Table 3.
Adjusted odds of poor pain control or other adverse reaction following the prescription of an opioid medication among poor/ultrarapid CYP2D6 metabolizers compared to intermediate to extensive metabolizers
CYP2D6 metabolizer status | Poor pain controla
|
Adverse reactiona
|
Any problema
|
||||||
---|---|---|---|---|---|---|---|---|---|
OR | 95% CI | p-value | OR | 95% CI | p-value | OR | 95% CI | p-value | |
All patients | 2.63 | 1.19, 5.83 | 0.02 | 1.77 | 0.87, 3.57 | 0.11 | 2.40 | 1.35, 4.28 | 0.003 |
Excluded patients prescribed a CYP2D6 inhibitor | 2.15 | 0.87, 5.32 | 0.10 | 2.53 | 1.12, 5.70 | 0.03 | 2.68 | 1.39, 5.17 | 0.003 |
Excluded patients prescribed a CYP2D6 inhibitor and a *2A/*2A genotype | 1.74 | 0.65, 4.66 | 0.27 | 2.51 | 1.07, 5.90 | 0.03 | 2.49 | 1.25, 4.95 | 0.01 |
Patients prescribed only oxycodone or hydrocodone, excluding patients prescribed a CYP2D6 inhibitor and a *2A/*2A genotype | 1.71 | 0.55, 5.30 | 0.35 | 2.08 | 0.67, 6.49 | 0.21 | 2.23 | 0.94, 5.25 | 0.07 |
Notes:
Results are compared to intermediate to extensive CYP2D6 metabolizers and are adjusted for age and sex.