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Anticonvulsant and antimicrobial cytochrome P-450 effects
 
Author: CF Lacy, LL Armstrong, MP Goldman

Support information on page: Infectious States & Seizures > Seizure complications of antibacterial treatment and Infectious States & Seizures > Viral infections > Human immunodeficiency virus (HIV)

Cyto-
chrome P-450 Iso-
enzyme
Antimicrobial Anticonvulsant
Substrate Inducer Inhibitor Substrate Inducer Inhibitor
1A2 Ritonavir Rifampin Ciprofloxacin Diazepam Carba-
mazepine
 
Ritonavir Clarithromycin Pheno-
barbital
Erythromycin Phenytoin
Isoniazid Primidone
Ketoconazole
Levofloxacin
Ritonavir
2A6 Ritonavir   Ritonavir   Pheno-
barbital
 
2B6         Pheno-
barbital
 
Phenytoin
Primidone
2C   Rifampin Isoniazid   Carba-
mazepine
 
Ketoconazole Pheno-
barbital
Phenytoin
Primidone
2C8   Rifampin   Carba-
mazepine
Carba-
mazepine
 
Diazepam Pheno-
barbital
Phenytoin
Primidone
2C9 Dapsone Fluconazole Chlora-
mphenicol
Phenytoin Carba-
mazepine
Valproic acid
Metronidazole Rifampin Isoniazid Pheno-
barbital
Ritonavir Ketoconazole Phenytoin
Metronidazole
Ritonavir
Sulamethox
axole
trimethoprim
Sulfonamides
2C18   Rifampin     Carba-
mazepine
 
Pheno-
barbital
Phenytoin
2C19 Pentamidine Rifampin Fluconazole Pheno-
barbital
Carba-
mazepine
Felbamate
Ritonavir Isoniazid Phenytoin Pheno-
barbital
Oxcarbaz-
epine
Ketoconazole Topiramate Phenytoin Topiramate
Ritonavir Valproate
2D6   Chloroquine   Tagabine Valproate  
Quinidine
Ritonavir
2E1 Dapsone Isoniazid Ritonavir      
Isoniazid
Ritonavir
3A3/4 Clarithromycin Griseofulvin   Carba-
mazepine
Carba-
mazepine
 
Clindamycin Nafcillin Clonazepam Oxcarb-
azepine
Dapsone Rifabutin Diazepam Pheno-
barbital
Erythromycin Tiagabine Phenytoin
Indinavir Primidone
Itraconazole
Ketoconazole
Miconazole
Nelfinavir
Quinidine
Rifamipin
Ritonavir
Saquinavir
3A5-7 Quinidine Rifampin Clotrimazole   Pheno-
barbital
 
Ketoconazole Phenytoin
Metronidazole Primidone

Data adapted from CF Lacy, LL Armstrong, MP Goldman. Drug Information Handbook. Hudson, OH: Lexi-Comp, 2000; 1092-1100; P Hantson, F Leonard, JM Maloteaux, P Maheiu. How epileptogenic are the recent antibiotics? Acta Clin Belg 1999; 54:80-87

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