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University of Groningen Towards personalized management of drug interactions: from drug-drug-interaction to drug- drug-gene-interaction Bahar, Akbar

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University of Groningen

Towards personalized management of drug interactions: from interaction to

drug-drug-gene-interaction

Bahar, Akbar

DOI:

10.33612/diss.112160601

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2020

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Bahar, A. (2020). Towards personalized management of drug interactions: from drug-drug-interaction to drug-drug-gene-interaction. University of Groningen. https://doi.org/10.33612/diss.112160601

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Towards personalized management of drug interactions:

from drug-drug-interaction to drug-drug-gene-interaction

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Paranymphs

Ivan Surya Pradipta Sylvi Irawati

Cover design: Muhammad Nur Amir

Layout: Off Page

Printing Off Page

ISBN (book): 978-94-034-2306-7

ISBN (electronic version): 978-94-034-2307-4

The work presented in this thesis was funded by DIKTI Scholarship, the Ministry of Research, Technology and Higher Education of Republic of Indonesia and the University of Groningen, the Netherlands. This thesis was conducted within the Groningen University Institute for Drug Exploration (GUIDE). Printing of this thesis was financially supported by Faculty of Science and Engineering and the University Library of the University of Groningen.

Copyright © 2019, Muh. Akbar Bahar

No part of this thesis may be reproduced or transmitted in any form by any means, electronically or mechanically by photocopying, recording, or otherwise, without written permission of the author. The copy right of previously published articles of this thesis remains with the publishers or journals.

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Towards personalized management of drug interactions:

from drug-drug-interaction to drug-drug-gene-interaction

PhD thesis

to obtain the degree of PhD at the University of Groningen

on the authority of the Rector Magnificus Prof. C. Wijmenga

and in accordance with the decision by the College of Deans. This thesis will be defended in public on Tuesday 4 February 2020 at 11.00 hours

by

Muh. Akbar Bahar

born on 16 May 1986 in Ujung Pandang, Indonesia

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Supervisors

Prof. B. Wilffert Prof. E. Hak

Assessment Committee

Prof. A. H. Maitland-Van Der Zee Prof. D. J. Touw

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Table of Contents

Chapter 1 General Introduction 9

PART A Burden and Management of Drug-Drug-Interaction

Chapter 2 Prevalence and Accuracy of Information on CYP2D6, CYP2C19, and 23

CYP2C9 related Substrate and Inhibitor Co-prescriptions in the General Population: a Cross-Sectional Descriptive Study as Part of the PharmLines Initiative

Chapter 3 The Burden and Management of Cytochrome P450 2D6 (CYP2D6) 47

Mediated Drug-Drug-Interaction (DDI): Co-medication of Metoprolol and Paroxetine or Fluoxetine in the Elderly

Chapter 4 Discontinuation and Dose Adjustments of Metoprolol after 73

Metoprolol- Paroxetine/Fluoxetine Co-prescriptions in Dutch Elderly

Chapter 5 The Impact of CYP2D6 mediated Drug-Drug-Interaction: 95

a Systematic Review on a Combination of Metoprolol and Paroxetine/Fluoxetine

PART B Influence of CYP450 Polymorphisms on the Magnitude of

Drug-Drug-Interaction and Drug-Drug-Gene-Interaction

Chapter 6 Pharmacogenetics of Drug-Drug-Interaction (DDI) and 119

Drug-Drug-Gene-Interaction (DDGI):

a Systematic Review on CYP2C9, CYP2C19, and CYP2D6

Chapter 7 Impact of Drug-Gene-Interaction, Drug-Drug-Interaction, 179

and Drug-Drug-Gene-Interaction on Switching, Dose Adjustment and Early Discontinuation of (Es)citalopram: an Explorative Cohort Study within the PharmLines Initiative

Chapter 8 Discussion and Future Perspectives 225

Addendum Summary 237

Samenvatting 243 Acknowledgment 247

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