Cytochrome P450 (CYP450)e nzymes play important roles in maintaining human health andt heir reaction rates are dependento nt he first electron transfer from the reduction partner.I nterestingly,e xperimental work has shown that this step is highly influenced by the addition of metal ions. To understand the effect of externalp erturbations on the CYP450 first reduction step, we have performed ac omputational studyw ith model complexes in the presence of metal and organic ions, solvent molecules, and an electricf ield. The results show that these medium-rangei nteractions affect the driving force as well as electron-transfer rates dramatically.Based on the location, distance, and direction of the ions/electric field, the catalytic reaction rates are enhanced or impaired. Calculations on al arge crystal structure with bonded alkali metal ions indicated inhibition patterns of the ions. Therefore, we predict that the activef orms of the naturalC YP450i sozymes will not have more than one alkali metal ion bound in the second-coordination sphere. As such, this study provides an insighti nto the activity of CYP450 enzymes and the effects of ions and electric field perturbations on their activity.