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. 2023 Aug 8;16(12):2327–2335. doi: 10.1093/ckj/sfad183

Table 2:

Mechanisms underlying sex differences in pharmacokinetics and pharmacodynamics of drugs—adapted from [2].

Pharmacokinetics Absorption Gastric enzymes
Gut motility
Microbiota
Transporting proteins
Distribution Body composition
Cardiac output
Organ blood flow
Liver metabolism CYP3A4, CYP2D6, CYP2C19, CYP1A2
Elimination Kidney clearance
Liver function
Pulmonary expiration
Plasma proteins concentration
Pharmacodynamics Sex-specific conditions Contraception
Pregnancy
Menopause

CYP3A4, CYP2D6, CYP2C19, CYP1A2: cytochrome P 450 isoenzymes named according to their coding chromosomes (activity in women CYP3A4 ↓, CYP2D6↑, CYP2C19↑, CYP1A2↑).