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当前位置:药药网 / 数据中心 / 临床注释-2,变异和临床注释数据
氢可酮
临床注释ID
1451141900
药物名称(英)
hydrocodone
变异单倍型
CYP2D6*5, CYP2D6*17
基因
CYP2D6
证据级别
1A
水平覆盖
水平修饰符
Tier 1 VIP
表现型类别(英)
Efficacy
表现型类别
功效
分数
101.75
PMID计数
2
计数的证据
3
表现型
疼痛
表现型(英)
Pain
最新日期
2022/1/11 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1451141900
专业人口(英)
专业人口
临床等位基因
id
等位基因
注释文本
1223
*17
The CYP2D6*17 allele is assigned as a decreased function allele by CPIC. Patients carrying the *17 allele in combination with a decreased or no function allele may have a decreased analgesic response when treated with hydrocodone as compared to patients with alleles that result in a normal metabolizer phenotype, while patients carrying the *17 allele in addition to a normal or increased function allele may have a similar analgesic response when treated with hydrocodone as compared to patients with alleles that result in a normal metabolizer phenotype. Be aware that the CPIC guideline for hydrocodone and CYP2D6 has a 'no recommendation' for CYP2D6 ultrarapid metabolizers. Other genetic and clinical factors may also affect response to hydrocodone.
1222
*5
The CYP2D6*5 allele is assigned as a no function allele by CPIC. Patients carrying the *5 allele in combination with a decreased, normal or no function allele may have a decreased analgesic response when treated with hydrocodone as compared to patients with alleles that result in a normal metabolizer phenotype, while patients carrying the *5 allele in addition to an increased function allele may have a similar analgesic response when treated with hydrocodone as compared to patients with alleles that result in a normal metabolizer phenotype. Be aware that the CPIC guideline for hydrocodone and CYP2D6 has a 'no recommendation' for CYP2D6 ultrarapid metabolizers. Other genetic and clinical factors may also affect response to hydrocodone.
临床证据
id
证据的ID
总结
2717
1451141860
CYP2D6 *5/*17 is associated with decreased response to hydrocodone or tramadol in women.
2716
1451645100
CYP2D6 poor metabolizers and intermediate metabolizers are associated with decreased response to codeine, fentanyl, hydrocodone, hydromorphone, methadone, morphine, oxycodone or tramadol in people with Neoplasms and Pain as compared to CYP2D6 normal metabolizers.
2715
PA166228121
Annotation of CPIC Guideline for hydrocodone and CYP2D6
临床病史
id
类型
评论
1347
Update
Added PMID 34423496 to evidence.
1346
Update
CA score added as part of scoring system release. LOE assigned following curator review.
1345
Update
Changed LOE to 1A due to new CPIC opioids guideline. Rewrote phenotype descriptions.
1344
Create
Created
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