Skip to main content
Log in

Factors influencing the caffeine test for cytochrome P 448-dependent liver function

  • Short Communication
  • Metabolism of Xenobiotics
  • Published:
Archives of Toxicology Aims and scope Submit manuscript

Abstract

Liver function in patients with liver disease can be estimated by caffeine clearance. Our data, however, demonstrate the additional influence of factors other than liver disease on the caffeine test. Smoking enhances caffeine clearance in both healthy volunteers and patients with severe hepatic disorders, whereas co-medication with mexiletine strongly inhibits caffeine elimination.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • Aldridge A, Parsons WD, Neims AH (1977) Stimulation of caffeine metabolism in the rat by 3-methylcholanthrene. Life Sci 21: 967–974

    Google Scholar 

  • Brazier JL, Descotes J, Lery N, Ollagnier M, Evreux JCL (1980) Inhibition by idrocilamide of the disposition of caffeine. Eur J Clin Pharmacol 17: 37–43

    Google Scholar 

  • Breimer DD, Vermeulen NPE, Danhof M, Teunissen MWE, Joeres RP, van der Graaf M (1983) Assessment and prediction of in vivo oxidative drug metabolizing activity. In: Benet, Levy (ed) Pharmacology: a modern view. Plenum Press, New York

    Google Scholar 

  • Broughton LJ, Rogers HJ (1981) Decreased systemic clearance of caffeine due to cimetidine. Br J Clin Pharmacol 12: 155–159

    Google Scholar 

  • Campbell NPS, Kelly JG, Adgey AAJ, Shank RG (1978) The clinical pharmacology of mexiletine. Br J Clin Pharmacol 6: 103–108

    Google Scholar 

  • Heusler H, Richter E (1982) Quantitative Bestimmung von Coffein in biologischen Flüssigkeiten mit Hilfe der Gaschromatographie und N-selektiver Detektion. In: Rietbrock N, Woodcock BG, Staib AH (ed) Theophyllin and other methylxanthines. Freid. Vieweg & Sohn, Braunschweig Wiesbaden

    Google Scholar 

  • Parsons WD, Neims AH (1978) Effect of smoking on caffeine clearance. Clin Pharmacol Ther 24: 40–45

    Google Scholar 

  • Renner E, Wietholtz H, Huguenin P, Arnaud MJ, Preisig R (1984) Caffeine: A model compound for measuring liver function. Hepatology 4: 38–46

    Google Scholar 

  • Tang-Liu DO, Williams RG, Riegelman S (1983) Disposition of caffeine and its metabolites in man. J Pharmacol Exp Ther 224: 180–185

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Dedicated to Professor Dr. med. Herbert Remmer on the occasion of his 65th birthday

Rights and permissions

Reprints and permissions

About this article

Cite this article

Joeres, R., Klinker, H., Heusler, H. et al. Factors influencing the caffeine test for cytochrome P 448-dependent liver function. Arch Toxicol 60, 93–94 (1987). https://doi.org/10.1007/BF00296957

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00296957

Key words

Navigation