Pharmacogenomic testing: relevance in medical practice: why drugs work in some patients but not in others
- PMID: 21460130
- PMCID: PMC3351041
- DOI: 10.3949/ccjm.78a.10145
Pharmacogenomic testing: relevance in medical practice: why drugs work in some patients but not in others
Abstract
Genetics may account for much of the variability in our patients' responses to drug therapies. This article offers the clinician an up-to-date overview of pharmacogenomic testing, discussing implications and limitations of emerging validated tests relevant to the use of warfarin (Coumadin), clopidogrel (Plavix), statins, tamoxifen (Nolvadex), codeine, and psychotropic drugs. It also discusses the future role of pharmacogenomic testing in medicine.
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Comment in
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Gene-based, rational drug-dosing: An evolving, complex opportunity.Cleve Clin J Med. 2011 Apr;78(4):218. doi: 10.3949/ccjm.78b.11004. Cleve Clin J Med. 2011. PMID: 21460125 No abstract available.
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Pharmacogenomics for the primary care provider: why should we care?Cleve Clin J Med. 2011 Apr;78(4):241-2. doi: 10.3949/ccjm.78a.11017. Cleve Clin J Med. 2011. PMID: 21460129 No abstract available.
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References
-
- King HC, Sinha AA. Gene expression profile analysis by DNA microarrays: promise and pitfalls. JAMA. 2001;286:2280–2288. - PubMed
-
- Nuckols TK, Paddock SM, Bower AG, et al. Costs of intravenous adverse drug events in academic and nonacademic intensive care units. Med Care. 2008;46:17–24. - PubMed
-
- Gurwitz JH, Field TS, Judge J, et al. The incidence of adverse events in two long-term care facilities. Am J Med. 2005;118:251–258. - PubMed
-
- Vargas E, Terleira A, Hernando F, et al. Effects of adverse drug reactions on length of stay in surgical intensive care units. Crit Care Med. 2003;31:694–698. - PubMed
-
- Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies. JAMA. 1998;279:1200–1205. - PubMed
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