Commentary

Clinical Pharmacology & Therapeutics (2007) 81, 323–325. doi:10.1038/sj.clpt.6100080

Enhancing Race-Based Prescribing Precision with Pharmacogenomics

A Nguyen1, Z Desta1 and D A Flockhart1

1Division of Clinical Pharmacology, Indiana University School of Medicine, Indianapolis, Indiana, USA

Correspondence: A Nguyen, (annnguye@iupui.edu)

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Abstract

In the world of medicine and therapeutics, race and ethnicity might reasonably be considered as biomarkers or predictors of drug effect. Recognizing that all biomarkers are imperfect, self-reported race can be viewed as a complex combination of genetic and nongenetic biomarkers that is used by prescribing physicians as a predictor of drug effect. The use of pharmacogenetic markers, such as haplotypes, patterns of candidate genes, and specific genotypes, may be used to enhance the precision of race-based prescribing and, when possible, should be combined with nongenetic predictors of responses to optimize the individualization of therapy.

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