Article
A case report of a poor metabolizer of CYP2D6 presented with unusual responses to nortriptyline medication.
Journal of Korean medical science - 1 Oct 2004
Lee Soo-Youn, Ki Chang-Seok, Hong Kyung Sue, Kim Jong Won
Abstract excerpt
We present a case with decreased metabolic activity of CYP2D6, a cytochrome P450 enzyme catalyzing the metabolism of nortriptyline (NT). Conventional dosage regimen led to toxic plasma concentration of NT and adverse effects such as dry mouth, constipation, and dizziness in this case with genotype CYP2D6*5/*10B. This case suggests the clinical usefulness of pharmacogenetic testing in individualized dosage...
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