Drug Metabolism in Drug Design and Development Basic Concepts and Practice

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transporter proteins such as Pgp, MRP2, and OATP (Eloranta et al., 2005;
Klaassen and Slitt, 2005). When CYP3A4 induction occurs, induction of these
additional nonCYP drug disposition proteins is also possible. Therefore, any
coadministered drugs that are metabolized or otherwise processed by these
proteins could potentially be subject to increased clearance, and the potential
for decreased plasma levels and subtherapeutic concentrations at normal doses
must be considered as a possible consequence of PXR activation.


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566 TESTING DRUG CANDIDATES FOR CYP3A4 INDUCTION

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