TABLE 4

Summary of predictions of drug-drug interactions for CYP1A2


Inhibiting Drug

IC50a

fu

Affected Drug

Predicted Magnitude of Drug Interaction

Actual Drug Interaction
[I] = Csys
[I] = fu × Csys
[I] = Chep,inlet(est)
[I] = fu × Chep,inlet(est)
μM
Cimetidine >300 0.79 Theophylline 1.02 1.01 1.12 1.09 1.63
Citalopram >300 0.20 Theophylline 1.00 1.00 1.00 1.00 1.04
Clarithromycin >300 0.30 Theophylline 1.01 1.00 1.08 1.02 1.05
Diltiazem >300 0.22 Theophylline 1.00 1.00 1.01 1.00 1.28
Disulfiram 1.3 0.04 Theophylline 1.00 1.00 4.58 2.02 1.44
Enoxacin 220 0.45 Theophylline 1.06 1.03 1.39 1.19 3.67
Erythromycin >300 0.16 Theophylline 1.01 1.00 1.04 1.01 1.38
Fluconazole >300 0.89 Theophylline 1.03 1.02 1.05 1.04 1.19
Fluoxetine 240 0.05 Clozapine 1.00 1.00 1.01 1.00 1.58
Fluvoxamine 0.035 0.23 Theophylline 4.08 2.74 4.95 4.79 3.33
Ketoconazole 25 0.01 Theophylline 1.19 1.00 1.92 1.01 1.11
Metronidazole >300 0.89 Theophylline 1.14 1.13 1.35 1.31 0.96
Nefazodone 52 0.009 Theophylline 1.11 1.00 1.57 1.01 0.97
Paroxetine 8.4 0.05 Clozapine 1.02 1.00 1.31 1.02 1.31
Propranolol 17 0.10 Theophylline 1.05 1.00 3.31 1.48 2.08
Ranitidine >300 0.85 Theophylline 1.00 1.00 1.03 1.03 1.00
Risperidone >300 0.11 Clozapine 1.00 1.00 1.00 1.00 0.92
Roxithromycin >300 0.14 Theophylline 1.02 1.00 1.03 1.00 1.16
Sertraline 13 0.02 Clozapine 1.02 1.00 1.45 1.01 1.11
Terbinafine 12 0.01 Theophylline 1.65 1.01 2.56 1.03 1.16
Ticlopidine 11 0.02 Theophylline 1.44 1.01 3.43 1.12 1.58
Troleandomycin
>300
0.15b
Theophylline
1.00
1.00
1.04
1.01
2.00
  • a Used a value of IC50 = 1000 μM for those drugs for which the measured value was greater than 300 μM

  • b Used an estimated fraction unbound value for troleandomycin of 0.15