A comparative study of sertraline dosages, plasma concentrations, efficacy and adverse reactions in Chinese versus Caucasian patients

This prospective 6-week study examined the differences in dosage and steady state plasma concentrations of sertraline in Chinese versus Caucasian depressed patients. Two groups of Chinese patients from different geographical sites and a group of Caucasian patients were evaluated with clinical measur...

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Main Authors: Ng, Chee Hong, Norman, Trevor R., Naing, Khin Ohnmar, Schweitzer, Isaac, Kong, Brian Wai Ho, Fan, Agnes, Klimidis, Steven
Format: Article
Language:English
Published: Lippincott Williams & Wilkins 2006
Online Access:http://psasir.upm.edu.my/id/eprint/40426/
http://psasir.upm.edu.my/id/eprint/40426/1/A%20comparative%20study%20of%20sertraline%20dosages%2C%20plasma%20concentrations%2C%20efficacy%20and%20adverse%20reactions%20in%20Chinese%20versus%20Caucasian%20patients.pdf
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author Ng, Chee Hong
Norman, Trevor R.
Naing, Khin Ohnmar
Schweitzer, Isaac
Kong, Brian Wai Ho
Fan, Agnes
Klimidis, Steven
author_facet Ng, Chee Hong
Norman, Trevor R.
Naing, Khin Ohnmar
Schweitzer, Isaac
Kong, Brian Wai Ho
Fan, Agnes
Klimidis, Steven
author_sort Ng, Chee Hong
building UPM Institutional Repository
collection Online Access
description This prospective 6-week study examined the differences in dosage and steady state plasma concentrations of sertraline in Chinese versus Caucasian depressed patients. Two groups of Chinese patients from different geographical sites and a group of Caucasian patients were evaluated with clinical measures during an initial dose of 50 mg/day, with subsequent doses adjusted clinically. The results of 17 Australian Chinese (ACHI), 13 Malaysian Chinese (MCHI) and 15 Australian Caucasians (AC) were analysed. Despite controlling for weight, the AC subjects received a significantly higher dose than both the ACHI (P=0.002) and the MCHI groups (P=0.012). However, the mean sertraline concentration to dose ratios at weeks 1 and 6 were not significantly different between the three groups. Sertraline was effective and well tolerated in both ethnic groups with few adverse events. Although there was a lack of difference between groups in the pharmacokinetic results, Chinese depressed patients appeared to require lower dosages with consequently lower plasma concentrations of sertraline compared to Caucasian patients to achieve clinical efficacy. Further studies of the dosages, kinetics and adverse effects of selective serotonin reuptake inhibitors linked with genotyping are necessary.
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spelling upm-404262015-09-18T02:29:21Z http://psasir.upm.edu.my/id/eprint/40426/ A comparative study of sertraline dosages, plasma concentrations, efficacy and adverse reactions in Chinese versus Caucasian patients Ng, Chee Hong Norman, Trevor R. Naing, Khin Ohnmar Schweitzer, Isaac Kong, Brian Wai Ho Fan, Agnes Klimidis, Steven This prospective 6-week study examined the differences in dosage and steady state plasma concentrations of sertraline in Chinese versus Caucasian depressed patients. Two groups of Chinese patients from different geographical sites and a group of Caucasian patients were evaluated with clinical measures during an initial dose of 50 mg/day, with subsequent doses adjusted clinically. The results of 17 Australian Chinese (ACHI), 13 Malaysian Chinese (MCHI) and 15 Australian Caucasians (AC) were analysed. Despite controlling for weight, the AC subjects received a significantly higher dose than both the ACHI (P=0.002) and the MCHI groups (P=0.012). However, the mean sertraline concentration to dose ratios at weeks 1 and 6 were not significantly different between the three groups. Sertraline was effective and well tolerated in both ethnic groups with few adverse events. Although there was a lack of difference between groups in the pharmacokinetic results, Chinese depressed patients appeared to require lower dosages with consequently lower plasma concentrations of sertraline compared to Caucasian patients to achieve clinical efficacy. Further studies of the dosages, kinetics and adverse effects of selective serotonin reuptake inhibitors linked with genotyping are necessary. Lippincott Williams & Wilkins 2006-03 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/40426/1/A%20comparative%20study%20of%20sertraline%20dosages%2C%20plasma%20concentrations%2C%20efficacy%20and%20adverse%20reactions%20in%20Chinese%20versus%20Caucasian%20patients.pdf Ng, Chee Hong and Norman, Trevor R. and Naing, Khin Ohnmar and Schweitzer, Isaac and Kong, Brian Wai Ho and Fan, Agnes and Klimidis, Steven (2006) A comparative study of sertraline dosages, plasma concentrations, efficacy and adverse reactions in Chinese versus Caucasian patients. International Clinical Psychopharmacology, 21 (2). pp. 87-92. ISSN 0268-1315; ESSN: 1473-5857 http://journals.lww.com/intclinpsychopharm/pages/articleviewer.aspx?year=2006&issue=03000&article=00003&type=abstract 10.1097/01.yic.0000188214.46667.3f
spellingShingle Ng, Chee Hong
Norman, Trevor R.
Naing, Khin Ohnmar
Schweitzer, Isaac
Kong, Brian Wai Ho
Fan, Agnes
Klimidis, Steven
A comparative study of sertraline dosages, plasma concentrations, efficacy and adverse reactions in Chinese versus Caucasian patients
title A comparative study of sertraline dosages, plasma concentrations, efficacy and adverse reactions in Chinese versus Caucasian patients
title_full A comparative study of sertraline dosages, plasma concentrations, efficacy and adverse reactions in Chinese versus Caucasian patients
title_fullStr A comparative study of sertraline dosages, plasma concentrations, efficacy and adverse reactions in Chinese versus Caucasian patients
title_full_unstemmed A comparative study of sertraline dosages, plasma concentrations, efficacy and adverse reactions in Chinese versus Caucasian patients
title_short A comparative study of sertraline dosages, plasma concentrations, efficacy and adverse reactions in Chinese versus Caucasian patients
title_sort comparative study of sertraline dosages, plasma concentrations, efficacy and adverse reactions in chinese versus caucasian patients
url http://psasir.upm.edu.my/id/eprint/40426/
http://psasir.upm.edu.my/id/eprint/40426/
http://psasir.upm.edu.my/id/eprint/40426/
http://psasir.upm.edu.my/id/eprint/40426/1/A%20comparative%20study%20of%20sertraline%20dosages%2C%20plasma%20concentrations%2C%20efficacy%20and%20adverse%20reactions%20in%20Chinese%20versus%20Caucasian%20patients.pdf