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Letters to the Editor |
Institute for Clinical Chemistry, and Pathobiochemistry, Munich University of Technology, Klinikum rechts der Isar, Munich, Germany
aAddress correspondence to this author at: Institut für Klinische Chemie und Pathobiochemie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstrasse 22, D-81675 Munich, Germany. Fax 49-89-4140-4875; e-mail W.Steimer@gmx.de.
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To the Editor:
Amitriptyline belongs to the class of tricyclic antidepressants (TCAs), which have been a cornerstone of antidepressive therapy for more than 4 decades. Despite being replaced by newer drugs in the United States, TCAs, and amitriptyline in particular, are still widely used in Europe and many parts of the world, where prescriptions for TCAs far outnumber those for newer, more expensive drugs.
Recently, we reported significant correlations between sequence variations in the genes that encode the metabolizing enzymes cytochrome P450 2D6 (CYP2D6) and 2C19 (CYP2C19), serum amitriptyline/nortriptyline concentrations, and adverse drug reactions in a population of 50 depressed inpatients (1)(2).
However, genetic variations in drug-metabolizing enzymes do not sufficiently explain the wide interindividual variations commonly observed in drug response and clinical outcome. Obviously, other genetic and environmental factors must be considered as well. The influence of sequence variations in the gene ATP-binding cassette, subfamily B (MDR/TAP), member 1 (ABCB1) on the
The following articles in journals at HighWire Press have cited this article:
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M. J. Ehret Pharmacogenomics of Antidepressant Medications Journal of Pharmacy Practice, December 1, 2006; 19(6): 342 - 352. [Abstract] [PDF] |
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