Table 2.
Drug Name and Chemical Structure | HAM | ATC Class (Code) |
BDDCS Class | ALOX5 | AMPK | BSEP | COX | CYP | GLP-1 | HMGCoAR | MAO | NMDA | ABC | PLA2G2A | SLC | UGT | References | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
BCRP | MRP | Pgp | PEPT; OCT; OAT, MATE, OATP | ||||||||||||||||
Alprazolam |
Y | Benzodiazepine derivatives (N05BA12) |
I | - | - | - | - | 3A4S↓ 3A5S 3A7S 2C9S 2C19S |
- | - | - | - | - | - | - | - | - | - | [217,218,219] |
Atorvastatin |
Y | HMG CoA reductase inhibitors (C10AA05) |
II | - | - | S | - | 3A4S↑ 3A5S 3A7S 2B6↑ 2C8S↓ 2C9↑ 2C19↓ 2D6↓ |
- | ↓ | - | - | S | 1S 2S 4S 5S |
S↓ | - | 21A3S 21A6S↓ 21A8S 21A9S |
1A1S 1A3S |
[218,219,220,221,222] |
Clopidogrel |
Y | Platelet aggregation inhibitors excl. heparin (B01AC04) |
II | - | - | - | - | 1A2S 3A4S 3A5S 2B6S↓ 2C8↓ 2C9S↓ 2C19S |
- | - | - | - | ↓ | - | S | - | 21A8S 22A1↓22A2↓ |
- | [218,219,223,224,225] |
Diclofenac |
Y | Anti-inflammatory agents, non-steroids (S01BC03) |
II | ↑ | - | S | 1↓ 2↓ |
1A2S 3A4S↓ 2B6S 2C8S 2C9S↓ 2C18S 2C19S 2E1↓ |
- | - | - | - | S | 1↓ 4↓ |
↑ | ↓ | 21A6↓ 21A8S 21A14↓ 22A11↓ 22A6↓ 22A8↓ |
1A3s 1A9s 2B4s 2B7s |
[218,219,226,227] |
Memantine |
N | Other anti-dementia drugs (N06DX01) |
III | - | - | - | - | 2B6↓ 2C19↓ |
- | - | - | ANT | - | - | - | - | 15A1↓ 15A2↓ 22A8↓ 22A1↓ 22A2S↓ 22A4S 47A1S |
- | [218,222,228,229,230,231] |
Metformin |
Y | Biguanides (A10BA02) |
III | ↑ | - | - | - | ↑ | - | - | - | S | - | - | - | 22A1S 22A2S↓ 22A3S 47A1S 47A2S |
- | [218,222,232,233,234,235] | |
Piracetam |
N | Other psychostimulants and nootropics (N06BX03) |
III | - | - | - | - | - | - | - | - | - | - | - | 0 | - | - | - | [236] |
Propranolol |
Y | β-blocking agents, non-selective (C07AA05) |
I | - | - | - | - | 1A1↓ 1A2S 3A4S 3A5S 3A7S 2C19S 2D6S↓ |
- | - | A↓ | - | - | - | S | - | 22A2↓ | - | [218,237,238,239,240] |
Sertraline |
N | Selective serotonin reuptake inhibitors (N06AB06) |
I | - | - | - | - | 1A2↓ 3A4S 2B6S↓ 2C9S↓ 2C19S↓ 2D6S↓ 2E1S |
- | - | AS BS |
- | S | - | S↓ | - | 6A2↓ 6A3↓S 6A4↓S 36A1↓ |
1A3S 1A6S 2B4S 2B7S |
[217,218,219,241,242,243] |
Tadalafil |
N | Drugs used in erectile dysfunction (G04BE08) |
II | - | - | - | - | 3A4S 3A5S |
- | - | - | - | - | - | S | - | - | - | [218,219,244] |
↓—target inhibition; ↑—target induction; s—drug is substrate of the target; ANT—drug is a target antagonist; 0—No effect; (—)—Not reported; ABC—ATP-binding cassette; ALOX5—Arachidonate 5-lipoxygenase; AMPK—AMP-activated protein kinase; BCRP—Breast cancer resistance protein; BSEP—Bile salt export pump (ABCB11); COX—Cyclooxygenase; CYP—Cytochrome P450; GLP-1—Glucagon-like peptide-1; HMGCoAR—3-hydroxy-3-methyl-glutaril-CoA reductase; MAO—Monoamine Oxidase; MATE—Multi-antimicrobial extrusion protein; MRP—Multidrug resistance-associated protein; NMDA—N-methyl-d-aspartate; OAT—Organic anion transporter; OATP—Organic-anion-transporting polypeptide; OCT—Organic cation transport; P-gP—Glycoprotein P; UGT—Uridine diphosphate-glucuronosyltransferase; PLA2G2A—Phospholipase A2 Group IIA; SLC—Solute Carriers (15A/PEPT; 22A1-3/OCT1-3; 22A4/OCTN1; 22A6,8,11/OAT1,3,4; 47A/MATE; 21A3/OATP1A2; 21A6,8/OATP1B1,3; 21A9/OATP2B1; 21A14/OATP1C1); PEPT—Peptide transporter. HAM—High-Alert Medications [44]; Y—yes; N—No; ATC—Anatomical Therapeutic Chemical [36]; BDDCS—Biopharmaceutics Drug Disposition Classification System [37,38,39,40,41,42,43].