Interview Highlights
- For poor metabolizers of 2C19, citalopram dosage should not exceed 20 mg, as recommended by the FDA, and that applies to about 20% of the Caucasian population.
- Poor metabolizers of 2C19 may actually benefit more from citalopram or escitalopram, even though they may experience more initial side effects.
- Without doing genetic testing, we cannot reliably predict who will be a poor metabolizer based only on whether or not patients experience more side effects than usual.
Text Version
This edition of Psychopharmacology Institute’s Expert Interviews features Simon Kung, M.D. Dr. Kung is an associate professor of psychiatry at Mayo Clinic. In this interview, he will be discussing pharmacogenetic testing in psychiatry, with a focus on how to make genetic testing more useful when carrying out clinical decisions.
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