The pharmacogenetics of coumarin therapy

Author:

Voora Deepak1,McLeod Howard L1,Eby Charles1,Gage Brian F12

Affiliation:

1. Washington University School of Medicine, Departments of Medicine and of Pathology, St. Louis, MO, USA

2. Washington University School of Medicine, Division of General Medical Sciences, Campus Box 8005, 660 S. Euclid Ave., St. Louis, MO, 63110, USA.

Abstract

Vitamin K antagonists (coumarins) are widely-used oral anticoagulants for the prevention of venous thromboembolism and strokes. Wide inter-individual variation in dose response and frequent bleeds characterize the initiation of coumarin therapy. Over the past 10 years both genetic and nongenetic determinants of coumarin dose response have been identified. A comprehensive pharmacogenetics approach to warfarin therapy has the potential to improve the safety and efficiency of warfarin initiation.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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