Personalised Medicine: Tailoring treatments for Individual Patients



Introduction:

Personalised medicine is refers to the tailoring of medical treatment to the individual characteristics of each patient. The approach relies on scientific breakthroughs in our understanding of how a person unique molecular and genetic profile makes them susceptible to certain disease. It may be consider an extension of traditional approaches to understanding and treating diseases. The same research is considering our ability to predict which medical treatment will be safe and efficacy for each patient and which one will be not.


Personalised medicine has the potential to change the way we think about identity and manage health problems. It is already having an existing impact on both clinical research and patient care .


  


Benefits: 

  • Shift emphasis in medicine from reaction to prevention.

  • Increase safety, reduce adverse drug reactions 

  • Increase patient compliance 

  • Select optimal therapies

  • Reduce the time, cost, and failure rate of clinical trails

  • Reduce the overall cost of healthcare


Challenges:

  • In personalised medicine the main challenge is cost.

  • Other is the complexibility of analyzing and interpreting large amounts of genetic and molecular data

  • Lack of response to the treatment 

  • A delay in the patient receiving a treatment that is better for them 

  • A waste of the medicine itself 

  • An adverse reaction that could have been avoide


Tailoring medications to individual needs:

  • Personalised medicine goes beyond simply identifying genetic varations  and also extends to tailoring medications to individual needs. 

  • By analyzing genetic data, healthcare providers can prescribe medications with greater precision, avoiding potential adverse reactions and optimizing treatments.

  • In personalised medicine affordability is another important aspect of healthcare. 

  • To avoid any allergic and adverse effects.


Personalised medicined other terms

  • Precision medicine

  • Stratified medicine

  • Targeted medicine

  • Pharmacogenomics

Why we need personalised medicine? 



  • Responds to normal dose

  • Response to lower dose

  • Response to higher dose 

  • Response to alternative medications



Pharmacogenomics:

  • Pharmacogenetics is the study of how the action of and the  reaction to drugs vary with the patients genes

  •  The study of the relationship between genetics factors and the nature of response to drugs

  • In  humans, genes influence rase, hair and eye color, gender, height, weight, aspects of behavior and even the likelihood of developing certain diseases

  • he study is still new, pharmacogenetics promises to offer great benefits in drug effectiveness and safety

  • encompasses pharmacogenetics which employs tools for surveying the entire genome to assess multigenetic determinants in drug response 

Advantages 

  • To predict a patents response to drug

  • To improve rational drug development

  • To screen and monitor certain disease 

  • To develop more powerful and safe vaccines

  • Diminishes the duration and severity of illness


Disadvantages

  • Expensiveness 

  • Incorrect diagnostic result 

  • Insufficient validation of study results

  • Ethical issues


Pharmacogenetics in clinical practice

  • The development has been slowed by various scientific, commercial, educational barriers.

  • 3 major types of evidence that should accumulate in order to implicate a polymorphism in clinical care

  • Screen of tissues from multiple humans linking the polymorphism to a trait

  • Complementary preclinical functions studies indicating that the polymorphism is linked with the phenotype


Conclusion

Health systems will turn from reactive medicine to protective understanding  and supporting individual in managing their own health. Increasing the number of alliances between diagnostic and pharmaceutical companies. To personalise treatment as it looks at the contribution of both genetics and environmental factors to the drug effects. Personalised medicine  has arrived and is making into mortality and morbilty


Reference   



Student Name: Ayesha siddiqua  

Student ID: 143/072023

Qualification: B. Pharmacy

e-Mail ID: ayeshasiddiqua2030@gmail.com





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