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pubmed-article:14970301pubmed:abstractTextDrug metabolism may be perturbed by genetically determined differences in the metabolic activity of cytochrome P450 enzymes. The authors encountered extensive bleeding in a patient receiving warfarin for anticoagulation after the introduction of celecoxib, an anti-inflammatory drug. As the CYP2C9 enzyme metabolises these drugs, it was determined whether variant alleles were responsible for altering warfarin handling. Genetic analysis established that the patient was a compound heterozygote with CYP2C9*2 and *3 variant alleles, which exhibit lower drug metabolising capacity and enhance susceptibility to drug toxicity.lld:pubmed
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pubmed-article:14970301pubmed:dateRevised2009-10-22lld:pubmed
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pubmed-article:14970301pubmed:articleTitleWarfarin and celecoxib interaction in the setting of cytochrome P450 (CYP2C9) polymorphism with bleeding complication.lld:pubmed
pubmed-article:14970301pubmed:affiliationMarion Bessin Liver Research Center and Department of Medicine, Albert Einstein College of Medicine, New York, USA.lld:pubmed
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