a ceramide(in) + ATP + H2O => a ceramide(out) + ADP + phosphate + H(+)
a ceramide(in) + atp + h2o => a ceramide(out) + adp + phosphate + h(+)
a ceramide(in) + ATP + H2O => a ceramide(out) + ADP + phosphate + H(+)
a ceramide(in) + atp + h2o => a ceramide(out) + adp + phosphate + h(+)