Genetic determinants of ASMS pharmacokinetics
Antiepileptic drug | Genetic polymorphisms | Implications | Reference(s) |
---|---|---|---|
Valproic acid | CYP2C93, CYP2A64 | Influence on plasma concentrations may require dosage adjustments | [14] |
Phenytoin | CYP2C92, CYP2C93, CYP2C19*2 | Reduced metabolism rate, unclear effects on CYP2C19*2, need for dosage adjustments.CYP2C19 mutations: Carriers may require reduced maintenance doses.CYP2C93: Associated with increased risk of severe cutaneous adverse reactions | [15–17] |