Pharmacogenomics · Pharmacology

TPMT genotyping is used to guide the dosing of which class of drugs?

  1. Statins (e.g., atorvastatin)
  2. Thiopurines (e.g., azathioprine)
  3. Proton pump inhibitors (e.g., omeprazole)
  4. Beta-blockers (e.g., propranolol)
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Correct answer: Thiopurines (e.g., azathioprine)

TPMT is responsible for metabolizing thiopurine drugs. Patients with low or absent TPMT activity will accumulate toxic levels of thioguanine nucleotides, leading to severe bone marrow suppression if standard doses are used.

Difficulty: Medium Question 7 of 20

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