PMID- 23232549 OWN - NLM STAT- MEDLINE DCOM- 20130226 LR - 20240512 IS - 1532-6535 (Electronic) IS - 0009-9236 (Print) IS - 0009-9236 (Linking) VI - 93 IP - 2 DP - 2013 Feb TI - Clinical Pharmacogenetics Implementation Consortium guidelines for human leukocyte antigen-B genotype and allopurinol dosing. PG - 153-8 LID - 10.1038/clpt.2012.209 [doi] AB - Allopurinol is the most commonly used drug for the treatment of hyperuricemia and gout. However, allopurinol is also one of the most common causes of severe cutaneous adverse reactions (SCARs), which include drug hypersensitivity syndrome, Stevens-Johnson syndrome, and toxic epidermal necrolysis. A variant allele of the human leukocyte antigen (HLA)-B, HLA-B*58:01, associates strongly with allopurinolinduced SCAR. We have summarized the evidence from the published literature and developed peer-reviewed guidelines for allopurinol use based on HLA-B genotype. FAU - Hershfield, M S AU - Hershfield MS AD - Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA. FAU - Callaghan, J T AU - Callaghan JT FAU - Tassaneeyakul, W AU - Tassaneeyakul W FAU - Mushiroda, T AU - Mushiroda T FAU - Thorn, C F AU - Thorn CF FAU - Klein, T E AU - Klein TE FAU - Lee, M T M AU - Lee MT LA - eng GR - U01 HL105198/HL/NHLBI NIH HHS/United States GR - R24 GM061374/GM/NIGMS NIH HHS/United States GR - GM61374/GM/NIGMS NIH HHS/United States GR - U01 GM061374/GM/NIGMS NIH HHS/United States GR - U01 GM092666/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Practice Guideline PT - Research Support, N.I.H., Extramural DEP - 20121017 PL - United States TA - Clin Pharmacol Ther JT - Clinical pharmacology and therapeutics JID - 0372741 RN - 0 (Gout Suppressants) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B*58:01 antigen) RN - 63CZ7GJN5I (Allopurinol) SB - IM MH - Alleles MH - Allopurinol/*administration & dosage/adverse effects MH - Dose-Response Relationship, Drug MH - Genotype MH - Gout/drug therapy MH - Gout Suppressants/*administration & dosage/adverse effects MH - HLA-B Antigens/*genetics MH - Humans MH - Hyperuricemia/drug therapy MH - Pharmacogenetics MH - Stevens-Johnson Syndrome/chemically induced/etiology/*genetics PMC - PMC3564416 EDAT- 2012/12/13 06:00 MHDA- 2013/02/27 06:00 PMCR- 2013/02/01 CRDT- 2012/12/13 06:00 PHST- 2012/12/13 06:00 [entrez] PHST- 2012/12/13 06:00 [pubmed] PHST- 2013/02/27 06:00 [medline] PHST- 2013/02/01 00:00 [pmc-release] AID - clpt2012209 [pii] AID - 10.1038/clpt.2012.209 [doi] PST - ppublish SO - Clin Pharmacol Ther. 2013 Feb;93(2):153-8. doi: 10.1038/clpt.2012.209. Epub 2012 Oct 17.