprenavir mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [116]
Cobicistat DM6L4H2 Moderate Decreased clearance of Diazepam due to the transporter inhibition by Cobicistat. Human immunodeficiency virus disease [1C60-1C62] [117]
Etravirine DMGV8QU Moderate Decreased metabolism of Diazepam caused by Etravirine mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [118]
Didanosine DMI2QPE Minor Altered absorption of Diazepam due to GI dynamics variation caused by Didanosine. Human immunodeficiency virus disease [1C60-1C62] [96]
Darunavir DMN3GCH Moderate Decreased metabolism of Diazepam caused by Darunavir mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [119]
Conivaptan DM1V329 Moderate Decreased metabolism of Diazepam caused by Conivaptan mediated inhibition of CYP450 enzyme. Hypo-osmolality/hyponatraemia [5C72] [120]
Probenecid DMMFWOJ Minor Decreased metabolism of Diazepam caused by Probenecid. Inborn purine/pyrimidine/nucleotide metabolism error [5C55] [121]
Crizotinib DM4F29C Moderate Decreased metabolism of Diazepam caused by Crizotinib mediated inhibition of CYP450 enzyme. Lung cancer [2C25] [122]
Brigatinib DM7W94S Moderate Increased metabolism of Diazepam caused by Brigatinib mediated induction of CYP450 enzyme. Lung cancer [2C25] [123]
PF-06463922 DMKM7EW Moderate Increased metabolism of Diazepam caused by PF-06463922 mediated induction of CYP450 enzyme. Lung cancer [2C25] [106]
Idelalisib DM602WT Moderate Decreased metabolism of Diazepam caused by Idelalisib mediated inhibition of CYP450 enzyme. Mature B-cell leukaemia [2A82] [124]
Vemurafenib DM62UG5 Moderate Decreased metabolism of Diazepam caused by Vemurafenib mediated inhibition of CYP450 enzyme. Melanoma [2C30] [106]
Dabrafenib DMX6OE3 Moderate Increased metabolism of Diazepam caused by Dabrafenib mediated induction of CYP450 enzyme. Melanoma [2C30] [98]
Allopregnanolone DMNLHAC Moderate Additive CNS depression effects by the combination of Diazepam and Allopregnanolone. Mental/behavioural/neurodevelopmental disorder [6E20-6E8Z] [125]
Lasmiditan DMXLVDT Moderate Additive CNS depression effects by the combination of Diazepam and Lasmiditan. Migraine [8A80] [126]
Exjade DMHPRWG Moderate Decreased metabolism of Diazepam caused by Exjade mediated inhibition of CYP450 enzyme. Mineral absorption/transport disorder [5C64] [127]
Flibanserin DM70DTN Moderate Additive CNS depression effects by the combination of Diazepam and Flibanserin. Mood disorder [6A60-6E23] [128]
Thalidomide DM70BU5 Moderate Additive CNS depression effects by the combination of Diazepam and Thalidomide. Multiple myeloma [2A83] [129]
Teduglutide DMYOAKS Moderate Altered absorption of Diazepam caused by Teduglutide. Neonatal malabsorption syndrome [KB89] [130]
Levomethadyl Acetate DM06HG5 Major Additive CNS depression effects by the combination of Diazepam and Levomethadyl Acetate. Opioid use disorder [6C43] [105]
Apraclonidine DMO4PVE Moderate Additive CNS depression effects by the combination of Diazepam and Apraclonidine. Optic nerve disorder [9C40] [131]
Rucaparib DM9PVX8 Moderate Decreased metabolism of Diazepam caused by Rucaparib mediated inhibition of CYP450 enzyme. Ovarian cancer [2C73] [132]
Oxymorphone DM65AGJ Major Additive CNS depression effects by the combination of Diazepam and Oxymorphone. Pain [MG30-MG3Z] [97]
Levorphanol DMGS80V Major Additive CNS depression effects by the combination of Diazepam and Levorphanol. Pain [MG30-MG3Z] [97]
Dezocine DMJDB0Y Major Additive CNS depression effects by the combination of Diazepam and Dezocine. Pain [MG30-MG3Z] [97]
Nalbuphine DMOSQGU Major Additive CNS depression effects by the combination of Diazepam and Nalbuphine. Pain [MG30-MG3Z] [97]
Buprenorphine DMPRI8G Major Additive CNS depression effects by the combination of Diazepam and Buprenorphine. Pain [MG30-MG3Z] [133]
Hydrocodone DMQ2JO5 Major Additive CNS depression effects by the combination of Diazepam and Hydrocodone. Pain [MG30-MG3Z] [97]
Abametapir DM2RX0I Moderate Decreased metabolism of Diazepam caused by Abametapir mediated inhibition of CYP450 enzyme. Pediculosis [1G00] [134]
Lefamulin DME6G97 Moderate Decreased metabolism of Diazepam caused by Lefamulin mediated inhibition of CYP450 enzyme. Pneumonia [CA40] [135]
Enzalutamide DMGL19D Moderate Increased metabolism of Diazepam caused by Enzalutamide mediated induction of CYP450 enzyme. Prostate cancer [2C82] [136]
Ustekinumab DMHTYK3 Moderate Altered metabolism of Diazepam due to Ustekinumab alters the formation of CYP450 enzymes. Psoriasis [EA90] [98]
Ixekizumab DMXW92T Moderate Altered metabolism of Diazepam due to Ixekizumab alters the formation of CYP450 enzymes. Psoriasis [EA90] [98]
Temsirolimus DMS104F Moderate Increased plasma concentrations of Diazepam and Temsirolimus due to competitive inhibition of the same metabolic pathway. Renal cell carcinoma [2C90] [137]
Tocilizumab DM7J6OR Moderate Altered metabolism of Diazepam due to Tocilizumab alters the formation of CYP450 enzymes. Rheumatoid arthritis [FA20] [98]
Canakinumab DM8HLO5 Moderate Altered metabolism of Diazepam due to Canakinumab alters the formation of CYP450 enzymes. Rheumatoid arthritis [FA20] [98]
Rilonacept DMGLUQS Moderate Altered metabolism of Diazepam due to Rilonacept alters the formation of CYP450 enzymes. Rheumatoid arthritis [FA20] [98]
Sarilumab DMOGNXY Moderate Altered metabolism of Diazepam due to Sarilumab alters the formation of CYP450 enzymes. Rheumatoid arthritis [FA20] [98]
Armodafinil DMGB035 Moderate Decreased metabolism of Diazepam caused by Armodafinil mediated inhibition of CYP450 enzyme. Solid tumour/cancer [2A00-2F9Z] [106]
LEE011 DMMX75K Moderate Decreased metabolism of Diazepam caused by LEE011 mediated inhibition of CYP450 enzyme. Solid tumour/cancer [2A00-2F9Z] [138]
Fostamatinib DM6AUHV Moderate Decreased clearance of Diazepam due to the transporter inhibition by Fostamatinib. Thrombocytopenia [3B64] [139]
Sirolimus DMGW1ID Moderate Increased plasma concentrations of Diazepam and Sirolimus due to competitive inhibition of the same metabolic pathway. Transplant rejection [NE84] [137]
Tacrolimus DMZ7XNQ Moderate Increased plasma concentrations of Diazepam and Tacrolimus due to competitive inhibition of the same metabolic pathway. Transplant rejection [NE84] [137]
Amiodarone DMUTEX3 Minor Potentiate the pharmacologic effects by the combination of Diazepam and Amiodarone. Ventricular tachyarrhythmia [BC71] [140]
⏷ Show the Full List of 72 DDI Information of This Drug

Drug Inactive Ingredient(s) (DIG) and Formulation(s) of This Drug

DIG
DIG Name DIG ID PubChem CID Functional Classification
FD&C blue no. 1 E00263 19700 Colorant
Quinoline yellow WS E00309 24671 Colorant
Sodium lauryl sulfate E00464 3423265 Emulsifying agent; Modified-release agent; Penetration agent; Solubilizing agent; Surfactant; lubricant
Sunset yellow FCF E00255 17730 Colorant
Beta-D-lactose E00099 6134 Diluent; Dry powder inhaler carrier; Lyophilization aid
Calcium stearate E00244 15324 lubricant
Carmellose sodium E00625 Not Available Disintegrant
Galactose E00093 6036 Complexing agent; Flavoring agent
Lactose monohydrate E00393 104938 Binding agent; Diluent; Dry powder inhaler carrier; Lyophilization aid
Magnesium stearate E00208 11177 lubricant
Silicon dioxide E00670 Not Available Anticaking agent; Opacifying agent; Viscosity-controlling agent
⏷ Show the Full List of 11 Pharmaceutical Excipients of This Drug
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Diazepam 10 mg tablet 10 mg Oral Tablet Oral
Diazepam 5 mg tablet 5 mg Oral Tablet Oral
Diazepam 2 mg tablet 2 mg Oral Tablet Oral
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

1 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 3364).
2 ClinicalTrials.gov (NCT01939093) Therapeutic Effect of Quetiapine on Methamphetamine-Induced Psychosis. U.S. National Institutes of Health.
3 BDDCS applied to over 900 drugs
4 Critical Evaluation of Human Oral Bioavailability for Pharmaceutical Drugs by Using Various Cheminformatics Approaches
5 Trend Analysis of a Database of Intravenous Pharmacokinetic Parameters in Humans for 1352 Drug Compounds
6 Estimating the safe starting dose in phase I clinical trials and no observed effect level based on QSAR modeling of the human maximum recommended daily dose
7 Translocator protein (18 kDa) mediates the pro-growth effects of diazepam on Ehrlich tumor cells in vivo. Eur J Pharmacol. 2010 Jan 25;626(2-3):131-8.
8 The alpha5(H105R) mutation impairs alpha5 selective binding properties by altered positioning of the alpha5 subunit in GABAA receptors containing t... J Neurochem. 2009 Jul;110(1):244-54.
9 Comparative studies on in vitro methods for evaluating in vivo function of MDR1 P-glycoprotein. Pharm Res. 2001 Dec;18(12):1660-8.
10 Comparative study of the metabolism of drug substrates by human cytochrome P450 3A4 expressed in bacterial, yeast and human lymphoblastoid cells. Xenobiotica. 2002 Nov;32(11):937-47.
11 Phenytoin-diazepam interaction. Ann Pharmacother. 2003 May;37(5):659-63.
12 Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448.
13 In vitro metabolism of zolmitriptan in rat cytochromes induced with beta-naphthoflavone and the interaction between six drugs and zolmitriptan. Chem Biol Interact. 2003 Dec 15;146(3):263-72.
14 Eight inhibitory monoclonal antibodies define the role of individual P-450s in human liver microsomal diazepam, 7-ethoxycoumarin, and imipramine metabolism. Drug Metab Dispos. 1999 Jan;27(1):102-9.
15 Inhibitory monoclonal antibody to human cytochrome P450 2B6. Biochem Pharmacol. 1998 May 15;55(10):1633-40.
16 Use of inhibitory monoclonal antibodies to assess the contribution of cytochromes P450 to human drug metabolism. Eur J Pharmacol. 2000 Apr 14;394(2-3):199-209.
17 Drug Interactions Flockhart Table
18 Substrates, inducers, inhibitors and structure-activity relationships of human Cytochrome P450 2C9 and implications in drug development. Curr Med Chem. 2009;16(27):3480-675.
19 Targeted antipeptide antibodies to cytochrome P450 2C18 based on epitope mapping of an inhibitory monoclonal antibody to P450 2C51. Arch Biochem Biophys. 1997 Feb 15;338(2):157-64.
20 Expression levels and activation of a PXR variant are directly related to drug resistance in osteosarcoma cell lines. Cancer. 2007 Mar 1;109(5):957-65.
21 Contribution of human hepatic cytochrome P450 isoforms to regioselective hydroxylation of steroid hormones. Xenobiotica. 1998 Jun;28(6):539-47.
22 Comprehensive evaluation of tamoxifen sequential biotransformation by the human cytochrome P450 system in vitro: prominent roles for CYP3A and CYP2D6. J Pharmacol Exp Ther. 2004 Sep;310(3):1062-75.
23 Isoform-specific regulation of cytochromes P450 expression by estradiol and progesterone. Drug Metab Dispos. 2013 Feb;41(2):263-9.
24 Metabolic interactions between acetaminophen (paracetamol) and two flavonoids, luteolin and quercetin, through in-vitro inhibition studies. J Pharm Pharmacol. 2017 Dec;69(12):1762-1772.
25 Potent mechanism-based inhibition of CYP3A4 by imatinib explains its liability to interact with CYP3A4 substrates. Br J Pharmacol. 2012 Apr;165(8):2787-98.
26 Effects of morin on the pharmacokinetics of etoposide in rats. Biopharm Drug Dispos. 2007 Apr;28(3):151-6.
27 The metabolism of zidovudine by human liver microsomes in vitro: formation of 3'-amino-3'-deoxythymidine. Biochem Pharmacol. 1994 Jul 19;48(2):267-76.
28 Roles of cytochromes P450 1A2, 2A6, and 2C8 in 5-fluorouracil formation from tegafur, an anticancer prodrug, in human liver microsomes. Drug Metab Dispos. 2000 Dec;28(12):1457-63.
29 Effects of polyunsaturated fatty acids on prostaglandin synthesis and cyclooxygenase-mediated DNA adduct formation by heterocyclic aromatic amines in human adenocarcinoma colon cells. Mol Carcinog. 2004 Jul;40(3):180-8.
30 Endoxifen and other metabolites of tamoxifen inhibit human hydroxysteroid sulfotransferase 2A1 (hSULT2A1). Drug Metab Dispos. 2014 Nov;42(11):1843-50.
31 Cytochrome P450 1A2 (CYP1A2) activity and risk factors for breast cancer: a cross-sectional study. Breast Cancer Res. 2004;6(4):R352-65.
32 PharmGKB summary: pathways of acetaminophen metabolism at the therapeutic versus toxic doses. Pharmacogenet Genomics. 2015 Aug;25(8):416-26.
33 The effect of apigenin on pharmacokinetics of imatinib and its metabolite N-desmethyl imatinib in rats. Biomed Res Int. 2013;2013:789184.
34 The influence of metabolic gene polymorphisms on urinary 1-hydroxypyrene concentrations in Chinese coke oven workers. Sci Total Environ. 2007 Aug 1;381(1-3):38-46.
35 Identification of P450 enzymes involved in metabolism of verapamil in humans. Naunyn Schmiedebergs Arch Pharmacol. 1993 Sep;348(3):332-7.
36 Metabolism and metabolic inhibition of xanthotoxol in human liver microsomes. Evid Based Complement Alternat Med. 2016;2016:5416509.
37 Drug related genetic polymorphisms affecting adverse reactions to methotrexate, vinblastine, doxorubicin and cisplatin in patients with urothelial cancer. J Urol. 2008 Dec;180(6):2389-95.
38 Human prostate CYP3A5: identification of a unique 5'-untranslated sequence and characterization of purified recombinant protein. Biochem Biophys Res Commun. 1999 Jul 14;260(3):676-81.
39 Polymorphisms in cytochrome P4503A5 (CYP3A5) may be associated with race and tumor characteristics, but not metabolism and side effects of tamoxifen in breast cancer patients. Cancer Lett. 2005 Jan 10;217(1):61-72.
40 Induction of hepatic CYP2E1 by a subtoxic dose of acetaminophen in rats: increase in dichloromethane metabolism and carboxyhemoglobin elevation. Drug Metab Dispos. 2007 Oct;35(10):1754-8.
41 Urinary 6 beta-hydroxycortisol excretion in rheumatoid arthritis. Br J Rheumatol. 1997 Jan;36(1):54-8.
42 Clinical pharmacokinetics of imatinib. Clin Pharmacokinet. 2005;44(9):879-94.
43 Kinetics and regulation of cytochrome P450-mediated etoposide metabolism. Drug Metab Dispos. 2004 Sep;32(9):993-1000.
44 Differential mechanism-based inhibition of CYP3A4 and CYP3A5 by verapamil. Drug Metab Dispos. 2005 May;33(5):664-71.
45 The role of cytochrome P450 3A (CYP3A) isoform(s) in oxidative metabolism of testosterone and benzphetamine in human adult and fetal liver. J Steroid Biochem Mol Biol. 1993 Jan;44(1):61-7.
46 Prediction of cytochrome P450 3A inhibition by verapamil enantiomers and their metabolites. Drug Metab Dispos. 2004 Feb;32(2):259-66.
47 The role of human cytochrome P450 enzymes in the formation of 2-hydroxymetronidazole: CYP2A6 is the high affinity (low Km) catalyst. Drug Metab Dispos. 2013 Sep;41(9):1686-94.
48 Diclofenac and its derivatives as tools for studying human cytochromes P450 active sites: particular efficiency and regioselectivity of P450 2Cs. Biochemistry. 1999 Oct 26;38(43):14264-70.
49 Possible involvement of multiple human cytochrome P450 isoforms in the liver metabolism of propofol. Br J Anaesth. 1998 Jun;80(6):788-95.
50 Identification of human cytochrome P450s involved in the formation of all-trans-retinoic acid principal metabolites. Mol Pharmacol. 2000 Dec;58(6):1341-8.
51 Involvement of cytochrome P450 3A4 enzyme in the N-demethylation of methadone in human liver microsomes. Chem Res Toxicol. 1996 Mar;9(2):365-73.
52 CYP2C8/9 mediate dapsone N-hydroxylation at clinical concentrations of dapsone. Drug Metab Dispos. 2000 Aug;28(8):865-8.
53 Induction of CYP2C genes in human hepatocytes in primary culture. Drug Metab Dispos. 2001 Mar;29(3):242-51.
54 Development of a substrate-activity based approach to identify the major human liver P-450 catalysts of cyclophosphamide and ifosfamide activation based on cDNA-expressed activities and liver microsomal P-450 profiles. Drug Metab Dispos. 1999 Jun;27(6):655-66.
55 Role of cytochrome P450 2C8 in drug metabolism and interactions. Pharmacol Rev. 2016 Jan;68(1):168-241.
56 Differential expression and function of CYP2C isoforms in human intestine and liver. Pharmacogenetics. 2003 Sep;13(9):565-75.
57 Analysis of human cytochrome P450 2C8 substrate specificity using a substrate pharmacophore and site-directed mutants. Biochemistry. 2004 Dec 14;43(49):15379-92.
58 Interaction of sorafenib and cytochrome P450 isoenzymes in patients with advanced melanoma: a phase I/II pharmacokinetic interaction study. Cancer Chemother Pharmacol. 2011 Nov;68(5):1111-8.
59 PharmGKB summary: mycophenolic acid pathway. Pharmacogenet Genomics. 2014 Jan;24(1):73-9.
60 Progesterone and testosterone hydroxylation by cytochromes P450 2C19, 2C9, and 3A4 in human liver microsomes. Arch Biochem Biophys. 1997 Oct 1;346(1):161-9.
61 Tamoxifen inhibits cytochrome P450 2C9 activity in breast cancer patients. J Chemother. 2006 Aug;18(4):421-4.
62 Characterization of the oxidative metabolites of 17beta-estradiol and estrone formed by 15 selectively expressed human cytochrome p450 isoforms. Endocrinology. 2003 Aug;144(8):3382-98.
63 Drug-drug interactions with imatinib: an observational study. Medicine (Baltimore). 2016 Oct;95(40):e5076.
64 Drug interactions with calcium channel blockers: possible involvement of metabolite-intermediate complexation with CYP3A. Drug Metab Dispos. 2000 Feb;28(2):125-30.
65 New insights into the structural features and functional relevance of human cytochrome P450 2C9. Part I. Curr Drug Metab. 2009 Dec;10(10):1075-126.
66 A potential role for the estrogen-metabolizing cytochrome P450 enzymes in human breast carcinogenesis. Breast Cancer Res Treat. 2003 Dec;82(3):191-7.
67 A mechanistic approach to antiepileptic drug interactions. Ann Pharmacother. 1998 May;32(5):554-63.
68 Effect of tamoxifen on the enzymatic activity of human cytochrome CYP2B6. J Pharmacol Exp Ther. 2002 Jun;301(3):945-52.
69 Hepatic metabolism of diclofenac: role of human CYP in the minor oxidative pathways. Biochem Pharmacol. 1999 Sep 1;58(5):787-96.
70 Insights into CYP2B6-mediated drug-drug interactions. Acta Pharm Sin B. 2016 Sep;6(5):413-425.
71 Drugs that may have potential CYP2B6 interactions.
72 Involvement of human cytochrome P450 2B6 in the omega- and 4-hydroxylation of the anesthetic agent propofol. Xenobiotica. 2007 Jul;37(7):717-24.
73 Nicotine and 4-(methylnitrosamino)-1-(3-pyridyl)-butanone metabolism by cytochrome P450 2B6. Drug Metab Dispos. 2005 Dec;33(12):1760-4.
74 PharmGKB summary: phenytoin pathway. Pharmacogenet Genomics. 2012 Jun;22(6):466-70.
75 Application of the relative activity factor approach in scaling from heterologously expressed cytochromes p450 to human liver microsomes: studies on amitriptyline as a model substrate. J Pharmacol Exp Ther. 2001 Apr;297(1):326-37.
76 High-dose rabeprazole/amoxicillin therapy as the second-line regimen after failure to eradicate H. pylori by triple therapy with the usual doses of a proton pump inhibitor, clarithromycin and amoxicillin. Hepatogastroenterology. 2003 Nov-Dec;50(54):2274-8.
77 Cytochrome P450 pharmacogenetics and cancer. Oncogene. 2006 Mar 13;25(11):1679-91.
78 CYP2C19*17 is associated with decreased breast cancer risk. Breast Cancer Res Treat. 2009 May;115(2):391-6.
79 Cytochromes of the P450 2C subfamily are the major enzymes involved in the O-demethylation of verapamil in humans. Naunyn Schmiedebergs Arch Pharmacol. 1995 Dec;353(1):116-21.
80 Organic anion-transporting polypeptide B (OATP-B) and its functional comparison with three other OATPs of human liver. Gastroenterology. 2001 Feb;120(2):525-33.
81 Peroxidative free radical formation and O-demethylation of etoposide(VP-16) and teniposide(VM-26). Biochem Biophys Res Commun. 1986 Feb 26;135(1):215-20.
82 Human intestinal transporter database: QSAR modeling and virtual profiling of drug uptake, efflux and interactions. Pharm Res. 2013 Apr;30(4):996-1007.
83 MDR1 (ABCB1) G1199A (Ser400Asn) polymorphism alters transepithelial permeability and sensitivity to anticancer agents. Cancer Chemother Pharmacol. 2009 Jun;64(1):183-8.
84 Mammalian drug efflux transporters of the ATP binding cassette (ABC) family in multidrug resistance: A review of the past decade. Cancer Lett. 2016 Jan 1;370(1):153-64.
85 Folate transporter expression decreases in the human placenta throughout pregnancy and in pre-eclampsia. Pregnancy Hypertens. 2012 Apr;2(2):123-31.
86 Antiestrogens and steroid hormones: substrates of the human P-glycoprotein. Biochem Pharmacol. 1994 Jul 19;48(2):287-92.
87 Association of genetic polymorphisms in the influx transporter SLCO1B3 and the efflux transporter ABCB1 with imatinib pharmacokinetics in patients with chronic myeloid leukemia. Ther Drug Monit. 2011 Apr;33(2):244-50.
88 Comparison of five benzodiazepine-receptor agonists on buprenorphine-induced mu-opioid receptor regulation. J Pharmacol Sci. 2009 May;110(1):36-46.
89 Effects of the combination of metyrapone and oxazepam on cocaine and food self-administration in rats. Pharmacol Biochem Behav. 2008 Nov;91(1):181-9.
90 Drugs@FDA. U.S. Food and Drug Administration. U.S. Department of Health & Human Services.
91 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Target id: 2879).
92 Effects of benzodiazepines and non-benzodiazepine compounds on the GABA-induced response in frog isolated sensory neurones. Br J Pharmacol. 1989 Nov;98(3):735-40.
93 New hypnotics: perspectives from sleep physiology. Vertex. 2007 Jul-Aug;18(74):294-9.
94 EMEA. European Medicines Agency "EPARs. European Union Public Assessment Reports.".
95 Backman JT, Olkkola KT, Ojala M, Laaksovirta H, Neuvonen PJ "Concentrations and effects of oral midazolam are greatly reduced in patients treated with carbamazepine or phenytoin." Epilepsia 37 (1996): 253-7. [PMID: 8598183]
96 Chun AH, Carrigan PJ, Hoffman DJ, Kershner RP, Stuart JD "Effect of antacids on absorption of clorazepate." Clin Pharmacol Ther 22 (1977): 329-35. [PMID: 19188]
97 US Food and Drug Administration "FDA warns about serious risks and death when combining opioid pain or cough medicines with benzodiazepines requires its strongest warning.".
98 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
99 Product Information. Multaq (dronedarone). sanofi-aventis , Bridgewater, NJ.
100 Ahonen J, Olkkola KT, Neuvonen PJ "The effect of the antimycotic itraconazole on the pharmacokinetics and pharmacodynamics of diazepam." Fundam Clin Pharmacol 10 (1996): 314-8. [PMID: 8836707]
101 Product Information. Synercid (dalfopristin-quinupristin) Rhone-Poulenc Rorer, Collegeville, PA.
102 Amsden GW "Macrolides versus azalides: a drug interaction update." Ann Pharmacother 29 (1995): 906-17. [PMID: 8547740]
103 Product Information. Tykerb (lapatinib). Novartis Pharmaceuticals, East Hanover, NJ.
104 Product Information. Piqray (alpelisib). Novartis Pharmaceuticals, East Hanover, NJ.
105 US Food and Drug Administration "FDA warns about serious risks and death when combining opioid pain or cough medicines with benzodiazepines requires its strongest warning.".
106 Cerner Multum, Inc. "Australian Product Information.".
107 Product Information. Kalydeco (ivacaftor). Vertex Pharmaceuticals, Cambridge, MA.
108 Divoll M, Greenblatt DJ, Lacasse Y, Shader RI "Benzodiazepine overdosage: plasma concentrations and clinical outcome." Psychopharmacology (Berl) 73 (1981): 381-3. [PMID: 6789361]
109 Product Information. Prevymis (letermovir). Merck & Company Inc, Whitehouse Station, NJ.
110 Andrews C, Pinner G "Postural hypotension induced by paroxetine." BMJ 316 (1998): 595. [PMID: 9518913]
111 Product Information. Victrelis (boceprevir). Schering-Plough Corporation, Kenilworth, NJ.
112 Product Information. Incivek (telaprevir). Vertex Pharmaceuticals, Cambridge, MA.
113 Ochs HR, Greenblatt DJ, Knuchel M "Differential effect of isoniazid on triazolam oxidation and oxazepam conjugation." Br J Clin Pharmacol 16 (1983): 743-6. [PMID: 6140941]
114 Ochs HR, Greenblatt DJ, Roberts GM, Dengler HJ "Diazepam interaction with antituberculosis drugs." Clin Pharmacol Ther 29 (1981): 671-8. [PMID: 7214796]
115 Product Information. Priftin (rifapentine). Hoechst Marion-Roussel Inc, Kansas City, MO.
116 Product Information. Agenerase (amprenavir). Glaxo Wellcome, Research Triangle Pk, NC.
117 Product Information. Stribild (cobicistat/elvitegravir/emtricitabine/tenofov). Gilead Sciences, Foster City, CA.
118 Product Information. Intelence (etravirine). Ortho Biotech Inc, Bridgewater, NJ.
119 Product Information. Prezista (darunavir). Ortho Biotech Inc, Bridgewater, NJ.
120 Product Information. Vaprisol (conivaptan). Cumberland Pharmaceuticals Inc, Nashville, TN.
121 Abernethy DR, Greenblatt DJ, Ameer B, Shader RI "Probenecid impairment of acetaminophen and lorazepam clearance: direct inhibition of ether glucuronide formation." J Pharmacol Exp Ther 234 (1985): 345-9. [PMID: 4020675]
122 Product Information. Xalkori (crizotinib). Pfizer U.S. Pharmaceuticals Group, New York, NY.
123 Product Information. Alunbrig (brigatinib). Ariad Pharmaceuticals Inc, Cambridge, MA.
124 Product Information. Zydelig (idelalisib). Gilead Sciences, Foster City, CA.
125 Product Information. Zulresso (brexanolone). Sage Therapeutics, Inc., Cambridge, MA.
126 Product Information. Reyvow (lasmiditan). Lilly, Eli and Company, Indianapolis, IN.
127 Product Information. Exjade (deferasirox). Novartis Pharmaceuticals, East Hanover, NJ.
128 Product Information. Addyi (flibanserin). Sprout Pharmaceuticals, Raleigh, NC.
129 Product Information. Thalomid (thalidomide). Celgene Corporation, Warren, NJ.
130 Product Information. Gattex (teduglutide). NPS Pharmaceuticals, Bedminster, NJ.
131 Product Information. Alphagan (brimonidine ophthalmic). Allergan Inc, Irvine, CA.
132 EMA. European Medicines Agency. European Union "EMA - List of medicines under additional monitoring.".
133 Sekar M, Mimpriss TJ "Buprenorphine, benzodiazepines and prolonged respiratory depression." Anaesthesia 42 (1987): 567-8. [PMID: 3592200]
134 Product Information. Xeglyze (abametapir topical). Dr. Reddy's Laboratories Inc, Upper Saddle River, NJ.
135 Product Information. Fycompa (perampanel). Eisai Inc, Teaneck, NJ.
136 Benoist G, van Oort I, et al "Drug-drug interaction potential in men treated with enzalutamide: Mind the gap." Br J Clin Pharmacol 0 (2017): epub. [PMID: 28881501]
137 Product Information. Prograf (tacrolimus). Fujisawa, Deerfield, IL.
138 DSouza DL, Levasseur LM, Nezamis J, Robbins DK, Simms L, Koch KM "Effect of alosetron on the pharmacokinetics of alprazolam." J Clin Pharmacol 41 (2001): 452-4. [PMID: 11304902]
139 Product Information. Tavalisse (fostamatinib). Rigel Pharmaceuticals, South San Francisco, CA.
140 Kerin NZ, Aragon E, Faitel K, Frumin H, Rubenfire M "Long-term efficacy and toxicity of high- and low-dose amiodarone regimens." J Clin Pharmacol 29 (1989): 418-23. [PMID: 2661600]