Pharmacogenomics: Medicine Tailored to Your DNA
Upasana Mukherjee
Genetics Researcher

Why do some medications work brilliantly for some people and cause severe side effects in others? The answer often lies in your genes.
What is Pharmacogenomics?
Pharmacogenomics studies how genes affect a person's response to drugs. This field combines pharmacology (the science of drugs) and genomics (the study of genes and their functions).
How Genes Affect Drug Response
Your genes influence:
- Drug metabolism: How quickly your body breaks down a medication
- Drug transport: How effectively your body moves drugs to their target
- Drug targets: How sensitive your body is to a medication's effects
Real-World Examples
Warfarin: This common blood thinner requires precise dosing. Genetic variants in CYP2C9 and VKORC1 genes can mean someone needs 10x the standard dose — or 10x less.
Clopidogrel: This heart medication requires activation by the CYP2C19 enzyme. Up to 30% of South Asians have reduced CYP2C19 activity, meaning the drug may not work effectively.
Codeine: A common pain medication that is converted to morphine by CYP2D6. Ultra-rapid metabolizers can experience dangerous morphine levels from standard doses.
The Promise for India
With our diverse genetic makeup — India has thousands of endogamous groups, each with distinct genetic profiles — pharmacogenomics has extraordinary potential here. Standard dosing guidelines, largely developed on Western populations, may be systematically wrong for many Indians.
What Allelic Is Building
Our AGIR engine includes drug-gene interaction mapping, helping identify when standard medication protocols may need adjustment based on your genetic profile. This is one of our most impactful clinical applications.
Written by
Upasana Mukherjee
Genetics Researcher
Contributing to Allelic's mission of making genetics education accessible, accurate, and actionable for everyone in India.
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