Adverse Drug Reactions and Interactions · USMLE Step 1

Which of the following increases the risk of toxicity when a drug with narrow therapeutic index is given with a strong CYP inhibitor?

  1. Short half-life
  2. High therapeutic index
  3. Liver enzyme induction
  4. Decreased hepatic clearance
Show answer and explanation

Correct answer: Decreased hepatic clearance

A strong CYP inhibitor decreases hepatic clearance, raising drug levels — especially problematic for drugs with narrow therapeutic windows, increasing risk of toxicity.

Difficulty: Medium Question 10 of 19

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