Which of the following drugs is a substrate for the CYP2D6 enzyme and is also an antidepressant?

Correct answer: Duloxetine

Explanation

This question requires integrating information from the table (identifying a substrate) with general drug class knowledge (identifying an antidepressant).

Other questions

Question 1

What is the primary function of the cytochrome P450 (CYP450) enzyme system in the body?

Question 2

What is the effect of a drug that is an 'inducer' of the CYP450 system on another medication metabolized by the same enzyme?

Question 3

If a medication is taken with an agent that 'inhibits' its metabolism through the CYP450 system, what is the likely outcome?

Question 4

What percentage of drug metabolism is collectively handled by the CYP1A2, CYP2C19, CYP2D6, CYP3A4, and CYP3A5 enzymes?

Question 5

What percentage of Caucasians are described as poor metabolizers of drugs dependent on the CYP2D6 enzyme?

Question 6

Which commonly ingested substance is listed as an inducer of the CYP1A2 enzyme?

Question 7

The drug tamoxifen is biotransformed to its potent antiestrogen form, endoxifen, by which specific enzyme?

Question 8

According to the provided tables, which medication is a substrate for the CYP2D6 enzyme?

Question 9

Which of the following is listed as an inhibitor of the CYP2C19 enzyme?

Question 10

An inducing agent can increase the rate of another drug's metabolism by how much, according to the text?

Question 11

Which group of medications metabolized by the CYP2D6 enzyme is mentioned in the text's discussion on genetic variability?

Question 12

What is the clinical consequence for a patient who is a 'poor metabolizer' of a drug that is normally inactivated by a specific CYP enzyme?

Question 13

Based on the CYP3A table, which natural product is listed as an inducer of the CYP3A enzyme?

Question 14

Which of the following drugs is listed as a substrate for the CYP1A2 enzyme?

Question 15

If a patient taking losartan (a CYP2C9 substrate) also starts taking amiodarone (a CYP2C9 inhibitor), what is the likely interaction?

Question 16

Which drug is an inducer of the CYP2C9 enzyme?

Question 17

What is the key conclusion from the research mentioned on CYP2D6 metabolism and tamoxifen in post-menopausal women with early breast cancer?

Question 18

Which medication is listed in the tables as an inhibitor of the CYP2D6 enzyme?

Question 19

What is the potential consequence of taking antidepressants like paroxetine or fluoxetine with other drugs metabolized by CYP2D6, such as metoprolol?

Question 20

Which drug is listed as a substrate of the CYP3A enzyme?

Question 21

Which of the following is an inducer of the CYP3A enzyme, according to the provided table?

Question 22

The text mentions that the effects of grapefruit juice inhibition can last for several days under what condition?

Question 23

What is the term for the genetic variability that may influence a patient's response to commonly prescribed drug classes?

Question 24

According to the CYP2D6 table, are there any inducers listed for this enzyme?

Question 25

If a patient taking diazepam (a CYP2C19 substrate) starts taking rifampin (a CYP2C19 inducer), what is the most likely outcome?

Question 26

Which medication is identified as both a substrate and an inhibitor of the CYP3A enzyme system?

Question 27

What percentage of drug metabolism is attributed to the CYP2D6 enzyme alone?

Question 28

Which of the following is listed in the tables as a substrate for the CYP2C9 enzyme?

Question 29

In the context of the CYP450 system, what is the significance of the number '450'?

Question 30

Which of the following drugs is listed as an inhibitor for both CYP1A2 and CYP2D6?

Question 31

What is the primary reason the chapter emphasizes that nurses must understand the cytochrome P450 system?

Question 32

Which drug is listed as an inducer for three different major enzyme systems: CYP1A2, CYP2C9, and CYP3A?

Question 33

What is the effect of other citrus juices on the CYP450 system compared to grapefruit juice?

Question 34

According to the CYP2C19 table, which drug is listed as an inducer?

Question 35

What is the potential outcome when an antifungal that inhibits CYP3A4, such as ketoconazole, is taken with a statin metabolized by the same enzyme?

Question 36

Which medication is a substrate for the CYP2C19 enzyme system?

Question 37

Which drug is an inhibitor of the CYP3A enzyme system?

Question 38

What is the range of percentage of African Americans who are poor metabolizers of drugs dependent on CYP2D6?

Question 39

Which drug is listed as an inhibitor of the CYP1A2 enzyme?

Question 40

Which enzyme is primarily responsible for metabolizing (S)-warfarin?

Question 42

The inhibition of the CYP450 enzyme system by grapefruit juice is described as being what?

Question 43

According to the table for CYP2C9, which drug is listed as both a substrate and an inhibitor?

Question 44

Which drug is listed as an inhibitor of CYP2C19?

Question 45

What is the source of information regarding a drug's CYP450 metabolism and its potential for inhibition or induction?

Question 46

Which medication is a substrate of CYP3A and also a calcium channel blocker?

Question 47

Which of the following is an inducer of the CYP1A2 enzyme?

Question 48

Which drug is an inhibitor of CYP2D6, according to the provided table?

Question 49

The combination of what two factors can markedly reduce endoxifen plasma concentrations in tamoxifen-treated patients?

Question 50

Which drug is identified as a substrate of CYP2C9?