Drug Metabolism · Pharmacology

How does 'Enzyme Induction' affect the metabolism of a co-administered drug that is a substrate for the same enzyme?

  1. It decreases the rate of metabolism, causing the drug to accumulate to toxic levels
  2. It increases the rate of metabolism, potentially leading to therapeutic failure
  3. It has no effect on the plasma concentration of the second drug
  4. It prevents the second drug from being absorbed in the intestine
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Correct answer: It increases the rate of metabolism, potentially leading to therapeutic failure

Enzyme inducers (like Rifampin or Phenobarbital) increase the synthesis of CYP enzymes. This speeds up the breakdown of other drugs metabolized by those enzymes, lowering their plasma levels and reducing their effectiveness.

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