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Genetic susceptibility to adverse drug effects - Epidemiology ...

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ABCB1 (MDR1) gene polymorphisms are associated with neuropsychiatric <strong>adverse</strong> <strong>effects</strong> of mefloquine<br />

neuropsychiatric events independent of mefloquine use cannot be entirely excluded in our<br />

study of mefloquine users. Finally, in different ethnic groups other SNPs may be linked with<br />

the 1236-2677-3435 haplotypes and frequencies of the different SNPs and haplotypes may<br />

differ. It is therefore unknown whether the results from this study can be generalized <strong>to</strong> other<br />

ethnic groups.<br />

In conclusion, we found that the MDR1 C1236T, G2677T and C3435T SNPs, along with the<br />

C1236T-G2677T-C3435T TTT haplotype, were associated with neuropsychiatric <strong>adverse</strong> <strong>effects</strong><br />

<strong>to</strong> mefloquine in women. MDR1 polymorphisms may therefore play an important role in<br />

predicting the occurrence of neuropsychiatric <strong>adverse</strong> <strong>effects</strong> of mefloquine, particularly in<br />

female subjects.<br />

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