Ac. Parker et al., INHIBITION OF CAFFEINE METABOLISM BY CIPROFLOXACIN IN CHILDREN WITH CYSTIC-FIBROSIS AS MEASURED BY THE CAFFEINE BREATH TEST, British journal of clinical pharmacology, 38(6), 1994, pp. 573-576
The caffeine breath test was carried out in six children with cystic f
ibrosis, before and during a course of ciprofloxacin. There was a sign
ificant decrease in the 2 h cumulative labelled CO2 exhaled during cip
rofloxacin treatment, mean difference (s.d.) -5.2(3.3)%, P < 0.02. The
results suggest an inhibition of 3-N-demethylation of caffeine (CYP1A
2 enzyme activity) by ciprofloxacin. Ciprofloxacin may cause significa
nt drug interactions in children with cystic fibrosis. The caffeine br
eath test can be used to study drug interactions involving CYP1A2 in c
hildren.