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Klin Med (Mosk) ; 88(2): 61-7, 2010.
Article in Russian | MEDLINE | ID: mdl-21105476

ABSTRACT

Modern methods for the evaluation of drug interaction at the level of biotransformation system are discussed with special reference to the lidocaine test (MEGX) and measurement of cytochrome P-450 activity in patients with drug-induced oxidative processes in the liver. Interaction of atorvastatin with clopidogrel are shown to slightly reduce the desaggregative effect of the latter. It is concluded that MEGX test widens opportunities for personalization and safe pharmacotherapy.


Subject(s)
Cytochrome P-450 CYP3A/metabolism , Drug-Related Side Effects and Adverse Reactions , Atorvastatin , Clinical Trials as Topic , Clopidogrel , Cytochrome P-450 CYP3A Inhibitors , Drug Interactions , Enzyme Induction , Heptanoic Acids/adverse effects , Humans , Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects , Myocardial Ischemia/drug therapy , Myocardial Ischemia/enzymology , Pharmacokinetics , Platelet Aggregation Inhibitors/adverse effects , Precision Medicine , Pyrroles/adverse effects , Ticlopidine/adverse effects , Ticlopidine/analogs & derivatives
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