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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
西酞普兰
临床注释ID
1451282840
药物名称(英)
citalopram
变异单倍型
CYP2C19*1, CYP2C19*2, CYP2C19*3, CYP2C19*4
基因
CYP2C19
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
200.375
PMID计数
7
计数的证据
10
表现型
抑郁症
表现型(英)
Depressive Disorder
最新日期
2022/3/11 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1451282840
专业人口(英)
专业人口
临床等位基因
id
等位基因
注释文本
1317
*4
The CYP2C19*4 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2C19*4 allele in combination with a no function allele who are treated with citalopram may have increased risk for treatment related side effects or intolerance as compared to patients with two normal function alleles. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence treatment related side effects.
1316
*3
The CYP2C19*3 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2C19*3 allele in combination with a no function allele who are treated with citalopram may have increased risk for treatment related side effects or intolerance as compared to patients with two normal function alleles. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence treatment related side effects.
1315
*2
The CYP2C19*2 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2C19*2 allele in combination with a normal or no function allele who are treated with citalopram may have increased risk for treatment related side effects or intolerance as compared to patients with two normal function alleles. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence treatment related side effects.
1314
*1
The CYP2C19*1 allele is assigned as a normal function allele by CPIC. Patients carrying the CYP2C19*1 allele in combination with a normal function allele who are treated with citalopram may have decreased, but not absent, risk for treatment related side effects or intolerance as compared to patients with two no function alleles or a normal function allele in combination with a no function allele. 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
1144
1183619955
CYP2C19 *2 + *3 +*17 are not associated with differences in remission or tolerance when treated with citalopram in people with Depressive Disorder, Major as compared to CYP2C19 *1.
1143
1450415299
CYP2C19 *1/*2 is not associated with increased likelihood of Acquired Long QT Syndrome (aLQTS) when treated with citalopram, escitalopram or sertraline in people with Cardiovascular Diseases and Depression as compared to CYP2C19 *1/*1.
1142
1183619350
CYP2C19 *2 is associated with increased intolerance when treated with citalopram in people with Depressive Disorder, Major as compared to CYP2C19 *1/*1.
1141
1183619342
CYP2C19 *4 is associated with increased intolerance when treated with citalopram in people with Depressive Disorder, Major as compared to CYP2C19 *1/*1.
1140
1451715793
Genotype AG is associated with increased likelihood of adverse events due to citalopram in men with Alcoholism and Depressive Disorder, Major as compared to genotype GG.
1139
1449717838
CYP2C19 poor metabolizer phenotype is not associated with risk of adverse events due to citalopram or escitalopram in people with as compared to CYP2C19 normal metabolizer phenotype.
1138
1184748582
CYP2C19 poor metabolizers is associated with increased risk of electrocardiogram qt prolonged when treated with citalopram as compared to CYP2C19 normal metabolizers.
1137
1183701647
CYP2C19 poor metabolizers is not associated with increased risk of intolerance when treated with citalopram in people with Depressive Disorder, Major as compared to CYP2C19 normal metabolizer.
1136
PA166104977
Annotation of DPWG Guideline for citalopram and CYP2C19
1135
PA166127638
Annotation of CPIC Guideline for citalopram,escitalopram and CYP2C19
临床病史
id
类型
评论
1457
Update
Added PMID 33608663 to evidence. Minor edits to phenotype descriptions.
1456
Update
Added DPWG guideline.
1455
Update
CA score added as part of scoring system release. LOE assigned following curator review.
1454
Create
Created
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