Lab reference

DPD Deficiency

Pre-Treatment

For education. Check every result.

Anatium is a study resource, not medical advice. Nothing here is a diagnosis, a prescription or a substitute for a clinician who has seen the patient. Check every number against a current local protocol before it touches anyone, and never act on a result you cannot reproduce yourself.

Reference range

RangeReported as genotype or phenotype

About

The enzyme that breaks down fluoropyrimidines, checked BEFORE fluorouracil or capecitabine. Deficiency turns a standard dose into a life-threatening one.

When it is low

Deficient: fluorouracil and capecitabine cause catastrophic toxicity - cardiac dysfunction, colitis, neutropenia, encephalopathy. Uridine triacetate is the antidote

When it is high

Normal activity: standard fluoropyrimidine dosing

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