Drugs

Continuously updated · last reviewed Sep 23, 2026

The same pharmacogenomics that sits on our condition pages, read from the other end. People rarely arrive asking about SLCO1B1 — they arrive having been prescribed a statin. Each page below collects what published guidelines say about one drug, names the genes involved, and links to the variants your own file would contain.

Supplements — kept apart, with the evidence stated on each →

None of this is dosing guidance. Where a clinical guideline exists it is written for prescribers, and the pages say so. Nothing here is a reason to start, stop or change a medication.

All 55 ADHD (non-stimulant) 1 Acid suppression 1 Alzheimer disease therapy 1 Anaesthetic 1 Analgesic 3 Antibiotic 1 Anticoagulant 2 Antidepressant 1 Antidiabetic (first-line) 1 Antiemetic 1 Antifungal 1 Antihypertensive 1 Antihypertensive (thiazide diuretic) 1 Antimalarial 1 Antiplatelet 2 Antipsychotic 1 Antiretroviral 3 Antiseizure 4 Antiviral 1 Beta blocker 1 CFTR modulator 3 Cardiac safety 1 Chemotherapy 2 Cholesterol-lowering 1 Contraceptive 1 Dependence 1 Diabetes 1 Hormonal therapy 1 IBD therapy 1 Immunosuppressant 3 Multiple sclerosis therapy 1 Palatability 1 TTR silencer 1 TTR stabiliser 2 Tricyclic 1 Triglyceride-lowering 1 Urate-lowering 1 Uric acid lowering 1 Various 1 Wake-promoting 1
Immunosuppressant

Tacrolimus

The standard starting dose was calibrated on people whose CYP3A5 does not work, because in Europe that is most people. The ones whose enzyme is intact get too little — in the first days after a transplant, when too little means rejection.

CYP3A5

See what the research says →
Immunosuppressant

Mycophenolic Acid

This drug's own label carries a warning that runs the opposite direction from most on this site: not a dosing adjustment based on a metabolism gene, but a caution rooted in a separate, rare genetic disease -- the same one behind a severe inherited form of gout.

HPRT1

See what the research says →
Immunosuppressant

Thiopurines

Azathioprine and mercaptopurine, used in inflammatory bowel disease and leukaemia. Two genes decide how much a person can tolerate, and testing before the first dose is standard practice in many hospitals.

TPMT · NUDT15

See what the research says →

Questions about drugs on this site

What is a "drug" page on this site?

The same pharmacogenomics already published on our condition pages, read from the drug side instead: what published guidelines say about one medicine, which genes are involved, and the variants your own file would contain.

Is any of this dosing guidance?

No. Where a clinical guideline exists it is written for prescribers, and nothing here is a reason to start, stop or change a medication — that belongs with the clinician or pharmacist managing treatment.

Why are supplements kept separate from drugs?

Because almost nothing sold as a supplement has a prescribing guideline behind it the way a drug does, and listing the two together would lend the second the authority of the first.

How are genes matched to a drug page?

By gene symbol as a whole word, gathered from the pgx_notes already published on the condition pages that discuss each drug — not a second, separate copy of that information.