The present invention relates to pharmacogenomic decision support for modulators of NMDA,
glycine and AMPA receptors. Used for identifying diagnosed as having therapeutically resistant or
refractory depression, pain or other clinical indications and suitable for accepting N-methyl-d-aspartate
receptor antagonists,
glycine receptor beta (GLRB) modulators or alpha-amino-3-hydroxy-5-methyl-4-
isoxazole propionic acid receptors (AMPAR) Methods for patients of therapy include determining an appropriate
drug, an optimal
dose per patient, and determining which patients are not suitable for receiving the therapy. Pharmacogenomic clinical decisions support the determination of a combination of targeted single
nucleotide polymorphisms and clinical values, or targeted single
nucleotide polymorphisms, targeted
ketamine-specific expansion and contraction of topologically associated domains, and clinical values. The methods described herein allow for more efficient determination of which patients will experience
drug efficacy and which patients will experience adverse
drug events. The method provides personalized
patient dose suggestions,
drug administration frequency, and drug selection suggestions.