Article
Severe systemic adverse reactions to ophthalmic timolol in a CYP2D6 homozygous *4 allele carrier: a case report.
Pharmacogenomics - 1 Sept 2023
Bollinger Anna, Jeiziner Chiara, Meyer Zu Schwabedissen Henriette E, Hersberger Kurt E, Allemann Samuel S, Stäuble Céline K
Abstract excerpt
A woman with ocular hypertension suffered from severe bradycardia, hypotension and syncope attacks in temporal relation with ophthalmic timolol application. Topically applied timolol is nasally absorbed and has been shown to reach potentially relevant systemic concentrations. Timolol is mainly metabolized by CYP2D6, which exhibits interindividual metabolic capacity due to genetic variations. A reactive...
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