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Future of Personalized Prescription in Psychiatry(in Personalized Prescription in Psychiatry, Vol. 25)
Bibliografi
Author:
Leon, Jose de
Topik:
Pharmacogenomics
;
Psychiatry
;
Human Genome Project
;
Medicine
Bahasa:
(EN )
Penerbit:
Karger
Tempat Terbit:
Basel
Tahun Terbit:
2010
Jenis:
Article - diterbitkan di jurnal ilmiah internasional
Fulltext:
000317302[1].pdf
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Abstract
Personalized prescription and pharmacogenomics are related concepts, but are not the same. The
‘Introduction’ describes the concept of pharmacogenomics, which can be included within personalized
prescription, and the role of the Human Genome Project and the Food and Drug Administration
in promoting advances in these concepts. In the author’s comprehensive view of personalized
prescription, clinicians need to consider genetic, environmental and personal variables when prescribing
any medication. Known important genetic variables in specific drug responses can be explored
by pharmacogenetic tests. Environmental variables – such as co-medication, herb supplements,
foods, beverages and smoking – may be much more important than genetic factors for some
drugs. Personal factors such as age, gender or medical illnesses (renal or hepatic insufficiency) may
be crucial personal variables in the response to some other drugs. The pharmacological knowledge
needed to understand personalized prescription includes pharmacokinetics and pharmacody
namic actions, efficacy and safety, idiosyncratic and dose-related adverse drug reactions, prescriber’s
role and therapeutic window, and linear versus non-linear pharmacokinetics. The applications
of these pharmacological concepts in psychiatry are briefly reviewed. Risperidone personalized
prescription is provided as an example by describing personalized risperidone selection and personalized
risperidone dosing. The future of pharmacogenomic tests and personalized prescription
in psychiatry is briefly summarized.
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