Review Article

Busting the Breast Cancer with AstraZeneca’s Gefitinib

Table 5

Effects of CYP3A4 inducers and inhibitor.

CYP3A4 inducerCYP3A4 inhibitorChanges in CmaxChanges in AUCAlternatives and recommendations

Rifampin65% decrease83% decreaseIncrease the dosage to 500 mg per day [155, 158]
Phenytoin [154]26% decrease47% decrease
Itraconazole51% increase78% increaseNot recommended; if unavoidable, the adverse effects must be closely monitored [155, 158]

CYP3A4, cytochrome P450 3A4; Cmax, peak plasma concentration; AUC, area under the curve.