Fluconazole-induced intoxication with phenytoin in a patient with ultra-high activity of CYP2C9

Eur J Clin Pharmacol. 2010 Aug;66(8):791-5. doi: 10.1007/s00228-010-0820-7. Epub 2010 Apr 20.

Abstract

Purpose: The cytochrome P450 enzyme CYP2C9 metabolizes several important drugs, such as warfarin and oral antidiabetic drugs. The enzyme is polymorphic, and all known alleles, for example, CYP2C9*2 and*3, give decreased activity. Ultra-high activity of the enzyme has not yet been reported.

Methods: We present a patient with Behçet's disease who required treatment with high doses of phenytoin. When fluconazole, a potent inhibitor of CYP2C9, was added to the treatment regimen, the patient developed ataxia, tremor, fatigue, slurred speech and somnolence, indicating phenytoin intoxication. On suspicion of ultra-high activity of CYP2C9, a phenotyping test for CYP2C9 with losartan was performed.

Results: The patient was shown to have a higher activity of CYP2C9 than any of the 190 healthy Swedish Caucasians used as controls.

Conclusions: Our finding of an ultrarapid metabolism of losartan and phenytoin may apply to other CYP2C9 substrates, where inhibition of CYP2C9 may cause severe adverse drug reactions.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alleles
  • Angiotensin II Type 1 Receptor Blockers / metabolism
  • Anticonvulsants / blood
  • Anticonvulsants / cerebrospinal fluid
  • Anticonvulsants / metabolism*
  • Anticonvulsants / therapeutic use
  • Aryl Hydrocarbon Hydroxylases / metabolism*
  • Ataxia / chemically induced
  • Behcet Syndrome / complications
  • Case-Control Studies
  • Cytochrome P-450 CYP2C9
  • Cytochrome P-450 Enzyme System / metabolism
  • Disorders of Excessive Somnolence / chemically induced
  • Dose-Response Relationship, Drug
  • Fatigue / chemically induced
  • Female
  • Fluconazole
  • Humans
  • Losartan / metabolism
  • Middle Aged
  • Pharmaceutical Preparations / metabolism
  • Phenotype
  • Phenytoin / blood
  • Phenytoin / cerebrospinal fluid
  • Phenytoin / metabolism*
  • Phenytoin / therapeutic use
  • Polymorphism, Genetic
  • Speech Intelligibility / drug effects
  • Warfarin / metabolism

Substances

  • Angiotensin II Type 1 Receptor Blockers
  • Anticonvulsants
  • Pharmaceutical Preparations
  • cytochrome P-450 CYP2C subfamily
  • Warfarin
  • Phenytoin
  • Fluconazole
  • Cytochrome P-450 Enzyme System
  • CYP2C9 protein, human
  • Cytochrome P-450 CYP2C9
  • Aryl Hydrocarbon Hydroxylases
  • Losartan