PPI's

  1. Omeprazole (Prilosec)
    MOA: PPI

    • CYP 450 enzyme inhibitor
    • Racemic mixture
    • Humans of Asian descent show prolonged plasma levels
  2. Esomeprazole Magnesium (Nexium)
    MOA: PPI

    S-enantiomer of omeprazole-chiral center is located at the sulfoxide 

    Good for Asians because cleared by 3A4
  3. Esomeprazole Strontium (Nexium)
    MOA: PPI

    strontium is incorporated into bone so this drug is NOT indicated  for use in children
  4. Rabeprazole Na (Aciphex)
    MOA: PPI

    CYP 450 metabolized

    No dosage adjustment in patients with mild to moderate dysfunction--use caution in severe impairment
  5. 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
  6. 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