5 курс / Психиатрия и наркология для детей и взрослых (доп.) / КЛИНИЧЕСКАЯ_ПСИХОФАРМАКОГЕНЕТИКА
.pdfКЛИНИЧЕСКАЯ ПСИХОФАРМАКОГЕНЕТИКА
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Приложение 2 |
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Метаболизм антидепрессантов |
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Лекарственное средство |
Путь |
Фермент |
Гены |
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Источник |
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(МНН) |
метаболизма |
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CYP2C19 |
CYP2C19 |
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Амитриптилин |
Метаболизируется в печени |
CYP2D6 |
CYP2D6 |
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26 |
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CYP3A4 |
CYP3A4 |
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СYP1A2 |
СYP1A2 |
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Вальдоксан |
Метаболизируется в печени |
CYP1A2 |
CYP1A2 |
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27 |
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CYP2C9 |
CYP2C9 |
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CYP2D6 |
CYP2D6 |
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Венлафаксин |
Метаболизируется в печени |
CYP3A4 |
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28, 29 |
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CYP3A4 CYP2C19 |
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CYP2C19 |
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CYP2D6 |
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CYP2D6 |
CYP3A4 |
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CYP3A5 |
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CYP3A4 |
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CYP2C9 |
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Вортексетин |
Метаболизируется в печени |
CYP3A5 CYP2C9 |
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30 |
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CYP2C19 |
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CYP2C19 CYP2A6 |
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CYP2A6 |
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CYP2C8 CYP2B6 |
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CYP2C8 |
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CYP2B6 |
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Дулоксетин |
Метаболизируется в печени |
CYP2D6 |
CYP2D6 |
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3, 13 |
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CYP1А2 |
CYP1А2 |
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Имипрамин |
Метаболизируется в печени |
CYP2D6 CYP2C19 |
CYP2D6 CYP2C19 |
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32 |
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Кломипрамин |
Метаболизируется в печени |
CYP2D6 |
CYP2D6 |
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33 |
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Миансерин |
Метаболизируется в печени |
CYP2D6 |
CYP2D6 |
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34 |
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CYP1A2 |
CYP1A2 |
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Метаболизируется в печени в малой |
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Милнаципран |
степени |
UGT2B7 |
UGT2B7 |
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35, 36, 37 |
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Выводится с мочой в форме |
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глюкуронида |
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Пароксетин |
Метаболизируется в печени |
CYP2D6 CYP3A4 |
CYP2D6 CYP3A4 |
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38, 39 |
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CYP2C9 |
CYP2C9 |
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CYP3A4 CYP2C19 |
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CYP3A4 CYP2C19 CYP2D6 |
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CYP2D6 |
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CYP2B6 |
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CYP2B6 |
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UGT1A3 |
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Сертралин |
Метаболизируется в печени |
UGT1A3 |
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40, 41 |
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UGT1A6 |
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UGT1A6 |
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UGT2B7 |
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UGT2B7 |
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MAOA |
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MAO-A |
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MAOB |
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MAO-B |
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Тразадон |
Метаболизируется в печени |
CYP3A4 |
CYP3A4 |
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42 |
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CYP1A2 |
CYP1A2 |
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Флуоксамин |
Метаболизируется в печени |
CYP3A4 |
CYP3A4 |
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43, 44 |
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CYP2D6 |
CYP2D6 |
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CYP3A4 |
CYP3A4 |
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CYP2D6 |
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Флуоксетин |
Метаболизируется в печени |
CYP2D6 |
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45 |
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CYP2C19 |
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CYP2C19 CYP3A5 |
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CYP3A5 |
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CYP2C19 CYP3A4 |
CYP2C19 |
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Циталопрам |
Метаболизируется в печени |
CYP3A4 |
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46, 47 |
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CYP2D6 |
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CYP2D6 |
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CYP3A4, CYP2C19 |
CYP3A4, CYP2C19 |
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Эсциталопрам |
Метаболизируется в печени |
CYP2D6 |
CYP2D6 |
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47, 48, 49 |
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MAO-A |
MAOA |
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MAO-B |
MAOB |
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400
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ПРИЛОЖЕНИЯ |
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Приложение 3 |
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Метаболизм противоэпилептических препаратов |
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Лекарственное средство |
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Путь метаболизма |
Фермент |
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Гены |
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Источник |
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(МНН) |
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CYP3A4 |
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CYP3A4 |
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Вальпроевая кислота |
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Метаболизируется в печени |
CYP2C9 |
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CYP2C9 |
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50 |
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CYP2C19 |
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CYP2C19 |
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CYP2D6 |
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CYP2D6 |
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CYP3A4 |
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CYP3A4 |
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CYP3A5 |
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CYP3A5 |
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CYP2C8 |
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CYP2C8 |
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Карбамазепин |
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Метаболизируется в печени |
CYP3A4 |
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CYP3A4 |
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51, 52, 53, 54 |
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CYP2B6 |
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CYP2B6 |
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CYP2A6 |
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CYP2A6 |
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CYP1A2 |
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CYP1A2 |
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CYP2C19 |
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CYP2C19 |
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Ламотриджин |
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Метаболизируется в печени |
UGT1A4 UGT2B7 |
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UGT1A4 |
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55 |
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UGT2B7 |
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Не метаболизируется в печени, |
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Леветирацетам |
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выделяется с мочой в неизмененном |
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виде(66%) и в форме неактивного |
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метаболита(24%) |
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Топирамат |
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Не метаболизируется в печени, выводится |
- |
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57 |
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с мочой в неизмененном виде(70%) |
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Приложение4 |
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Метаболизм препаратов, применяемых для лечения болезней зависимости |
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Лекарственное средство |
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Путь |
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Фермент |
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Гены |
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Источник |
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(МНН) |
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метаболизма |
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Акампросат |
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Не метаболизируется в печени, выделяется с мочой в |
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58 |
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неизмененном виде |
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Метаболизируется в печени в малой степени, выделяется |
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Баклофен |
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с мочой и калом в неизмененном виде (~85%) и в форме |
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дезаминированного метаболита (~15%) |
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CYP3A4 |
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CYP3A4 |
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Бупренорфин |
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Метаболизируется в печени, выделяется с желчью |
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CYP2C8 |
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CYP2C8 |
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60 |
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UGT1A1 |
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UGT1A1 |
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UGT2B7 |
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UGT2B7 |
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CYP2B6 |
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CYP2B6 |
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Бупропион |
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Метаболизируется в печени |
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CYP2C19 |
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CYP2C19 |
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61, 62, 63 |
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11β-HSD1 |
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HSD11B1 |
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Варениклин |
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Не метаболизируется в печени, экскретируется с мочой в |
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64 |
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неизменном виде |
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Дисульфирам |
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Метаболизируется в печени |
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CYP2E1 |
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CYP2E1 |
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65 |
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UGTs |
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CYP3A4 |
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CYP3A4 |
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Метадон |
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Метаболизируется в печени |
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CYP2B6 |
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CYP2B6 |
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66 |
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CYP2D6 |
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CYP2D6 |
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UGT2B7 |
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UGT2B7 |
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Налмефен |
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Метаболизируется в печени |
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UGT1A3 |
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UGT1A3 |
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67 |
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UGT1A8 |
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UGT1A8 |
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Дигидродиол- |
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Налтрексон |
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Метаболизируется в печени |
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дегидрогеназа |
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DHDH |
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68 |
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(EC 1.3.1.60) |
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CYP3A4 |
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CYP3A4 |
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Ондансетрон |
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Метаболизируется в печени |
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CYP1A2 |
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CYP1A2 |
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69 |
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CYP2D6 |
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CYP2D6 |
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Прегабалин |
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Не метаболизируется в печени, экскретируется с мочой в |
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70 |
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неизменном виде |
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Рекомендовано к покупке и изучению сайтом МедУнивер - https://meduniver.com/
КЛИНИЧЕСКАЯ ПСИХОФАРМАКОГЕНЕТИКА
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