Article
Cytochrome P450 2C9 phenotyping using low-dose tolbutamide.
European journal of clinical pharmacology - 1 May 2004
Jetter Alexander, Kinzig-Schippers Martina, Skott Andreas, Lazar Andreas, Tomalik-Scharte Dorota, Kirchheiner Julia, Walchner-Bonjean Monika, Hering Ursula, Jakob Verena, Rodamer Michael, Jabrane Wafaâ, Kasel Dirk, Brockmöller Jürgen, Fuhr Uwe, Sörgel Fritz
Abstract excerpt
OBJECTIVES: The hypoglycaemic drug tolbutamide is used for assessment of CYP2C9 activity in vivo. However, therapeutically active doses of 500 mg bear the risk of hypoglycaemia, and a tolbutamide-derived parameter based on a single plasma or urine concentration reflecting CYP2C9 activity accurately is lacking. METHODS: We examined tolbutamide and its metabolites 4'-hydroxy-tolbutamide and carboxytolbutamide in...
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