Pharmacogenetics Flashcards

1
Q

Drugs commonly prone to variations

A
  • Warfarin
  • Aspirin resistnance
  • Clopidogrel
  • Rosuvastatin
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2
Q

CYP2D

A
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3
Q

Warfarin genetics

A
  • CYP2C9 polymorphism
  • Variation in metabolism of S-enantiomer; reduced clearence, i.e. lower doses
  • VKORC1 differences
    • Pharmacodynamic, warfarin resistance
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4
Q

Aspirin resistance

A
  • 25% of patients
  • Increased risk of CVD
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5
Q

Genetics in clopidogrel

A
  • Is a prodrug, activity influenced by genotype
    • PQN1 Q192R polymorphisms; increased risk of thrombosis
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6
Q

Example of apolymorphism in a drug target

A

beta2 adrenoceptors in asthma and a1 in CHF

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7
Q

Rosuvastatin and racial groups

A

Max dose. 40mg caucasian

20mg asian

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