Pharmacogenomics: an Update for Child and Adolescent Psychiatry.

Abstract:

PURPOSE OF REVIEW:This paper aims to acquaint child and adolescent psychiatrists with the field of pharmacogenomics (PGX) and review the most up-to-date evidence-based practices to guide the application of this field in clinical care. RECENT FINDINGS:Despite much research being done in this area, the field of PGX continues to yield controversial findings. In the adult world, studies have focused on the impact of combinatorial gene panels that guide medication selection by providing reports that estimate the impact of multiple pharmacodynamic and pharmacokinetic genes, but to date, these have not been directly examined in younger patient populations. Pharmacokinetic genes, CYP2D6 and CYP2C19, and hypersensitivity genes, HLA-A and HLA-B, have the strongest evidence base for application to pharmacotherapy in children. Although the field is evolving, and the evidence is mixed, there may be a role for PGX testing in children to help guide dosing and monitoring strategies. However, evidence-based medicine, rather than PGX testing, continues to play the lead role in guiding medication selection in pediatric psychopharmacology.

journal_name

Curr Psychiatry Rep

authors

Namerow LB,Walker SA,Loftus M,Bishop JR,Ruaño G,Malik S

doi

10.1007/s11920-020-01145-4

subject

Has Abstract

pub_date

2020-05-06 00:00:00

pages

26

issue

5

eissn

1523-3812

issn

1535-1645

pii

10.1007/s11920-020-01145-4

journal_volume

22

pub_type

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