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Flockhart CYP450 Table icon

Flockhart CYP450 Table

Evidence Tier:DOCUMENTED

Published in academic literature

For:Researchers & AcademicsClinicians & Healthcare Professionals

App Summary

The Flockhart CYP450 Table is a reference tool for clinicians and researchers that catalogs drug interactions mediated by the cytochrome P450 (CYP) enzyme system. The associated research organizes drugs as substrates, inhibitors, and inducers of specific CYP isoforms based on published evidence of their metabolic pathways. The authors designed the table as a teaching and reference aid to help providers anticipate and manage clinically significant drug interactions.

App Screenshots

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Detailed Description

Functionality & Mechanism The Flockhart CYP450 Table is a specialized clinical reference tool from Indiana University that catalogs drug interactions mediated by the cytochrome P450 system. The interface organizes therapeutic agents according to their relationship with specific CYP isoforms, classifying them as substrates, inhibitors, or inducers. The system is designed for rapid reference, allowing clinicians and researchers to access classifications derived from published evidence. The platform facilitates the identification of potential pharmacologic interactions based on established metabolic pathways.

Evidence & Research Context

  • The associated research establishes the table as a foundational teaching and reference tool for healthcare providers and researchers investigating CYP-mediated drug interactions.
  • The system's classifications are grounded in published scientific literature demonstrating that a specific CYP isoform contributes to a drug's metabolism.
  • Research contextualizing the table highlights the clinical importance of understanding CYP substrates, inhibitors, and inducers for managing drug interactions in specialized fields.
  • The authors explicitly note that a drug's inclusion does not necessarily signify that a listed isoform is its principal metabolic pathway in vivo.

Intended Use & Scope This tool is intended for physicians, pharmacists, nurses, and researchers as a focused educational and reference guide. Its primary utility is the identification of potential drug-drug interactions involving the CYP450 system. The table does not include interactions mediated by other enzymes (e.g., UGTs) or drug transporters. Clinical decisions require professional judgment and consultation of comprehensive pharmacologic resources.

Studies & Publications

2 publications

Peer-reviewed research associated with this app.

Non-Evaluative Reference

Cytochrome P450-mediated drug interactions

Flockhart et al. (2018) · Child and Adolescent Psychiatric Clinics of North America

Referenced in academic literature; no direct evaluation of the app
This article reviews hepatic P450-drug-metabolizing cytochromes (CYPs). Starting with the nomenclature and development of CYPs, the authors discuss concepts necessary to understand clinically relevant CYP-based drug interactions. Polymorphisms, substrates, inhibitors, and inducers of CYP1A2, CYP2C9, CYP2C19, CYP2D6, CYP2El, and the CYP3A subfamily are reviewed. Case histories, CYP lists, and CYP websites are provided to highlight drug interactions relevant to child psychiatrists.
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Non-Evaluative Reference

The Flockhart Cytochrome P450 Drug-Drug Interaction Table

Flockhart et al. (2007)

Referenced in academic literature; no direct evaluation of the app
This table is designed as a teaching and reference tool for health care providers and researchers interested in drug interactions that are mediated by cytochrome P450 enzymes. The table contains lists of drugs in columns under the designation of specific cytochrome P450 isoforms. A drug appears in a column if there is published evidence that it is metabolized, at least in part, via that isoform. It does not necessarily follow that the isoform is the principal metabolic pathway in vivo, or that alterations in the rate of the metabolic reaction catalyzed by that isoform will have large effects on the pharmacokinetics of the drug. The Flockhart Table(TM) only catalogs drug-drug interactions that are mediated by CYPs. Drug-drug interactions caused via other enzymes (e.g., UGTs) are not included in this table. In addition, some of the drugs listed here could be substrates of uptake and efflux drug transporters. However, drug-drug interactions caused by inhibition or induction of drug transporters are not included in this table.
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Flockhart CYP450 Table

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