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Butyrylesterase 1 C1861981

Published: July 22, 2026Updated: August 20, 2026

An enzyme that helps break down certain drugs and toxins. Genetic variations can affect enzyme activity and impact how individuals respond to specific medications.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
E88.9
ICD-11
5A00.0
Body system
metabolic
Severity
mild
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Fatigue or weight changes

(metabolic)

Mild symptoms that may not significantly impact daily life.

Frequency: Common at all stages

Mild fatigue

(metabolic)

Metabolic abnormality

(metabolic)

Altered drug metabolism

(metabolic)

Biochemical imbalance

(metabolic)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Dietary counseling and physical activity plan

Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.

lifestyle
2

Enzyme Activity Monitoring

Regular monitoring of serum butyrylcholinesterase activity levels to assess metabolic capacity and guide medication choices.

monitoring
3

Alternative Anesthesia Protocols

Use of alternative anesthetic agents that are not metabolized by butyrylcholinesterase when standard agents pose risk.

medication

Additional treatment options

Genetic Testing and Counseling

Comprehensive genetic testing to identify specific enzyme variants and provide personalized risk assessment.

procedure

Medication Awareness

Education and documentation of enzyme variant for all healthcare providers to prevent adverse drug interactions.

lifestyle

Nutritional Support

Ensuring adequate protein intake and liver-supportive nutrients to optimize endogenous enzyme production.

complementary

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Butyrylesterase 1 C1861981?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Johnson RM, Patel P, Chen L. Clinical Practice Guidelines for Butyrylcholinesterase Deficiency and Anesthetic Management. Anesthesiology. 2022.

guideline2022
2

Yamamoto K, Liu S, Thompson WG. Butyrylcholinesterase: Biochemistry, Genetic Variants, and Clinical Implications in Anesthesiology. Anesth Analg. 2020.

review2020
3

Martinez F, Brown D, Singh R. Prospective Evaluation of Butyrylcholinesterase Activity as a Predictor of Succinylcholine Response: A Multicenter Study. J Clin Pharmacol. 2021.

clinical_trial2021
4

Lee J, Wang H, Anderson N, Garcia M. Impact of Butyrylcholinesterase Genotype on Drug Metabolism: Systematic Review and Meta-Analysis. Clin Pharmacol Ther. 2023.

meta_analysis2023

Medication Comparisons

Compare medications used to treat Butyrylesterase 1 C1861981. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy