Veterans Affairs Palo Alto Health Care System, San Jose Division San Jose California USA
Citations 1
Clinical Pharmacogenetics Implementation Consortium (CPIC) Guideline for
CYP2D6
and
CYP2C19
Genotypes and Dosing of Selective Serotonin Reuptake Inhibitors
Selective serotonin reuptake inhibitors (SSRIs) are primary treatment options for major depressive and anxiety disorders. CYP2D6 and CYP2C19 polymorphisms can influence the metabolism of SSRIs, thereby affecting drug efficacy and safety. We summarize evidence from the published literature supporting these associations and provide dosing recommendations for fluvoxamine, paroxetine, citalopram, escitalopram, and sertraline based on CYP2D6 and/or CYP2C19 genotype (updates at www.pharmgkb.org ).