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. 2017 Jul 24;10:217–227. doi: 10.2147/PGPM.S136341

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:

a

Results are compared to intermediate to extensive CYP2D6 metabolizers and are adjusted for age and sex.