Quick onset of severe abdominal pain after codeine in an ultrarapid metabolizer of debrisoquine

被引:97
作者
Dalen, P [1 ]
Frengell, C [1 ]
Dahl, ML [1 ]
Sjoqvist, F [1 ]
机构
[1] HUDDINGE UNIV HOSP,DIV CLIN PHARMACOL,DEPT MED LAB SCI & TECHNOL,S-14186 HUDDINGE,SWEDEN
关键词
cytochrome; P-450; genetics; metabolism;
D O I
10.1097/00007691-199710000-00011
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
The authors describe a 33-year-old woman who experienced severe pain in the epigastrium after codeine intake. This side-effect is consistent with that of morphine. Later, the patient was phenotyped and genotyped as an ultrarapid metabolizer with high capacity to metabolize codeine to morphine.
引用
收藏
页码:543 / 544
页数:2
相关论文
共 11 条
  • [1] PREVALENCE OF CYP2D6 GENE DUPLICATION AND ITS REPERCUSSION ON THE OXIDATIVE PHENOTYPE IN A WHITE-POPULATION
    AGUNDEZ, JAG
    LEDESMA, MC
    LADERO, JM
    BENITEZ, J
    [J]. CLINICAL PHARMACOLOGY & THERAPEUTICS, 1995, 57 (03) : 265 - 269
  • [2] Aklillu E, 1996, J PHARMACOL EXP THER, V278, P441
  • [3] HYDROXYLATION POLYMORPHISMS OF DEBRISOQUINE AND MEPHENYTOIN IN EUROPEAN POPULATIONS
    ALVAN, G
    BECHTEL, P
    ISELIUS, L
    GUNDERTREMY, U
    [J]. EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1990, 39 (06) : 533 - 537
  • [4] MOLECULAR-BASIS FOR RATIONAL MEGAPRESCRIBING IN ULTRARAPID HYDROXYLATORS OF DEBRISOQUINE
    BERTILSSON, L
    DAHL, ML
    SJOQVIST, F
    ABERGWISTEDT, A
    HUMBLE, M
    JOHANSSON, I
    LUNDQVIST, E
    INGELMANSUNDBERG, M
    [J]. LANCET, 1993, 341 (8836) : 63 - 63
  • [5] ANALYSIS OF THE CYP2D6 GENE IN RELATION TO DEBRISOQUIN AND DESIPRAMINE HYDROXYLATION IN A SWEDISH POPULATION
    DAHL, ML
    JOHANSSON, I
    PALMERTZ, MP
    INGELMANSUNDBERG, M
    SJOQVIST, F
    [J]. CLINICAL PHARMACOLOGY & THERAPEUTICS, 1992, 51 (01) : 12 - 17
  • [6] DAHL ML, 1995, J PHARMACOL EXP THER, V274, P516
  • [7] A FAMILY AND POPULATION STUDY OF THE GENETIC-POLYMORPHISM OF DEBRISOQUINE OXIDATION IN A WHITE BRITISH-POPULATION
    EVANS, DAP
    MAHGOUB, A
    SLOAN, TP
    IDLE, JR
    SMITH, RL
    [J]. JOURNAL OF MEDICAL GENETICS, 1980, 17 (02) : 102 - 105
  • [8] GENOTYPING OF POOR METABOLIZERS OF DEBRISOQUINE BY ALLELE-SPECIFIC PCR AMPLIFICATION
    HEIM, M
    MEYER, UA
    [J]. LANCET, 1990, 336 (8714) : 529 - 532
  • [9] INHERITED AMPLIFICATION OF AN ACTIVE GENE IN THE CYTOCHROME-P450 CYP2D LOCUS AS A CAUSE OF ULTRARAPID METABOLISM OF DEBRISOQUINE
    JOHANSSON, I
    LUNDQVIST, E
    BERTILSSON, L
    DAHL, ML
    SJOQVIST, F
    INGELMANSUNDBERG, M
    [J]. PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1993, 90 (24) : 11825 - 11829
  • [10] YUE Q, 1997, THER DRUG MONIT, V19