pharmacogenomics Flashcards
Gene
a series of nucleotides that CODE for a single protein
Allele
specific form of a gene
Wild-type allele = more common
Variant = less common
Genotype
unique genes that determine a specific tratit
Phenotype
An observable trait of the genotype (“blue eyes”
Single nucleoside polymorphism (SNP)
A change in a single nucleotide (C replaced with G)
What drugs need HLA testing?
Abacavir (Epzicom, Triumeq)
Allopurinol (Zyloprim, Aloprim)
Carbamazepine (Tegretol)
Oxycarbamazepine (Trileptal)
Phenytoin (Dilantin)
Fosphenytoin (Cerebyx)
What drug is a prodrug of CYP2C19?
Clopidogrel (Plavix)
What drug is a prodrug of CYP2D6?
Codeine
**Do not use with ultrametabolizer
What alleles may result in increased bleeding with warfarin use?
CYP2C9*2 or *3 or VKORC1
What drug should you avoid if a patient is positive for KRAS mutation?
Cetuximab (Erbitux)
***EGFR inhibitor
What drug should be avoided in DPD deficiency?
Capecitabine (Xeloda)
Fluorouracil