BACKGROUND Elderly patients on haemodialysis have a high prevalence of polypharmacy and are at risk of drug-related complications. More than 80 % of all prescribed drugs are metabolized by the cytochrome P450 (CYP) enzyme system. The aims of this study were to describe the prevalence of polymorphism in three CYP isoenzymes and the relationship between CYP polymorphism and prescribed drugs. ME...

Over the last decade, dual antiplatelet therapy has been polymorphism and bleeding outcomes in their analysis. shown to be of significant benefit for secondary prevention in millions of patients with acute coronary syndromes (ACS), in those undergoing percutaneous coronary interventions (PCI), and in those with atrial fibrillation unable to take warfarin. Much like any other therapeutic agent, ...

BACKGROUND AND OBJECTIVES Phenytoin, a widely used anti-epileptic drug, is metabolized mainly by CYP2C9 (90%) and partly by CYP2C19 (10%) to its major metabolite 5-(para-hydroxyphenyl)-5- phenylhydantoin (p-HPPH). The CYP2C9 and CYP2C19 genes encoding these enzymes are polymorphically expressed and most of the variants result in decreased metabolism of the respective substrates. The present stu...

The CYP2C19 genotypic polymorphism significantly affects the success of Helicobacter pylori (HP) eradication treatment1. All current treatment options for the eradication of H. pylori infection involve the combination of a proton pump inhibitor (PPI) and antibiotics2. PPIs are indispensable in the eradication of H. pylori infection, and the rationale for their use involves a number of potential...

Background/Aims Concerns that proton pump inhibitors (PPIs) diminish the efficacy of clopidogrel could hamper the appropriate prescription of PPIs. We evaluated the influence of pantoprazole on the antiplatelet effect of clopidogrel compared with ranitidine, which is regarded as safe, after stratification of the population according to the presence of a cytochrome (CYP) 2C19 polymorphism in Kor...

WHAT IS KNOWN AND OBJECTIVE There is great interindividual variability in citalopram (CIT) pharmacokinetics. We attempted to establish a population pharmacokinetic (PPK) model of CIT in Chinese healthy subjects, to evaluate the effect of genetic polymorphism on CIT pharmacokinetics and to compare the PPK and non-compartmental (NCA) assays in the estimation of CIT bioequivalence. METHODS Blood...

Clopidogrel is an antiplatelet drug especially used in patients undergoing percutaneous coronary interventions (PCI). Polymorphisms within CYP2C19 can result in important interindividual variations regarding therapeutic efficacy. Therefore, we aimed to evaluate the impact of the CYP2C19⁎2 variant (rs4244285) on in-stent restenosis occurrence in Chilean patients who underwent PCI and received cl...

BACKGROUND An association has been reported between CYP2C19 polymorphism and the altered antiplatelet activity of clopidogrel. We investigated this association using the newly introduced platelet function analyzer (PFA)-200 (INNOVANCE PFA-200 System; Siemens Healthcare, Germany) P2Y test. METHODS Polymorphisms of CYP2C19*2, *3, *17 and the degree of inhibition of platelet function were determ...

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