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探索性规划和实施社区药店试点药物基因组学计划。

Exploratory planning and implementation of a pilot pharmacogenetic program in a community pharmacy.

机构信息

Division of Pharmacy Practice & Experiential Education CB #7574, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7574, USA.

出版信息

Pharmacogenomics. 2012 Jun;13(8):955-62. doi: 10.2217/pgs.12.67.

Abstract

AIM

To describe the exploratory planning and implementation of a pilot pharmacogenetic program in a community pharmacy. An institutional review board-approved protocol for a clopidogrel pharmacogenetic program in a community pharmacy was developed to address feasibility and evaluate the pilot program.

STUDY CONCEPT

Subjects taking clopidogrel are asked to participate at the point of medication dispensing. A pharmacist schedules an appointment with subjects to discuss the study and collects a buccal swab sample for CYP2C19 testing. When the results are available, the pharmacist consults with the subject's prescriber regarding test result interpretation and associated recommendations, and schedules a second appointment with the participant to discuss results and review any physician-approved therapeutic changes. The intervention-associated consultation is then billed to the subject's insurance.

RESULTS

Subject enrollment has begun.

CONCLUSION

Community pharmacists may be valuable partners in pharmacogenetics.

摘要

目的

描述在社区药房进行试点药物基因组学计划的探索性规划和实施。 制定了经过机构审查委员会批准的社区药房氯吡格雷药物基因组学计划方案,以解决可行性问题并评估试点计划。

研究概念

在配药时,要求正在服用氯吡格雷的患者参与。 药剂师安排与患者讨论研究并收集口腔拭子样本进行 CYP2C19 测试。 当结果可用时,药剂师与患者的处方医生就测试结果解释和相关建议进行协商,并为参与者安排第二次预约,以讨论结果并审查任何经医生批准的治疗变化。 然后向患者的保险收取与干预相关的咨询费用。

结果

已开始招募研究对象。

结论

社区药剂师可能是药物遗传学的宝贵合作伙伴。

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