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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
去甲替林
临床注释ID
1451285360
药物名称(英)
nortriptyline
变异单倍型
CYP2D6*1, CYP2D6*3, CYP2D6*4, CYP2D6*5, CYP2D6*6, CYP2D6*10
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
204.875
PMID计数
6
计数的证据
8
表现型
抑郁症
表现型(英)
Depressive Disorder
最新日期
2021/3/24 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1451285360
专业人口(英)
专业人口
临床等位基因
id
等位基因
注释文本
1299
*10
The CYP2D6*10 allele is assigned as a decreased function allele with an activity value of 0.25 by CPIC. Patients carrying the CYP2D6*10 allele in combination with a no or decreased function allele who are treated with nortriptyline may have an increased likelihood of treatment side effects as compared to patients with alleles that result in a normal metabolizer phenotype. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence treatment related side effects.
1298
*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 nortriptyline may have an increased likelihood of treatment side effects as compared to patients with alleles that result in a normal metabolizer phenotype. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence treatment related side effects.
1297
*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 nortriptyline may have an increased likelihood of treatment side effects as compared to patients with alleles that result in a normal metabolizer phenotype. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence treatment related side effects.
1296
*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 nortriptyline may have an increased likelihood of treatment side effects as compared to patients with alleles that result in a normal metabolizer phenotype. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence treatment related side effects.
1295
*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 nortriptyline may have an increased likelihood of treatment side effects as compared to patients with alleles that result in a normal metabolizer phenotype. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence treatment related side effects.
1294
*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 nortriptyline 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. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence treatment related side effects.
临床证据
id
证据的ID
总结
1083
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.
1082
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.
1081
1183615525
CYP2D6 *10/*10 is associated with violent psychosis when treated with nortriptyline.
1080
1183615499
CYP2D6 *5/*10 is associated with increased Constipation, Dizziness and dry mouth when treated with nortriptyline.
1079
1444702163
CYP2D6 poor metabolizers are not associated with increased risk of Drug Toxicity when treated with nortriptyline in people with Depressive Disorder, Major as compared to CYP2D6 normal metabolizers.
1078
1183683958
CYP2D6 poor metabolizers are associated with increased risk of Drug Toxicity when treated with nortriptyline in people with Depressive Disorder, Major.
1077
PA166104961
Annotation of DPWG Guideline for nortriptyline and CYP2D6
1076
PA166104998
Annotation of CPIC Guideline for nortriptyline and CYP2D6
临床病史
id
类型
评论
1425
Update
CA score added as part of scoring system release. LOE assigned following curator review.
1424
Create
Created
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