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[药物遗传学在精神病学中的临床意义]

[Clinical significance of pharmacogenetics in psychiatry].

作者信息

Skrętkowicz Jadwiga, Barańska Małgorzata, Rychlik-Sych Mariola

机构信息

Zakład Farmakogenetyki, Uniwersytet Medyczny w Łodzi.

出版信息

Wiad Lek. 2013;66(2 Pt 2):185-91.

Abstract

One of the problems in the pharmacotherapy of mental disorders is among others a lack of appropriate response to treatment, which may be associated with ineffective therapy, adverse drug reactions and self medication. Participation of cytochrome P-450 isoenzymes (including CYP1A2, CYP2C19, CYP2D6, CYP3A4) in the metabolism of psychotropic drugs contributes to risk of adverse interactions, both in pharmacokinetic and pharmacodynamic phase. Pharmacogenetic studies may have an increasing importance in the field of improving both therapeutic effectiveness and safety of psychotropic drugs in treatment of mental disorders.

摘要

精神障碍药物治疗中的问题之一,尤其是缺乏对治疗的适当反应,这可能与治疗无效、药物不良反应和自我用药有关。细胞色素P-450同工酶(包括CYP1A2、CYP2C19、CYP2D6、CYP3A4)参与精神药物的代谢,在药代动力学和药效学阶段均会增加不良相互作用的风险。药物遗传学研究在提高精神药物治疗精神障碍的有效性和安全性方面可能会变得越来越重要。

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