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    Article

    Voriconazole greatly increases the exposure to oral buprenorphine

    Buprenorphine has low oral bioavailability. Regardless of sublingual administration, a notable part of buprenorphine is exposed to extensive first-pass metabolism by the cytochrome P450 (CYP) 3A4. As drug inte...

    Mari Fihlman, Tuija Hemmilä, Nora M. Hagelberg in European Journal of Clinical Pharmacology (2018)

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    Article

    Voriconazole more likely than posaconazole increases plasma exposure to sublingual buprenorphine causing a risk of a clinically important interaction

    This study aimed to determine possible effects of voriconazole and posaconazole on the pharmacokinetics and pharmacological effects of sublingual buprenorphine.

    Mari Fihlman, Tuija Hemmilä, Nora M. Hagelberg in European Journal of Clinical Pharmacology (2016)

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    Article

    Ketamine: A Review of Clinical Pharmacokinetics and Pharmacodynamics in Anesthesia and Pain Therapy

    Ketamine is a phencyclidine derivative, which functions primarily as an antagonist of the N-methyl-d-aspartate receptor. It has no affinity for gamma-aminobutyric acid receptors in the central nervous system. Ket...

    Marko A. Peltoniemi, Nora M. Hagelberg, Klaus T. Olkkola in Clinical Pharmacokinetics (2016)

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    Article

    Effects of terbinafine and itraconazole on the pharmacokinetics of orally administered tramadol

    Tramadol is widely used for acute, chronic, and neuropathic pain. Its primary active metabolite is O-desmethyltramadol (M1), which is mainly accountable for the μ-opioid receptor-related analgesic effect. Tram...

    Tuukka Saarikoski, Teijo I. Saari in European Journal of Clinical Pharmacology (2015)

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    Article

    Rifampicin markedly decreases the exposure to oral and intravenous tramadol

    Tramadol is mainly metabolized by the cytochrome P450 (CYP) 2D6, CYP2B6 and CYP3A4 enzymes. The aim of this study was to evaluate the effect of enzyme induction with rifampicin on the pharmacokinetics and phar...

    Tuukka Saarikoski, Teijo I. Saari in European Journal of Clinical Pharmacology (2013)

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    Article

    Ticlopidine inhibits both O-demethylation and renal clearance of tramadol, increasing the exposure to it, but itraconazole has no marked effect on the ticlopidine-tramadol interaction

    We assessed possible drug interactions of tramadol given concomitantly with the potent CYP2B6 inhibitor ticlopidine, alone or together with the potent CYP3A4 and P-glycoprotein inhibitor itraconazole.

    Nora M. Hagelberg, Tuukka Saarikoski in European Journal of Clinical Pharmacology (2013)

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    Article

    S-ketamine concentrations are greatly increased by grapefruit juice

    We examined the effect of grapefruit juice on the pharmacokinetics and pharmacodynamics of oral S-ketamine.

    Marko A. Peltoniemi, Teijo I. Saari in European Journal of Clinical Pharmacology (2012)

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    Article

    Interaction of oxycodone and voriconazole—a case series of patients with cancer pain supports the findings of randomised controlled studies with healthy subjects

    Nora M. Hagelberg, Tuija H. Nieminen in European Journal of Clinical Pharmacology (2011)

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    Article

    Effect of Inhibition of Cytochrome P450 Enzymes 2D6 and 3A4 on the Pharmacokinetics of Intravenous Oxycodone

    Oxycodone is a μ-opioid receptor agonist that is mainly metabolized by hepatic cytochrome P450 (CYP) enzymes. Because CYP enzymes can be inhibited by other drugs, the pharmacokinetics of oxycodone are prone to...

    Dr Juha Grönlund, Teijo I. Saari, Nora M. Hagelberg in Clinical Drug Investigation (2011)

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    Article

    Oxycodone concentrations are greatly increased by the concomitant use of ritonavir or lopinavir/ritonavir

    This study aimed to investigate the effect of antivirals ritonavir and lopinavir/ritonavir on the pharmacokinetics and pharmacodynamics of oral oxycodone, a widely used opioid receptor agonist used in the trea...

    Tuija H. Nieminen, Nora M. Hagelberg in European Journal of Clinical Pharmacology (2010)

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    Article

    Effects of itraconazole on the pharmacokinetics and pharmacodynamics of intravenously and orally administered oxycodone

    The aim of this study was to investigate the effects of the cytochrome P450 3A4 (CYP34A) inhibitor itraconazole on the pharmacokinetics and pharmacodynamics of orally and intravenously administered oxycodone.

    Teijo I. Saari, Juha Grönlund in European Journal of Clinical Pharmacology (2010)

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    Article

    Voriconazole drastically increases exposure to oral oxycodone

    We investigated the effect of voriconazole on the pharmacokinetics and pharmacodynamics of oxycodone.

    Nora M. Hagelberg, Tuija H. Nieminen in European Journal of Clinical Pharmacology (2009)