Inhibition of caffeine metabolism by estrogen replacement therapy in postmenopausal women.

Article Details

Citation

Pollock BG, Wylie M, Stack JA, Sorisio DA, Thompson DS, Kirshner MA, Folan MM, Condifer KA

Inhibition of caffeine metabolism by estrogen replacement therapy in postmenopausal women.

J Clin Pharmacol. 1999 Sep;39(9):936-40.

PubMed ID
10471985 [ View in PubMed
]
Abstract

This study was conducted to investigate the effect of therapeutic estrogen on cytochrome P450 1A2-mediated metabolism in postmenopausal women using caffeine as a model substrate. Twelve healthy postmenopausal women underwent estrogen replacement therapy in the form of estradiol (Estrace). Estradiol was initiated at a dose of 0.5 mg a day and titrated to achieve a steady-state plasma concentration of 50 to 150 pg/ml. Caffeine metabolic ratios (CMR; paraxanthine/caffeine) were assessed both before and after 8 weeks of estrogen replacement. For the 12 subjects, there was a mean reduction in CMR of -29.2 +/- 25.0 (p = 0.0019). Consistent with previous results found in younger women, these results indicate that exogenous estrogen in older women may inhibit CYP1A2-mediated caffeine metabolism.

DrugBank Data that Cites this Article

Drug Enzymes
DrugEnzymeKindOrganismPharmacological ActionActions
EstradiolCytochrome P450 1A2ProteinHumans
Unknown
Substrate
Inhibitor
Details
Estradiol cypionateCytochrome P450 1A2ProteinHumans
Unknown
Substrate
Inhibitor
Details