Human P450 Metabolism of Warfarin

L S Kaminsky, Z Y Zhang

Pharmacol Ther. 1997;73(1):67-74.

PMID: 9014207

Abstract:

The anticoagulant drug warfarin occurs as a pair of enantiomers that are differentially metabolized by human cytochromes P450 (CYP). R-warfarin is metabolized primarily by CYP1A2 to 6- and 8-hydroxywarfarin, by CYP3A4 to 10-hydroxywarfarin, and by carbonyl reductases to diastereoisomeric alcohols. S-warfarin is metabolized primarily by CYP2C9 to 7-hydroxywarfarin. Potential warfarin-drug interactions could occur with any of a very wide range of drugs that are metabolized by these P450s, and a number of such interactions have been reported. The efficacy of warfarin is affected primarily when metabolism of S-warfarin is altered.

Chemicals Related in the Paper:

Catalog Number Product Name Structure CAS Number Price
AP83219992 10-Hydroxywarfarin 10-Hydroxywarfarin 83219-99-2 Price
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