Absence of an inhibitory effect of omeprazole and nizatidine on phenytoin disposition, a marker of CYP2C activity

Br J Clin Pharmacol. 1993 Oct;36(4):380-2. doi: 10.1111/j.1365-2125.1993.tb00382.x.

Abstract

The effects of omeprazole (40 mg orally per day) and nizatidine (300 mg orally per day) on the disposition of phenytoin (4.5 mg kg(-1) p.o. single dose) were studied in 18 healthy, young adult males. Total and unbound plasma concentrations of phenytoin were measured for 48 h after each dose of phenytoin. Neither treatment altered the disposition kinetics of phenytoin, the hydroxylation of which is mediated specifically by cytochromes P450 of the 2C subfamily.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Analysis of Variance
  • Anti-Ulcer Agents / pharmacology*
  • Anticonvulsants / pharmacokinetics*
  • Cytochrome P-450 Enzyme System / metabolism*
  • Drug Interactions
  • Humans
  • Male
  • Nizatidine / administration & dosage
  • Nizatidine / pharmacology*
  • Omeprazole / administration & dosage
  • Omeprazole / pharmacology*
  • Phenytoin / blood
  • Phenytoin / pharmacokinetics*

Substances

  • Anti-Ulcer Agents
  • Anticonvulsants
  • cytochrome P-450 CYP2C subfamily
  • Phenytoin
  • Cytochrome P-450 Enzyme System
  • Omeprazole
  • Nizatidine