Annual review of pharmacology and toxicology

Body Clock Effects on Drug Response and Personalized Dosing

Updated

Abstract

Circadian rhythms may influence drug efficacy and toxicity depending on the time of administration.

  • Molecular clocks in the suprachiasmatic nucleus and peripheral oscillators regulate drug metabolism and response.
  • Variability in drug action is associated with the timing of administration, impacting both pharmacokinetics and pharmacodynamics.
  • Chronotherapeutic strategies are being explored for diseases such as cancer, cardiovascular disease, and bipolar disorder.
  • Wearable technologies could facilitate time-resolved evaluations of drug responses.
  • Challenges exist in translating circadian timing considerations into clinical practice and precision medicine.

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