ABCB1 (MDR1) gene polymorphisms are associated with neuropsychiatric <strong>adverse</strong> <strong>effects</strong> of mefloquine neuropsychiatric events independent of mefloquine use cannot be entirely excluded in our study of mefloquine users. Finally, in different ethnic groups other SNPs may be linked with the 1236-2677-3435 haplotypes and frequencies of the different SNPs and haplotypes may differ. It is therefore unknown whether the results from this study can be generalized <strong>to</strong> other ethnic groups. In conclusion, we found that the MDR1 C1236T, G2677T and C3435T SNPs, along with the C1236T-G2677T-C3435T TTT haplotype, were associated with neuropsychiatric <strong>adverse</strong> <strong>effects</strong> <strong>to</strong> mefloquine in women. MDR1 polymorphisms may therefore play an important role in predicting the occurrence of neuropsychiatric <strong>adverse</strong> <strong>effects</strong> of mefloquine, particularly in female subjects. 69
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