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具有不同程度可操作变异证据的药物基因组学(PGx)患者。

Pharmacogenomics (PGx) Patient with Mixed Levels of Actionable Variant Evidence.

作者信息

Schuh Michael J, Crosby Sheena

机构信息

Mayo Clinic Florida.

出版信息

Innov Pharm. 2020 Apr 30;11(2). doi: 10.24926/iip.v11i2.3228. eCollection 2020.

Abstract

OBJECTIVE

To demonstrate the types of clinical recommendations a pharmacogenomics pharmacist may make to medical clinicians with regard to medication management to improve therapeutic outcomes based on varied levels of medical literature evidence.

SUMMARY

This case demonstrates how a common type of patient seen in a pharmacist practice may present with a varied pharmacogenomic (PGx) profile, how they may benefit from PGx analysis, and how varying levels of medical literature evidence can be used with clinical decision making.

CONCLUSION

PGx testing can help avoid adverse drug reactions (ADRs) or medication inefficacy by assisting in the adjustment of current or future medication doses. It can also help predict the best medications to use or those to avoid in advance by eliminating much of the existing dosing or medication selection method of trial and error.

摘要

目的

展示药物基因组学药剂师就药物管理向临床医生提出的临床建议类型,以便基于不同水平的医学文献证据改善治疗效果。

总结

本案例展示了药剂师实践中常见类型的患者如何呈现出不同的药物基因组(PGx)特征,他们如何从PGx分析中获益,以及不同水平的医学文献证据如何用于临床决策。

结论

PGx检测可通过协助调整当前或未来的药物剂量来帮助避免药物不良反应(ADR)或药物治疗无效。它还可以通过消除现有的大量试错给药或药物选择方法,提前帮助预测最佳用药或应避免使用的药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bff/8051925/3a351f015d24/21550417-11-02-3228-g1.jpg

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