“The authors attributed the observed increase in exposure to naloxegol to quinidine’s … 3A (CYP3A) inhibitor.1 The authors concluded that the concomitant administration of naloxegol … quinidine , a CYP3A inhibitor and PGP transporter inhibitor, increases overall naloxegol exposure … not appear to cross into the CNS at clinically relevant concentrations.”
“The authors found that “coadministration of quinidine and naloxegol increased naloxegol AUC 1.4-fold and Cmax 2.5-fold but did not antagonize morphine-inducedmiosis, suggesting that P-Glycoprotein (PGP) inhibition does not increase the CNS penetration of naloxegol.””