Medication use, tamoxifen (TAM), and TAM metabolite concentrations in women with breast cancer

被引:7
作者
Gallicchio, L
Tkaczuk, K
Lord, G
Danton, M
Lewis, LM
Lim, CK
Flaws, JA
机构
[1] Univ Maryland, Sch Med, Dept Epidemiol & Prevent Med, Baltimore, MD 21201 USA
[2] Univ Maryland, Sch Med, Greenebaum Canc Ctr, Baltimore, MD 21201 USA
[3] Univ London, MRC, Bioanalyt Sci Grp, London, England
关键词
breast cancer; tamoxifen; metabolism;
D O I
10.1016/j.canlet.2004.04.001
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Tamoxifen (TAM) is commonly used as an adjuvant treatment for breast cancer. Although patients taking TAM are often taking medications for comorbidities, data regarding the interaction of TAM with other medications are limited. Thus, this study was carried out to determine whether medications co-prescribed with TAM significantly influence the plasma concentrations of TAM and its metabolites (N-desmethyltamoxifen; N-DMT and 4-hydroxytamoxifen; 4-OHT) in 98 women diagnosed with breast cancer. Participants taking diuretics had significantly higher plasma concentrations of TAM and N-DMT than participants not taking a diuretic. Arthritis/pain medication intake was negatively associated with plasma TAM concentrations. Chemotherapeutic agents, allergy drugs, anti-depressants, and diabetes medications did not significantly alter plasma TAM or metabolite concentrations. This suggests that diuretic or an arthritis/pain medication may affect TAM metabolism. (C) 2004 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:57 / 67
页数:11
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