Table 4

A molecular view of drug metabolism

CYP3A4 CYP2D6 CYP2C9 P-glycoprotein
• SubstratesAmiodarone
Quinidine
Many HMG CoA reductase inhibitors (statins)
Terfenadine, astemizole
Cisapride
Many calcium channel blockers
Lidocaine, mexiletine
Cyclosporine
Many HIV protease inhibitors
Sildenafil
Propafenone Flecainide Codeine Timolol Metoprolol PopranololWarfarinDigoxin
Many antineoplastic agents
• InhibitorsAmiodarone
Verapamil
Cyclosporine, erythromycin, clarithromycin
Ketaconazole, itraconazole
Mibefradil, other calcium channel blockers
Ritonavir
Quinidine Propafenone TCAs FluoxetineAmiodaroneQuinidine
Amiodarone
Verapamil
Cyclosporine
Erythromycin
Ketaconazole
Itraconazole
• InducersRifampin
Phenytoin
Phenobarbital
  • TCAs, tricyclic antidepressants.