Effects of CYP2C19*2 polymorphisms on the efficacy and safety of phenazepam in patients with anxiety disorder and comorbid alcohol use disorder

Author:

Zastrozhin Michael S12ORCID,Skryabin Valentin Y1,Torrado Marco3,Petrovna Anastasiya1,Sorokin Alexander S1,Grishina Elena A2,Ryzhikova Kristina A2,Bedina Inessa A1,Buzik Oleg Z1,Chumakov Egor M45,Savchenko Ludmila M2,Brun Evgeny A12,Sychev Dmitry A2

Affiliation:

1. Moscow Research & Practical Centre on Addictions of the Moscow Department of Healthcare, 37/1 Lyublinskaya Street, Moscow 109390, Russian Federation

2. Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, 2/1 Barrikadnaya Street, Moscow 123995, Russian Federation

3. University of Lisbon, Faculty of Medicine, ISAMB (Instituto de Saúde Ambiental) venida Professor Egas Moniz (Edifício comum ao Hospital de Santa Maria), 1649-028 Lisboa, Portugal

4. Saint-Petersburg State University, Department of Psychiatry & Addictions, Saint-Petersburg, Russian Federation

5. Saint-Petersburg Psychiatric Hospital No. 1 named after PP Kaschenko, Day In-Patient Department, Saint-Petersburg, Russian Federation

Abstract

Introduction: Phenazepam therapy can often be ineffective and some patients develop dose-related adverse drug reactions. Aim. The purpose of this research was to study the effect of the CYP2C19*2 (681G>A, rs4244285) in patients with anxiety disorders and alcohol dependence taking phenazepam therapy. Materials & methods: Patients (175 males, average age: 37.16 ± 7.84 years) received phenazepam in tablet form for 5 days. Genotyping was performed by real-time polymerase chain reaction. Results: The statistically significant differences in the UKU Side-Effect Rating Scale scores on the fifth day of therapy: ( CYP2C19*1/*1) 2.00 [1.00; 2.00), ( CYP2C19*1/*2) 7.00 (7.00; 7.00), ( CYP2C19*2/*2) 9.00 (8.00; 9.00), p < 0.001. Conclusion: This study demonstrated the different efficacy and safety of phenazepam in patients with different genotypes of CYP2C19*2.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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