Clinical Pharmacogenetics Implementation Consortium Guideline for CYP2D6, OPRM1, and COMT Genotypes and Select Opioid Therapy

KR Crews, AA Monte, R Huddart… - Clinical …, 2021 - Wiley Online Library
Opioids are mainly used to treat both acute and chronic pain. Several opioids are
metabolized to some extent by CYP2D6 (codeine, tramadol, hydrocodone, oxycodone, and …

Dutch Pharmacogenetics Working Group (DPWG) guideline for the gene–drug interaction between CYP2D6 and opioids (codeine, tramadol and oxycodone)

M Matic, M Nijenhuis, B Soree… - European Journal of …, 2022 - nature.com
Abstract The current Dutch Pharmacogenetics Working Group (DPWG) guideline, describes
the gene–drug interaction between CYP2D6 and the opioids codeine, tramadol and …

Pharmacogenomic considerations in opioid analgesia

PH Vuilleumier, UM Stamer… - … and personalized medicine, 2012 - Taylor & Francis
Translating pharmacogenetics to clinical practice has been particularly challenging in the
context of pain, due to the complexity of this multifaceted phenotype and the overall …

Review of opioid pharmacogenetics and considerations for pain management

A Owusu Obeng, I Hamadeh… - … : The Journal of Human …, 2017 - Wiley Online Library
Opioid analgesics are the standards of care for the treatment of moderate to severe
nociceptive pain, particularly in the setting of cancer and surgery. Their analgesic properties …

[HTML][HTML] CYP2D6-guided opioid therapy improves pain control in CYP2D6 intermediate and poor metabolizers: a pragmatic clinical trial

DM Smith, KW Weitzel, AR Elsey, T Langaee… - Genetics in …, 2019 - Elsevier
Purpose CYP2D6 bioactivates codeine and tramadol, with intermediate and poor
metabolizers (IMs and PMs) expected to have impaired analgesia. This pragmatic proof-of …

Clinical Pharmacogenetics Implementation Consortium guidelines for cytochrome P450 2D6 genotype and codeine therapy: 2014 update

KR Crews, A Gaedigk… - Clinical …, 2014 - Wiley Online Library
Codeine is bioactivated to morphine, a strong opioid agonist, by the hepatic cytochrome
P450 2D6 (CYP2D6); hence, the efficacy and safety of codeine are governed by CYP2D6 …

Cross-sectional analysis of the influence of currently known pharmacogenetic modulators on opioid therapy in outpatient pain centers

J Lötsch, N von Hentig, R Freynhagen… - Pharmacogenetics …, 2009 - journals.lww.com
Aim A finite number of variants in the OPRM1, COMT, MC1R, ABCB1 and CYP2D6 genes
has been identified to significantly modulate the effects of opioids in controlled homogenous …

Clinical Pharmacogenetics Implementation Consortium (CPIC) Guidelines for Codeine Therapy in the Context of Cytochrome P450 2D6 (CYP2D6) Genotype

KR Crews, A Gaedigk… - Clinical …, 2012 - Wiley Online Library
Codeine is bioactivated to morphine, a strong opioid agonist, by the hepatic cytochrome
P450 2D6 (CYP2D6); hence, the efficacy and safety of codeine as an analgesic are …

Genetic polymorphisms and drug interactions modulating CYP2D6 and CYP3A activities have a major effect on oxycodone analgesic efficacy and safety

CF Samer, Y Daali, M Wagner… - British journal of …, 2010 - Wiley Online Library
Background and purpose: The major drug‐metabolizing enzymes for the oxidation of
oxycodone are CYP2D6 and CYP3A. A high interindividual variability in the activity of these …

CYP2D6 in the metabolism of opioids for mild to moderate pain

W Leppert - Pharmacology, 2011 - karger.com
In most cancer patients, pain is successfully treated with pharmacological measures using
opioid analgesics for moderate to severe pain (strong opioids) alone or in combination with …