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4-Personalized medicineTransplant
Genomics
20
Chemistry
Graduate
04/20/2019

Additional Chemistry Flashcards

 


 

Cards

Term
For guidance on Precision medicine use....
Definition
CPIC Guidelines
Term
Voriconazole substrate of
Definition
CYP2C19
Term
CPIC recommended VORICONAZOLE for Tx of
Definition
-1st line>>Aspergillosis
-Alt Tx for candidemia
Term
CYP2C19 Inhibitors

CYP2C19 Inducer
Definition
CYP2C19 Inhibitors:
-Fluvox,Flucon, PPIs
CYP2C19 Inducer: Rifampin
Term
CYP2C19*2
CYP2C19*3
Definition
Loss of function
Term
CYP2C19 *17
Definition
Gain of function
Term
CYP2C19 Normal Metabolizer
Definition
*1/*1
[Use regular dose]
Intermediate metab=*1/*2, *1/*3
[Use regular dose]
Term
CYP2C19 Ultrarapid Metabolizer
Definition
*17/*17
[Choose alt agent]
Term
CYP2C19 rapid Metabolizer
Definition
*1/*17
[Choose alt agent]
Term
CYP2C19 Poor Metabolizer
Definition
*2/*2,*2/*3, *3/*3
[Choose alt agent]
Term
Most poor metabolizers (race)
Definition
ASIAN
Term
MOST ULTRA METABOLIZERS (RACE)
Definition
Caucasian 5%
Afr Amer 4%
Term
Subtherapeutic doses if: ______

Increased conc if:_______
Definition
Subtherapeutic doses if: UM

Increased conc if: PM
Term
Tacrolimus is substrate for
Definition
CYP3A4
-Narrow therapeutic index drug
Term
CYP3A4 Inhibitors:

CYP3A4 Inducers:
Definition
CYP3A4 Inhibitors:Ketoconazole,ritonavir, verapamil

CYP3A4 Inducers:Rifampin, St. johns wart
Term
CYP3A5 can be major contributor to CYP3A activity if
Definition
CYP3A5*1 allele is present
Term
CYP3A5 Extensive metabolizer
Definition
*1/*1
[inc starting dose tacrolimus]
Term
CYP3A5 Intermediate metabolizer
Definition
*1/*3, *1/*6, *1/*7
[inc starting dose tacrolimus]
Term
CYP3A5 EPoor metabolizer
Definition
*3/*3, 6/6, 7/7 3/6 etc
[use regular starting dose tacrolimus]
Term
CYP3A5 most seen in (Race)
Definition
Afr Amer
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