Effects of Menthol on the Pharmacokinetics of Triazolam and Phenytoin

We have previously shown that menthol attenuates the anticoagulant effect of warfarin by increasing the expression levels of CYP3A and CYP2C in the liver. This study evaluated the effects of menthol on the pharmacokinetics of the CYP3A substrate triazolam and the CYP2C substrate phenytoin. Menthol w...

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Veröffentlicht in:Biological & pharmaceutical bulletin 2015/03/01, Vol.38(3), pp.454-460
Hauptverfasser: Hoshino, Motohiro, Ikarashi, Nobutomo, Hirobe, Ryuta, Hayashi, Mami, Hiraoka, Hironori, Yokobori, Kohsuke, Ochiai, Takumi, Kusunoki, Yoshiki, Kon, Risako, Tajima, Masataka, Ochiai, Wataru, Sugiyama, Kiyoshi
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container_end_page 460
container_issue 3
container_start_page 454
container_title Biological & pharmaceutical bulletin
container_volume 38
creator Hoshino, Motohiro
Ikarashi, Nobutomo
Hirobe, Ryuta
Hayashi, Mami
Hiraoka, Hironori
Yokobori, Kohsuke
Ochiai, Takumi
Kusunoki, Yoshiki
Kon, Risako
Tajima, Masataka
Ochiai, Wataru
Sugiyama, Kiyoshi
description We have previously shown that menthol attenuates the anticoagulant effect of warfarin by increasing the expression levels of CYP3A and CYP2C in the liver. This study evaluated the effects of menthol on the pharmacokinetics of the CYP3A substrate triazolam and the CYP2C substrate phenytoin. Menthol was orally administered to mice for 7 d. Twenty-four hours after the administration of menthol, triazolam was orally administered, and the plasma concentration was measured. In addition, the CYP3A metabolic activity for triazolam and the CYP3A expression level in the liver were determined. The effects of menthol on the pharmacokinetics of phenytoin were assessed in the same manner. In the menthol-treated group, the area under the blood concentration–time curve (AUC) of triazolam was lower and its clearance was higher compared with the control group. The CYP3A metabolic activity and CYP3A expression level in the liver were significantly increased in the menthol-treated group compared with the control group. Similarly, the AUC of phenytoin was lower and the hepatic CYP2C expression level was higher in the menthol-treated group. Thus, menthol lowered the plasma concentrations of triazolam and phenytoin when concurrently administered. These effects may be attributed to an increased metabolic activity for these drugs due to the increased expression of CYP3A and CYP2C in the liver.
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This study evaluated the effects of menthol on the pharmacokinetics of the CYP3A substrate triazolam and the CYP2C substrate phenytoin. Menthol was orally administered to mice for 7 d. Twenty-four hours after the administration of menthol, triazolam was orally administered, and the plasma concentration was measured. In addition, the CYP3A metabolic activity for triazolam and the CYP3A expression level in the liver were determined. The effects of menthol on the pharmacokinetics of phenytoin were assessed in the same manner. In the menthol-treated group, the area under the blood concentration–time curve (AUC) of triazolam was lower and its clearance was higher compared with the control group. The CYP3A metabolic activity and CYP3A expression level in the liver were significantly increased in the menthol-treated group compared with the control group. Similarly, the AUC of phenytoin was lower and the hepatic CYP2C expression level was higher in the menthol-treated group. 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Thus, menthol lowered the plasma concentrations of triazolam and phenytoin when concurrently administered. 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This study evaluated the effects of menthol on the pharmacokinetics of the CYP3A substrate triazolam and the CYP2C substrate phenytoin. Menthol was orally administered to mice for 7 d. Twenty-four hours after the administration of menthol, triazolam was orally administered, and the plasma concentration was measured. In addition, the CYP3A metabolic activity for triazolam and the CYP3A expression level in the liver were determined. The effects of menthol on the pharmacokinetics of phenytoin were assessed in the same manner. In the menthol-treated group, the area under the blood concentration–time curve (AUC) of triazolam was lower and its clearance was higher compared with the control group. The CYP3A metabolic activity and CYP3A expression level in the liver were significantly increased in the menthol-treated group compared with the control group. Similarly, the AUC of phenytoin was lower and the hepatic CYP2C expression level was higher in the menthol-treated group. Thus, menthol lowered the plasma concentrations of triazolam and phenytoin when concurrently administered. These effects may be attributed to an increased metabolic activity for these drugs due to the increased expression of CYP3A and CYP2C in the liver.</abstract><cop>Japan</cop><pub>The Pharmaceutical Society of Japan</pub><pmid>25757928</pmid><doi>10.1248/bpb.b14-00764</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
CYP
Cytochrome P-450 CYP3A - metabolism
Cytochrome P-450 Enzyme System - metabolism
Drug Interactions
Flavoring Agents - pharmacology
Lamiaceae - chemistry
Male
menthol
Menthol - pharmacology
Mice, Inbred ICR
phenytoin
Phenytoin - blood
Phenytoin - pharmacokinetics
Plant Extracts - pharmacology
triazolam
Triazolam - blood
Triazolam - pharmacokinetics
warfarin
title Effects of Menthol on the Pharmacokinetics of Triazolam and Phenytoin
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