Article
Clopidogrel Markedly Increases Plasma Concentrations of CYP2C8 Substrate Pioglitazone.
Drug metabolism and disposition: the biological fate of chemicals - 1 Aug 2016
Itkonen Matti K, Tornio Aleksi, Neuvonen Mikko, Neuvonen Pertti J, Niemi Mikko, Backman Janne T
Abstract excerpt
The glucose-lowering drug pioglitazone undergoes hepatic CYP2C8-mediated biotransformation to its main metabolites. The antiplatelet drug clopidogrel is metabolized to clopidogrel acyl-β-d-glucuronide, which was recently found to be a strong time-dependent inhibitor of CYP2C8 in humans. Therefore, we studied the effect of clopidogrel on the pharmacokinetics of pioglitazone. In a randomized crossover study, 10...
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