Article
Assessment of urinary mephenytoin metrics to phenotype for CYP2C19 and CYP2B6 activity.
European journal of clinical pharmacology - 1 Apr 2008
Klaassen Tobias, Jetter Alexander, Tomalik-Scharte Dorota, Kasel Dirk, Kirchheiner Julia, Jaehde Ulrich, Fuhr Uwe
Abstract excerpt
OBJECTIVES: (S)-Mephenytoin is selectively metabolised to (S)-4'-hydroxymephenytoin by CYP2C19. The urinary excretion of 4'-hydroxymephenytoin reflects the activity of individual enzymes. We evaluated fractioned urinary collection and beta-glucuronidase pre-treatment in order to determine the optimal CYP2C19 metrics. We also assessed whether urinary excretion of N-desmethylmephenytoin (nirvanol) might be a useful...
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