Article
Clinical Pharmacogenetics Implementation Consortium (CPIC) Guideline for CYP2C9 and HLA-B Genotypes and Phenytoin Dosing: 2020 Update.
Clinical pharmacology and therapeutics - 1 Feb 2021
Karnes Jason H, Rettie Allan E, Somogyi Andrew A, Huddart Rachel, Fohner Alison E, Formea Christine M, Ta Michael Lee Ming, Llerena Adrian, Whirl-Carrillo Michelle, Klein Teri E, Phillips Elizabeth J, Mintzer Scott, Gaedigk Andrea, Caudle Kelly E, Callaghan John T
Abstract excerpt
Phenytoin is an antiepileptic drug with a narrow therapeutic index and large interpatient pharmacokinetic variability, partly due to genetic variation in CYP2C9. Furthermore, the variant allele HLA-B*15:02 is associated with an increased risk of Stevens-Johnson syndrome and toxic epidermal necrolysis in response to phenytoin treatment. We summarize evidence from the published literature supporting these...
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