Adverse Drug Reactions and Interactions · USMLE Step 1

Which mechanism underlies many serious drug–drug interactions (DDIs)?

  1. Competitive receptor antagonism
  2. Changes in CYP450-mediated metabolism
  3. Altered drug taste
  4. Synergistic beneficial effects
Show answer and explanation

Correct answer: Changes in CYP450-mediated metabolism

Many DDIs occur because one drug inhibits or induces CYP450 enzymes, altering the clearance of another drug and thus leading to toxicity or therapeutic failure.

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