阿米替林
临床注释ID
1451259580
药物名称(英)
amitriptyline
变异单倍型
CYP2D6*1, CYP2D6*1xN, CYP2D6*2, CYP2D6*3, CYP2D6*4, CYP2D6*5, CYP2D6*6, CYP2D6*10, CYP2D6*41
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
211.375
PMID计数
6
计数的证据
9
表现型
抑郁症
表现型(英)
Depressive Disorder
最新日期
2021/4/23 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1451259580
专业人口(英)
专业人口
临床等位基因
id等位基因注释文本
1137 *41 The CYP2D6*41 allele is assigned as a decreased function allele with an activity value of 0.5 by CPIC. Patients carrying the CYP2D6*41 allele in combination with alleles that result in intermediate or poor metabolizer phenotype who are treated with amitriptyline may have increased likelihood of 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 amitriptyline.
1136 *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 with alleles that result in intermediate or poor metabolizer phenotype who are treated with amitriptyline may have increased likelihood of 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 amitriptyline.
1135 *6 The CYP2D6*6 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2D6*6 allele in combination with with alleles that result in intermediate or poor metabolizer phenotype who are treated with amitriptyline may have increased likelihood of 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 amitriptyline.
1134 *5 The CYP2D6*5 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2D6*5 allele in combination with with alleles that result in intermediate or poor metabolizer phenotype who are treated with amitriptyline may have increased likelihood of 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 amitriptyline.
1133 *4 The CYP2D6*4 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2D6*4 allele in combination with with alleles that result in intermediate or poor metabolizer phenotype who are treated with amitriptyline may have increased likelihood of 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 amitriptyline.
1132 *3 The CYP2D6*3 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2D6*3 allele in combination with with alleles that result in intermediate or poor metabolizer phenotype who are treated with amitriptyline may have increased likelihood of 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 amitriptyline.
1131 *2 The CYP2D6*2 allele is assigned as a normal function allele by CPIC. Patients carrying the CYP2D6*2 allele in combination with alleles that result in a normal metabolizer phenotype who are treated with amitriptyline may have decreased likelihood of side effects as compared to patients with a combination of alleles that result in intermediate or poor metabolizer phenotype. Other genetic and clinical factors may also influence response to amitriptyline.
1130 *1xN The CYP2D6*1xN alleles (*1x2 and *1x鈮?) have been assigned as increased function alleles by CPIC. Patients carrying the CYP2D6*1xN allele in combination with alleles that result in a normal metabolizer phenotype who are treated with amitriptyline may have decreased likelihood of side effects as compared to patients with a combination of alleles that result in intermediate or poor metabolizer phenotype. Other genetic and clinical factors may also influence response to amitriptyline.
1129 *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 amitriptyline may have decreased likelihood of side effects as compared to patients with a combination of alleles that result in intermediate or poor metabolizer phenotype. Other genetic and clinical factors may also influence response to amitriptyline.
临床证据
id证据的ID总结
265 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.
264 1183619031 CYP2D6 *4/*4 is associated with side effects when treated with amitriptyline.
263 1183617442 CYP2D6 *1/*4 + *2/*4 + *2/*5 + *4/*41 + *4/*10 are associated with increased risk of Drug Toxicity when treated with amitriptyline in people with Depressive Disorder, Major as compared to CYP2D6 *1/*1 + *1/*2 + *2/*1xN + *2/*2 + *1/*41 + *1/*10 + *2/*41.
262 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.
261 1183615533 CYP2D6 *4/*4 is associated with toxicity when exposed to amitriptyline.
260 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.
259 1448612606 CYP2D6 normal metabolizer and ultra-metabolizer genotypes is associated with decreased likelihood of Constipation, dry mouth, Fatigue, Urinary Retention and Vision Disorders when treated with amitriptyline in people with Diabetic Neuropathies as compared to CYP2D6 poor metabolizer and intermediate metabolizer genotypes.
258 PA166104982 Annotation of DPWG Guideline for amitriptyline and CYP2D6
257 PA166105006 Annotation of CPIC Guideline for amitriptyline and CYP2C19, CYP2D6
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