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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
托莫西汀
临床注释ID
1451282240
药物名称(英)
atomoxetine
变异单倍型
CYP2D6*1, CYP2D6*3, CYP2D6*4, CYP2D6*4xN, CYP2D6*5, CYP2D6*6
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)
Toxicity
表现型类别
毒性
分数
201.75
PMID计数
2
计数的证据
4
表现型
注意力缺陷障碍伴多动
表现型(英)
Attention Deficit Disorder with Hyperactivity
最新日期
2021/4/29 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1451282240
专业人口(英)
专业人口
临床等位基因
id
等位基因
注释文本
1232
*6
The CYP2D6*6 allele is assigned as a no function allele by CPIC. Patients carrying the *6 allele in combination with another no function allele who are treated with atomoxetine may have an increased risk for treatment related side effects as compared to patients with with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence response to atomoxetine.
1231
*5
The CYP2D^*5 allele is assigned as a no function allele by CPIC. Patients carrying the *5 allele in combination with another no function allele who are treated with atomoxetine may have an increased risk for treatment related side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence response to atomoxetine.
1230
*4xN
The CYP2D6*4xN allele (*4x2) is assigned as a no function allele by CPIC. Patients carrying the *4xN allele in combination with another no function allele who are treated with atomoxetine may have an increased risk for treatment related side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence response to atomoxetine.
1229
*4
The CYP2D6*4 allele is assigned as a no function allele by CPIC. Patients carrying the *4 allele in combination with another no function allele who are treated with atomoxetine may have an increased risk for treatment related side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence response to atomoxetine.
1228
*3
The CYP2D6*3 allele is assigned as a no function allele by CPIC. Patients carrying the *3 allele in combination with another no function allele who are treated with atomoxetine may have an increased risk for treatment related side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence response to atomoxetine.
1227
*1
The CYP2D6*1 allele is assigned as a normal function allele by CPIC. Patients carrying the *1 allele in combination with alleles that result in a normal metabolizer phenotype who are treated with atomoxetine may have a decreased, but not absent, risk for treatment related side effects as compared to patients with two no function alleles. Other genetic and clinical factors may also influence response to atomoxetine.
临床证据
id
证据的ID
总结
2734
1446896699
CYP2D6 *3/*3 + *3/*4 + *3/*5 + *3/*6 + *4/*4 + *4/*4xN + *4/*5 + *4/*6 + *5/*5 + *4xN/*5 (assigned as poor metabolizers phenotype) are associated with increased risk of dry mouth, Erectile Dysfunction, Hyperhidrosis, insomnia and Urinary Retention when treated with atomoxetine in people with Attention Deficit Disorder with Hyperactivity as compared to CYP2D6 *1/*3 + *1/*4 + *1/*5 + *1/*6 + *1/*7 + *1/*1xN + *1/*1 + *1/*10 + *1/*17 + *3/*10 + *4/*10 + *4/*17 + *5/*10 + *5/*17 + *6/*10 + *10/*10 + *10/*17 + *17/*17.
2733
1183688875
CYP2D6 poor metabolizers are not associated with clinically significant change in QT(c) when exposed to atomoxetine in healthy individuals.
2732
PA166104989
Annotation of DPWG Guideline for atomoxetine and CYP2D6
2731
PA166181885
Annotation of CPIC Guideline for atomoxetine and CYP2D6
临床病史
id
类型
评论
1358
Update
Edited phenotype descriptions
1357
Update
Added DPWG guideline as evidence
1356
Update
CA score added as part of scoring system release. LOE assigned following curator review.
1355
Update
Removed conflicting evidence statement because it was from variant annotation that did not specify alleles.
1354
Update
Attached CPIC guideline and removed override. Added conflicting evidence statement.
1353
Create
Created
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