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Peer-Reviewed Publication
Pharmacogenomics J2026;26(4)August 5, 2026Journal Article

Large-scale analysis demonstrates the influence of CYP2C19 genotype on specific SSRI side effects.

Chris Eijsbouts1, Yunxuan Jiang2, James R Ashenhurst2, Julie M Granka2, , Steven Pitts2, Adam Auton2, Noura S Abul-Husn2, Alison Chubb2, R Ryanne Wu3
123andMe Research Institute, 2555 Park Boulevard, Palo Alto, CA, 94306, USA. chris.e@insitro.com.
223andMe Research Institute, 2555 Park Boulevard, Palo Alto, CA, 94306, USA.
323andMe Research Institute, 2555 Park Boulevard, Palo Alto, CA, 94306, USA. ryannew@23andme.com.

Abstract

We evaluated the effect of CYP2C19 genotype on SSRI response in 114,627 research participants. We graded metabolizer status (0 for ultrarapid metabolizers to 4 for poor metabolizers), and regressed drug response outcomes on these grades. Among participants taking escitalopram or citalopram, slower metabolizers experienced side effects significantly more often than faster metabolizers (OR = 1.04 pe…

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