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With a few drugs, such as phenylbutazone, ethanol, deracoxib, and phenytoin, or if very large doses of a drug are given, the drug concentrations achieved are much greater than K m and the rate equation is as follows: The enzymes are saturated by the high free drug concentrations, and the rate of metabolism remains constant over time

2011 Aug 17;133(32):12493-506

Expert Rev Clin Pharmacol 6(3):323332 Uckert S et al (2001) Phosphodiesterase isoenzymes as pharmacological targets in the treatment of male erectile dysfunction