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. 2005 Jul 25;360(1460):1617–1638. doi: 10.1098/rstb.2005.1693

Table 2.

Clinical consequences for PM and ultrarapid EM phenotypes of CYP2D6.

clinical consequences for the PM
increased risk of toxicity
debrisoquine postural hypotension and physical collapse
sparteine oxytocic effects
perphenazine extrapyramidal symptoms
flecainide possibly ventricular tachyarrhythmias
perhexiline neuropathy and hepatotoxicity
phenformin lactic acidosis
propafenone CNS toxicity and bronchoconstriction
metoprolol loss of cardioselectivity
nortriptyline hypotension and confusion
terikalant excessive prolongation in QT interval
dexfenfluramine nausea, vomiting and headache
l-tryptophan eosinophilia-myalgia syndrome
indoramin sedation
thioridazine excessive prolongation in QT interval
tramadol hyper-anticoagulation from warfarin
failure to respond
codeine poor analgesic efficacy
tramadol poor analgesic efficacy
opiates protection from oral opiate dependence
clinical consequences for the ultrarapid EM
increased risk of toxicity
encainide possibly proarrhythmias
codeine morphine toxicity
failure to respond
nortriptyline poor antidepressant efficacy at normal doses
propafenone poor antiarrhythmic efficacy at normal doses
tropisetron poor antiemetic efficacy at normal doses
ondansetron poor antiemetic efficacy at normal doses