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[利用药物遗传学检测预防他汀类药物治疗期间的药物不良反应]

[Use of pharmacogenetic testing to prevent adverse drug reactions during statin therapy].

作者信息

Rumyantsev N A, Kukes V G, Kazakov R E, Rumyantsev A A, Sychev D A

机构信息

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia; Research Center for Examination of Medical Products, Ministry of Health of Russia, Moscow, Russia.

Research Center for Examination of Medical Products, Ministry of Health of Russia, Moscow, Russia.

出版信息

Ter Arkh. 2017;89(1):82-87. doi: 10.17116/terarkh201789182-87.

Abstract

The number of patients receiving statins increases every year and due to the fact that they should take statins during their lives, the problem of their safety use comes to the forefront. The paper analyzes the safety of using the medications of this group and discusses the diagnosis of myopathies induced by statins and the occurrence of immune-mediated statin myopathies. It considers a personalized approach to prescribing statins, analyzes Russian and foreign experience in using pharmacogenetics to reduce the risk of myopathies, publishes the results of the authors' experience in clinically introducing pharmacogenetic testing at hospitals, and analyzes the long-term results of determining the polymorphism of the SLCO1B1 gene for the prediction of the risk of adverse events when using statins and estimating patient compliance to prescribed treatment.

摘要

接受他汀类药物治疗的患者数量逐年增加,且由于他们需要终生服用他汀类药物,其安全使用问题日益凸显。本文分析了该类药物使用的安全性,探讨了他汀类药物所致肌病的诊断以及免疫介导的他汀类药物肌病的发生情况。文章考虑了他汀类药物处方的个性化方法,分析了俄罗斯和国外利用药物遗传学降低肌病风险的经验,公布了作者在医院临床引入药物遗传学检测的经验结果,并分析了通过测定SLCO1B1基因多态性来预测使用他汀类药物时不良事件风险以及评估患者对规定治疗依从性的长期结果。

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