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在初级保健中应用药物遗传学。

Using pharmacogenetics in primary care.

作者信息

Murfin Melissa

机构信息

Melissa Murfin is chair and program director of the PA program at Elon (N.C.) University. The author has disclosed no potential conflicts of interest, financial or otherwise.

出版信息

JAAPA. 2019 Aug;32(8):17-21. doi: 10.1097/01.JAA.0000569772.68575.ac.

Abstract

Pharmacogenetics offers a way to personalize medication prescribing for patients. Through the use of genetic tests that identify variations in enzymes important to drug metabolism, PAs can have patients' genetic information before prescribing a medication. This may reduce the risks of adverse reactions and lost treatment time when patients are given drugs to which they are unlikely to respond. Laboratory testing can identify common genetic variants that alter how the body metabolizes drugs. PAs with knowledge of these variants can choose medications that are more personalized and effective for each patient. Clinical pharmacogenetic guidelines are under development and will help providers identify which drugs are most likely to be affected by genetic variations so they can prescribe for patients based on their specific genetic phenotypes.

摘要

药物遗传学为患者个性化用药处方提供了一种方法。通过使用基因检测来识别对药物代谢重要的酶的变异,助理医师在开处方前可以获得患者的基因信息。当给患者使用他们不太可能有反应的药物时,这可能会降低不良反应的风险和减少治疗时间的损失。实验室检测可以识别改变人体药物代谢方式的常见基因变异。了解这些变异的助理医师可以为每个患者选择更个性化、更有效的药物。临床药物遗传学指南正在制定中,将帮助医疗服务提供者确定哪些药物最有可能受到基因变异的影响,以便他们能够根据患者的特定基因表型为其开处方。

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