Pharmacogenomics

The main pharmacogenes, the drugs involved, their recommendation level (CPIC, RNPGx) and evidence level (PharmGKB/ClinPGx). Each gene links to its page and the related Geno'X bibliographic watch.

CYP2C19
Level APharmGKB 1A16 art.

clopidogrel, voriconazole, antidepressants (citalopram, escitalopram, sertraline, amitriptyline), proton-pump inhibitors

CPIC level A · RNPGx advised (antidepressants)

CYP2D6
Level APharmGKB 1A11 art.

codeine and tramadol (opioids), tamoxifen, tricyclic antidepressants, SSRIs (paroxetine, fluvoxamine), atomoxetine, ondansetron

CPIC level A · RNPGx advised (antidepressants)

DPYD
Level APharmGKB 1A10 art.

fluoropyrimidines: 5-fluorouracil, capecitabine, tegafur

CPIC level A · RNPGx "essential" (DPD deficiency screening)

CYP3A5
Level APharmGKB 1A3 art.

tacrolimus

CPIC level A

HLA-B
Level APharmGKB 1A2 art.

abacavir (*57:01), carbamazepine / oxcarbazepine / phenytoin (*15:02), allopurinol (*58:01)

CPIC level A · RNPGx essential (abacavir)

NUDT15
Level APharmGKB 1A2 art.

thiopurines: azathioprine, 6-mercaptopurine, 6-thioguanine

CPIC level A

UGT1A1
Level APharmGKB 1A2 art.

irinotecan; atazanavir

Irinotecan: RNPGx "essential", FDA/DPWG (no dedicated CPIC guideline). Atazanavir: CPIC level A.

CYP2C9
Level APharmGKB 1A1 art.

warfarin, NSAIDs, phenytoin, fluvastatin

CPIC level A

SLCO1B1
Level APharmGKB 1A1 art.

statins (notably simvastatin) — myopathy risk

CPIC level A

TPMT
Level APharmGKB 1A1 art.

thiopurines: azathioprine, 6-mercaptopurine, 6-thioguanine

CPIC level A · RNPGx "essential"

VKORC1
Level APharmGKB 1A1 art.

warfarin and vitamin-K antagonists

CPIC level A (with CYP2C9)

CYP1A2
Emerging1 art.

clozapine, caffeine

Limited / emerging evidence

NAT2
Emerging1 art.

isoniazid, hydralazine, sulfonamides

Emerging evidence

CYP3A4
3 art.

many substrates (immunosuppressants, statins, calcium-channel blockers)

No dedicated CPIC guideline

Level A = supported prescribing recommendation (source shown per row). PharmGKB 1A = pair backed by a CPIC or medical-society guideline. Indicative, non-exhaustive list — refer to current guidelines.