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Omeprazole (Prilosec)
MOA: PPI
CYP 450 enzyme inhibitor
Racemic mixture
Humans of Asian descent show prolonged plasma levels
Esomeprazole Magnesium (Nexium)
MOA: PPI
S-enantiomer of omeprazole-chiral center is located at the sulfoxide
Good for Asians because cleared by 3A4
Esomeprazole Strontium (Nexium)
MOA: PPI
strontium is incorporated into bone so this drug is NOT indicated for use in children
Rabeprazole Na (Aciphex)
MOA: PPI
CYP 450 metabolized
No dosage adjustment in patients with mild to moderate dysfunction--use caution in severe impairment
Pantoprazole Na (Protonix)
MOA: PPI
Accumulation in hepatic dysfunction is possible---use caution if concurrent CYPC19 (gene polymorphisms in asians) and 3A4 inhibitors are used
Lansoprazole (Prevacid)
MOA: PPI
Consider dosage reduction in severe hepatic dysfunction since metabolized by CYP3A4 and CYP2C19
Not a CYP inhibitor
Author
Brook
ID
356452
Card Set
PPI's
Description
Updated
2021-10-09T20:59:52Z
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