Original article In vitro evaluation of the effects of 4-aminopyridine on cytochrome P450 enzymes

Background: Dalfampridine extended release tablets (dalfampridine-ER, known as prolonged-, modified, or sustainedrelease fampridine tablets in some countries) are approved for the improvement of walking in patients with multiple sclerosis (MS). Dalfampridine-ER is an extended release formulation of 4-aminopyridine (4-AP). Dalfampridine-ER is incorporated into MS management strategies that may include disease-modifying and symptomatic therapies. Since several symptomatic therapies are partially or fully metabolized by enzymes of the hepatic cytochrome P450 system (CYP450) it is important to evaluate drug–drug interactions through potential effects of dalfampridine-ER on CYP450.