Article
Miotic action of tramadol is determined by CYP2D6 genotype.
Physiological research - 1 Jan 2007
Slanar O, Nobilis M, Kvetina J, Mikoviny R, Zima T, Idle J R, Perlík F
Abstract excerpt
Polymorphic CYP2D6 is the enzyme that activates the opioid analgesic tramadol by O-demethylation to its active metabolite O-demethyltramadol (M1). Our objective was to determine the opioid effects measured by pupillary response to tramadol of CYP2D6 genotyped volunteers in relation to the disposition of tramadol and M1 in plasma. Tramadol displayed phenotypic pharmacokinetics and it was possible to identify poor...
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