Psychotropic pharmacogenetics in adult populations: From basic science to clinical trials and health economics – An evidence-based overview for decision makers.

Psychotropic pharmacogenetics (PGx) offers significant potential advancements in psychiatric care by optimising medication selection and dosing based on genetic factors. This perspective article highlights the clinical utility, health economic implications and implementation challenges of psychotrop...

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Publicado en:Australian & New Zealand Journal of Psychiatry Vol. 59; no. 11; pp. 950 - 957
Autores principales: Truong, Trang TT, Lago, Juliana, Neil, Jennifer, Wilkes, Fiona A, Barnes, Russell, Hopwood, Malcolm, Singh, Ajeet B
Formato: review Journal Article
Publicado: Sage Publications Inc. Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
      vid: 59
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Psychotropic pharmacogenetics in adult populations: From basic science to clinical trials and health economics – An evidence-based overview for decision makers.
      aug:
        au:
          Truong, Trang TT
          Lago, Juliana
          Neil, Jennifer
          Wilkes, Fiona A
          Barnes, Russell
          Hopwood, Malcolm
          Singh, Ajeet B
        affil: Institute for Mental and Physical Health and Clinical Translation (IMPACT), School of Medicine, Deakin University, Melbourne, VIC, Australia
      sug:
        subj:
          Pharmacogenetics Methods
          Pharmacogenetics Economics
          Psychotropic Drugs Therapeutic Use
          Psychotropic Drugs Adverse Effects
          Psychotropic Drugs Economics
          Mental Disorders Drug Therapy
          Mental Disorders Familial and Genetic
          Individualized Medicine Methods
          Individualized Medicine Economics
          Depression Drug Therapy
          Depression Familial and Genetic
          Schizophrenia Drug Therapy
          Schizophrenia Familial and Genetic
          Adverse Drug Event Prevention and Control
          Oxidoreductases Metabolism
          Cost Benefit Analysis
          Implementation Science
          Australia
          Genetic Screening
          Health Policy
      ab: Psychotropic pharmacogenetics (PGx) offers significant potential advancements in psychiatric care by optimising medication selection and dosing based on genetic factors. This perspective article highlights the clinical utility, health economic implications and implementation challenges of psychotropic PGx, proposing that its broader implementation could enhance patient outcomes and reduce healthcare costs. Landmark studies show that PGx-guided care results in fewer adverse drug reactions and improved medication efficacy, with substantial cost savings compared to traditional prescribing methods. However, implementation barriers persist, particularly in Australia, where knowledge gaps, limited clinical guidelines and funding constraints hinder adoption. Despite challenges such as industry bias and limited data on non-antidepressant psychotropics, robust clinical and economic evidence supports the expanded use of psychotropic PGx, with emerging combinatorial approaches offering promise for future psychiatric treatment.
      pubtype: Academic Journal
      doctype:
        review
        Journal Article
      ougenre: Article
    language: English
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