1994
DOI: 10.1111/j.1365-2125.1994.tb04399.x
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Inhibition of caffeine metabolism by ciprofloxacin in children with cystic fibrosis as measured by the caffeine breath test.

Abstract: The caffeine breath test was carried out in six children with cystic fibrosis, before and during a course of ciprofloxacin. There was a significant decrease in the 2 h cumulative labelled CO2 exhaled during ciprofloxacin treatment, mean difference (s.d.) ‐5.2(3.3)%, P < 0.02. The results suggest an inhibition of 3‐N‐demethylation of caffeine (CYP1A2 enzyme activity) by ciprofloxacin. Ciprofloxacin may cause significant drug interactions in children with cystic fibrosis. The caffeine breath test can be used to … Show more

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Cited by 30 publications
(19 citation statements)
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“…Ciprofloxacin inhibits CYP1A2-mediated metabolism of caffeine Avoid concurrent use; monitor for caffeine toxicity [135] Caffeine/adenosine The effects of adenosine may be blunted by caffeine Caffeine antagonizes the increase in blood flow mediated by adenosine for antagonism at the receptors of adenosine Avoid concurrent use; evaluate whether to increase the doses of adenosine or to use alternative agents [136] MAO: Monoamine oxidase; SSRIs: Selective serotonin re-uptake inhibitors.…”
Section: Concentrations and Effects Of Caffeine May Be Increasedmentioning
confidence: 99%
“…Ciprofloxacin inhibits CYP1A2-mediated metabolism of caffeine Avoid concurrent use; monitor for caffeine toxicity [135] Caffeine/adenosine The effects of adenosine may be blunted by caffeine Caffeine antagonizes the increase in blood flow mediated by adenosine for antagonism at the receptors of adenosine Avoid concurrent use; evaluate whether to increase the doses of adenosine or to use alternative agents [136] MAO: Monoamine oxidase; SSRIs: Selective serotonin re-uptake inhibitors.…”
Section: Concentrations and Effects Of Caffeine May Be Increasedmentioning
confidence: 99%
“…We have previously used the Shreeve method [6], which assumes a constant value of 300 mmol CO 2 =h m 2 body surface [8][9][10][11] to estimate CO 2 production rate during 13 C breath tests. Alternatively, BMR can be estimated using the Schofield equations [12], which are generally agreed to give a more accurate estimate in children [13].…”
Section: Introductionmentioning
confidence: 99%
“…13 C-breath tests are useful noninvasive methods to measure, among other parameters, gastrointestinal function and to monitor pharmacological and nutritional interventions (Parker et al, 1994(Parker et al, , 1997aAmarri and Weaver, 1995;Amarri et al, 1997;Ling et al, 2000). 13 C-breath tests are particularly attractive for use in children because they are noninvasive, and pose no radiation hazard.…”
Section: Introductionmentioning
confidence: 99%