下列何者與allopurinol併用時須大幅降低劑量?【題組】78.承上題,該藥..-阿摩線上測驗
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2F Chelsea Chen 高二下 (2018/07/18)
AZA代謝途徑包括XO,與allopurinol 並用會增加AZA 濃度 the metabolism of mercaptopurine (MP), or its prodrug azathioprine (AZA), occurs via 3 primary pathways: oxidation to inactive thiouric acid catalyzed by xanthine oxidase (XO); methylation to inactive methyl-mercaptopurine catalyzed by thiopurine S-methyl transferase (TPMT); and activation to thioguanine nucleotides in a process initiated by hypoxanthine-guanine phosphoribosyl transferase. Inhibition of XO by allopurinol may increase systemic MP exposure and toxicity, particularly via inhibition of its presystemic metabolism. US prescribing in... 查看完整內容 |
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