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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
氯丙咪嗪
临床注释ID
1451265780
药物名称(英)
clomipramine
变异单倍型
CYP2D6*1, CYP2D6*3, CYP2D6*4, 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
209.375
PMID计数
5
计数的证据
8
表现型
抑郁症,主要
表现型(英)
Depressive Disorder, Major
最新日期
2021/4/23 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1451265780
专业人口(英)
专业人口
临床等位基因
id
等位基因
注释文本
1252
*6
The CYP2D6*6 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2D6*6 allele in combination with a no, decreased or normal function allele who are treated with clomipramine may have an increased likelihood of treatment side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence treatment related side effects.
1251
*5
The CYP2D6*5 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2D6*5 allele in combination with a no, decreased or normal function allele who are treated with clomipramine may have an increased likelihood of treatment side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence treatment related side effects.
1250
*4
The CYP2D6*4 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2D6*4 allele in combination with a no, decreased or normal function allele who are treated with clomipramine may have an increased likelihood of treatment side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence treatment related side effects.
1249
*3
The CYP2D6*3 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2D6*3 allele in combination with a no, decreased or normal function allele who are treated with clomipramine may have an increased likelihood of treatment side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence treatment related side effects.
1248
*1
The CYP2D6*1 allele is assigned as a normal function allele by CPIC. Patients carrying the CYP2D6*1 allele in combination with alleles that result in a normal metabolizer phenotype who are treated with clomipramine may have a decreased likelihood of treatment side effects as compared to patients with a no function allele in combination with a decreased or normal function allele or two no or decreased function alleles. Other genetic and clinical factors may also influence treatment related side effects.
临床证据
id
证据的ID
总结
2376
1184467243
CYP2D6 *3 + *4 + *5 + *6 is associated with increased risk of Drug Toxicity when treated with amitriptyline, antidepressants, clomipramine, desipramine, fluoxetine, imipramine, nortriptyline, paroxetine or venlafaxine in people with Depression.
2375
1183617418
CYP2D6 *4/*4 is associated with increased risk of Side Effects when treated with amitriptyline, clomipramine, doxepin, imipramine, maprotiline, nortriptyline or Opipramol in people with Depression as compared to CYP2D6 *1/*1.
2374
1183616659
CYP2D6 *1/*4 is associated with increased risk of side effects when treated with clomipramine in people with Depressive Disorder, Major as compared to CYP2D6 *1/*2.
2373
982030065
CYP2D6 *4/*6 is associated with increased risk of Drug Toxicity when treated with clomipramine and quetiapine in people with Depressive Disorder, Major.
2372
981476405
Genotype TT is associated with increased risk of Side Effects when treated with amitriptyline, clomipramine, doxepin, imipramine, maprotiline, nortriptyline or opipramol in people with Depression as compared to genotype CC.
2371
1183683989
CYP2D6 poor metabolizers are associated with side effects when treated with clomipramine.
2370
PA166104964
Annotation of DPWG Guideline for clomipramine and CYP2D6
2369
PA166105007
Annotation of CPIC Guideline for clomipramine and CYP2C19, CYP2D6
临床病史
id
类型
评论
1382
Update
Added DPWG guideline as evidence
1381
Update
CA score added as part of scoring system release. LOE assigned following curator review.
1380
Create
Created
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