Table 1. Estimation of the Risk of Stereoselective In Vivo Drug–Drug Interactionsa.
| transporter | drug | IC50 [μM] | study design | Imax [μM] | fu,p | risk score [Imax, u/IC50] |
|---|---|---|---|---|---|---|
| OCT1 | (R)-bupivacaine | 10.2 | single dose (30 mg), intravenous administration37 | 0.228 | 0.0737 | 0.005 |
| (S)-bupivacaine | 18.7 | 0.154 | 0.0537 | 0.003 | ||
| OCT2 | (R)-amisulpride | 9.4 | single dose (50 mg), oral administration38 | 0.158 | 0.8439 | 0.014 |
| (S)-amisulpride | 29.8 | 0.182 | 0.005 | |||
| (R)-bupivacaine | 21.4 | single dose (30 mg), intravenous administration37 | 0.228 | 0.0737 | 0.003 | |
| (S)-bupivacaine | 48.4 | 0.154 | 0.0537 | 0.001 | ||
| (R)-citalopram | 17.8 | multiple doses (40 mg, once daily for 21 d), oral administration40 | 0.228 | 0.2041 | 0.003 | |
| (S)-citalopram | 10.7 | 0.154 | 0.003 | |||
| (E)-doxepine | 0.55 | single dose (75 mg), oral administration42 | 0.286 | 0.2543 | 0.130 | |
| (Z)-doxepine | 2.26 | 0.039 | 0.004 | |||
| (R)-verapamil | 8.2 | multiple doses (80 mg, thrice daily for 7d), oral administration44 | 0.519 | 0.0545 | 0.003 | |
| (S)-verapamil | 4.6 | 0.216 | 0.0845 | 0.004 | ||
| OCT3 | (E)-doxepine | 33.0 | single dose (75 mg), oral administration42 | 0.286 | 0.2543 | 0.002 |
| (Z)-doxepine | 14.9 | 0.039 | <0.001 | |||
| (R)-propranolol | 195 | single dose (80 mg), oral administration46 | 0.228 | 0.2547 | <0.001 | |
| (S)-propranolol | 69 | 0.154 | 0.2047 | <0.001 |
Cmax: maximum plasma concentration. fu,p: fraction unbound in plasma. Imax: mean steady state Cmax (Imax was replaced by Cmax when no stereoselective steady-state pharmacokinetic data were available). Imax,u: unbound maximal plasma concentrations.