While
numerous factors may influence patient responses to medications, treatment
response likely depends on the relationship between the pharmacokinetics,
pharmacodynamics, and pharmacogenetics for each individual patient. Pharmacogenetic
testing can serve as a tool that provides information in terms of how genetic
variability affects individual responses to medications. Traditionally 4 common phenotypes designate
how an individual will metabolize medications: normal or extensive
metabolizers, poor metabolizers, intermediate metabolizers, and ultrarapid
metabolizers. Practitioners need to understand the clinical effect of genetic
polymorphisms in metabolizing enzymes. In discussing poor metabolizers for a
medication that has an active parent compound, the potential clinical
consequences in general include increased efficacy and the potential for lower
doses to provide efficacy, or increased toxicity as a result of buildup of the
active parent compound."
Source: Clinical Pain Advisor
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