TABLE 1

Major factors affecting individual drug response

FactorsEffects
Genetic FactorsMajor variables; stable and inherited
    Therapeutic targets    Drug efficacy (pharmacodynamics)
    Drug-metabolizing enzymes    Drug metabolism (pharmacokinetics)
    Drug transporters    Drug disposition (pharmacokinetics)
    Targets of adverse drug reactions    Drug toxicity (pharmacodynamics and pharmacokinetics)
    Factors with indirect effects    Drug efficacy, pharmacokinetics, and toxicity
Other FactorsMostly transient
    Environmental factors    Drug efficacy, pharmacokinetics, and toxicity
        Environmental chemicals, coadministered drugs, tobacco smoking, alcohol drinking, and dietary constituents
    Physiological factors    Drug efficacy, pharmacokinetics, and toxicity
        Age, sex, disease state, pregnancy, exercise, circadian rhythm, and starvation