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Volume 358:2741-2744 June 19, 2008 Number 25
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Genetics of Warfarin Response

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 by Schwarz, U. I.
To the Editor: In the study reported by Schwarz et al. (March 6 issue),1 specific genetic variants related to warfarin metabolism reduced the time to the first therapeutic and supratherapeutic international normalized ratio (INR) tests. A pharmacogenetic-guided dosing algorithm for warfarin,2 however, did not increase the time in the therapeutic range or reduce the proportion of supratherapeutic INR values. An exploratory analysis suggested that the algorithm may be useful for genetic subtypes. Although scientific discourse about personalized medicine has focused on pharmacogenomics, this view limits the extent to which discovery can improve the public's health. My research group has shown . . . [Full Text of this Article]




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