The function of CYP2D6 (Debrosin Hydroxylase):
catalyzes the hydroxylation (-OH) of its substrates -> activates Debrosin (lowers blood pressure)
How many known CYP450 genes are in humans?
58 genes in 18 families, and 43 subfamilies
What are the outcomes for PM and UM:
PM: no analgesia
UM: risk of toxicity
Therapy recommendations for specific codeine metabolizers?
NM an IM: Label recommended weight and age dosing
UM an PM: avoid codeine, look for alternatives
Common substrates of CYP2D6?
Tramadol, Codeine, Oxycodone, Fluoxetine, SSRI (antidepressiva)
Common substrates for CYP2C?
Ibuprofen, Phenytoin, Plavix, Warfarin