Table 2:
Medication | Annual prescription prevalence per 100,000 patientsa | 95% CI lower | 95% CI upper | Gene | Actionable phenotypeb | Annual estimated gene-drug interaction per 100,000 patients | 95% CI lower | 95% CI upper |
---|---|---|---|---|---|---|---|---|
Ondansetron | 8,495 | 8,474 | 8,516 | CYP2D6 | UM | 309 | 308 | 309 |
Oxycodone | 6,647 | 6,627 | 6,667 | CYP2D6 | PM, IM, UM | 1,137 | 1,134 | 1,141 |
Tramadol | 2,506 | 2,490 | 2,522 | CYP2D6 | PM, IM, UM | 438 | 435 | 441 |
Simvastatin | 2,066 | 2,056 | 2,076 | SLCO1B1 | PF, DF | 510 | 507 | 512 |
Codeine | 1,091 | 1,083 | 1,099 | CYP2D6 | PM, IM, UM | 189 | 188 | 191 |
Succinylcholine | 1,020 | 1,011 | 1,029 | CACNA1S | Positivec | < 1 | < 1 | < 1 |
Succinylcholine | 1,020 | 1,011 | 1,029 | RYR1 | Positivec | 1 | 1 | 1 |
Citalopram | 1,016 | 1,008 | 1,023 | CYP2C19 | PM, RM, UM | 339 | 336 | 341 |
Clopidogrel | 879 | 872 | 886 | CYP2C19 | PM, IM | 285 | 283 | 288 |
Warfarin | 851 | 844 | 857 | CYP2C9 | PM, IM | 277 | 275 | 279 |
Warfarin | 851 | 844 | 857 | VKORC1 | Carrierd | 473 | 469 | 476 |
Escitalopram | 677 | 671 | 682 | CYP2C19 | PM, RM, UM | 227 | 225 | 229 |
Amitriptyline | 674 | 668 | 681 | CYP2C19 | PM, RM, UM | 222 | 220 | 225 |
Amitriptyline | 674 | 668 | 681 | CYP2D6 | PM, IM, UM | 117 | 116 | 118 |
Allopurinol | 629 | 622 | 636 | HLA-B*58:01 | Positivec | 26 | 26 | 26 |
Only drugs with a prevalence ≥ 500 per 100,000 patients included. See Supplemental Table 3 for the other CPIC Level A drugs.
Actionable phenotype defined as a phenotype that would prompt a prescribing action according to CPIC guidance.
Positive is defined as harboring an actionable genetic variant.
Carrier is defined as a VKORC1 c-1639G>A heterozygote or homozygote. Abbreviations are as follows: UM=ultrarapid metabolizer, RM=rapid metabolizer, IM=intermediate metabolizer, PM=poor metabolizer, DF=decreased function, PF=poor function