Speicher Leigh, Crosby Sheena, Schuh Michael J
General Internal Medicine, Mayo Clinic Florida; Contribution: writing, clinical resource.
Ambulatory Pharmacist, Mayo Clinic Florida; Contribution: writing, review.
Innov Pharm. 2021 Sep 22;12(4). doi: 10.24926/iip.v12i4.4341. eCollection 2021.
Pharmacogenomics (PGx) melds well with polypharmacy as another tool to identify medication related problems (MRPs) more specifically so they may be solved most effectively. PGx can pre-emptively assist in medication selection, medication dosing or identify better medications for patients already taking a medication. PGx can also confirm suspect medications of causing MRPs such as adverse drug reactions (ADRs) or drug interactions. In this case, PGx testing confirmed presence of a serious human leukocyte antigen (HLA) drug reaction with eosinophilia and systemic symptoms (DRESS) after a suspect medication had been stopped.
药物基因组学(PGx)与多药治疗配合良好,作为另一种工具可更具体地识别与药物相关的问题(MRP),以便能最有效地解决这些问题。PGx可以在用药选择、药物剂量确定方面提供前瞻性帮助,或者为已经在服用某种药物的患者确定更合适的药物。PGx还可以确认导致MRP的可疑药物,如药物不良反应(ADR)或药物相互作用。在本案例中,在停用一种可疑药物后,PGx检测证实存在伴有嗜酸性粒细胞增多和全身症状的严重人类白细胞抗原(HLA)药物反应(DRESS)。