CYP2B6 and ABCB1 genotypes predict methadone plasma exposure among patients on maintenance therapy against opioid addictions in Tanzania.
Sabina MugusiRajabu Hussein MnkugweAnna A SangaAzreen SalahuddinVictoria BarclayGrace ShayoMarja-Liisa DahlEleni AklilluPublished in: British journal of clinical pharmacology (2024)
Approximately one in six opioid-addicted Tanzanian patients are methadone slow metabolizers, influenced by genetic factors. Both the CYP2B6 and ABCB1 genotypes are strong predictors of methadone metabolic capacity and plasma exposure. Further investigation is needed to determine their predictive value for methadone treatment outcomes and to develop genotype-based dosing algorithms for safe and effective therapy.