# Pharmacogenetic implementation plan for patients treated with depot antipsychotics

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- Page title: Pharmacogenetic implementation plan for patients treated with depot antipsychotics | WCP 2026 Summary

> Pharmacogenetic testing and therapeutic drug monitoring were successfully integrated into routine psychiatric care in a program involving 540 patients receivin…

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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

SO149

Kısa Sözlü Poster SunumuPsikofarmakolojiGözlemsel uygulama programı

# Pharmacogenetic implementation plan for patients treated with depot antipsychotics

PHARMACOGENETIC IMPLEMENTATION PLAN IN PATIENTS TREATED WITH DEPOT ANTIPSYCHOTICS

Sunan: Olalla M. Maroñas Amigo

Ülke: Spain

Oturum: 2840 - PARALLEL SHORT ORAL POSTER SESSIONS: NEUROSCIENCE & NEUROIMAGING - Part II

Tarih: Thu, 24.09.2026

Pharmacogenetic testing and therapeutic drug monitoring were successfully integrated into routine psychiatric care in a program involving 540 patients receiving long-acting injectable antipsychotics; 45% of patients had a non-normal CYP2D6 metabolizer phenotype.

The study aimed to design and implement a pharmacogenetic (PGx) and pharmacokinetic testing program for patients receiving long-acting injectable (LAI) antipsychotics in the Galician Health Service. Between 2021 and October 2025, 540 patients were enrolled in the program; PGx testing and/or therapeutic drug monitoring (TDM) were requested according to predefined clinical indications, and the results were integrated into the electronic health record (IANUS). Genotyping was performed using real-time PCR with a panel covering CYP2D6, CYP3A4, and ABCB1, including CYP2D6 copy number variation, while plasma levels of aripiprazole, dehydroaripiprazole, risperidone, and paliperidone were measured using a validated UHPLC-MS/MS method. A non-normal CYP2D6 metabolizer phenotype was identified in 45% of patients: normal metabolizers accounted for 55.0%, intermediate metabolizers for 34.4%, poor metabolizers for 6.3%, and ultrarapid metabolizers for 4.3%. CYP3A4 *20/*22 variants were absent in 93.3% of patients, while ABCB1 T allele variants were detected in 10.5%. Most of the 333 patients with concomitant medication data were taking 1 to 6 medications (median 4); potential CYP2D6-mediated drug–gene interactions were identified in 8% of normal metabolizers, primarily due to fluoxetine. TDM comprised 350 measurements in 343 patients; the proportions below, within, and above the target range were 14.4%, 62.6%, and 21.6% for paliperidone; 19.5%, 51.7%, and 27.6% for risperidone; and 21.0%, 66.9%, and 8.9% for aripiprazole. Program effectiveness indicators were reported as clinical follow-up in 54.6%, switching from oral treatment to an LAI in 38.5%, and suspected adverse drug reactions in 6.9%. The results show that PGx and TDM can feasibly be integrated into routine psychiatric care through structured workflows, trained staff, and electronic health record integration; the next step is to prospectively evaluate PGx- and TDM-guided treatment and clinical outcomes.

[Orijinal postere git](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/2005)

Bu çalışmaya nasıl atıf yapılır?

APA 7: Amigo, O. M. M., et al. (2026, September 24). Pharmacogenetic implementation plan in patients treated with depot antipsychotics [Poster presentation]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/2005

Vancouver: Amigo OMM, et al. Pharmacogenetic implementation plan in patients treated with depot antipsychotics [poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/2005

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