Table 2.
Actionable CPIC® and/or Dutch Working Group Guidelines Available |
Not Actionable Lack Significant HEPATIC Metabolism/Predominant Renal Elimination |
More Research Needed No Current Guidelines or Recommendations |
---|---|---|
* Proton Pump Inhibitors (CYP2C19) * Selective Serotonin Reuptake Inhibitors (CYP2C19, CYP2D6, CYP2B) * Amitriptyline (CYP2C19, CYP2D6) * Ondansetron (CYP2D6) * Tacrolimus (CYP3A5) * Azathioprine (TPMT, NUDT15) * Mercaptopurine (TPMT, NUDT15) |
Miralax Lactulose Famotidine Fluconazole Ursodiol Biologics |
Budesonide (CYP3A4, CYP3A5) Fluticasone (CYP3A4) Erythromycin (CYP3A4) Lorazepam (UGT2B15) Diphenhydramine (CYP2D6) Sirolimus (CYP3A4, CYP3A5) Micafungin (CYP3A4, COMT) Cimetidine (CYP1A2, CYP2C19) Cyproheptadine (multiple UGTs) Prednisone (CYP3A4) Mycophenolate mofetil (multiple UGTs, SLCO1B1) |
* Denotes where oral liquid formulations or extemporaneous preparations of medications with actionable guidelines may be available for easier dosage adjustments based on weight and pharmacogenetic information. For medication classes—select medications may have oral liquid formulations/extemporaneous preparations.