TABLE 2.
Depression treatment characteristic | Received a single‐gene CYP2D6 or CYP2C19 test within 365 days of index depression diagnosis (n = 1795) |
---|---|
Filled an antidepressant, n (%) | 1059 (59.0) |
Days to earliest fill, mean (SD), median | 80.1 (100.6), 29 |
Filled an antidepressant with a CPIC guideline indicating a potential drug–gene interaction with CYP2D6 or CYP2C19, n (%) a | 519 (49.0) |
Class of index AD fill, n (%) | |
SSRIs | 567 (53.5) |
SNRIs | 153 (14.5) |
Tricyclic ADs | 69 (6.5) |
Tetracyclic ADs | 45 (4.2) |
MAOIs | 1 (0.09) |
Newer‐generation ADs | 224 (21.1) |
Timing of antidepressant fill relative to pharmacogenetic test, n (%) | |
Prior to receipt of the pharmacogenetic test | 601 (56.8) |
Within 0–14 days after the pharmacogenetic test | 140 (13.2) |
>14 days after the pharmacogenetic test | 318 (30.0) |
Abbreviations: AD, antidepressant; CPIC, Clinical Pharmacogenetics Implementation Consortium; MAOI, monoamine oxidase inhibitor; SNRI, serotonin and norepinephrine reuptake inhibitor; SSRI, selective serotonin reuptake inhibitor.
Antidepressants with a CPIC guideline indicating a drug–gene interaction with CYP2D6 or CYP2C19 include amitriptyline, clomipramine, doxepin, imipramine, trimipramine, nortriptyline, desipramine, trimipramine, protriptyline, paroxetine, and fluvoxamine, citalopram, escitalopram, sertraline.