E. Sampol et al., COMPARATIVE EFFECTS OF ANTIFUNGAL AGENTS ON ZIDOVUDINE GLUCURONIDATION BY HUMAN LIVER-MICROSOMES, British journal of clinical pharmacology, 40(1), 1995, pp. 83-86
Zidovudine (ZDV) is extensively metabolised by the liver to an inactiv
e glucuronide (GZDV). Since ZDV is often administered with antimycotic
drugs, we studied the effect of six systemic antifungal agents on the
in vitro glucuronidation of ZDV by human liver microsomes. 5-fluorocy
tosine and itraconazole had no inhibitory effect whereas amphotericine
B, ketoconazole, miconazole and fluconazole inhibited in vitro GZDV f
ormation (K-i values were 0.13, 0.08, 0.18 and 1.4 mM respectively).