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HELIX DIAGNOSTICS

Pharmacogenomics (PGx) Pain Panel

Panel Description

Many pain medications are impacted by specific variations in known genes. These genetic variations can contribute to medication efficacy and risk for side effects. Pharmacogenomic testing to guide prescribing, paired with clinical monitoring can impact outcomes for patients by reducing the time to therapeutic effect and reducing the risk of side effects.

This panel evaluates 6 genes associated with response to drugs prescribed to treat pain, including NSAIDs, opioids, tranquilizers, and tricyclic antidepressants. Results from this test may help in predicting treatment efficacy and risk of side effects for these drugs.

Genes Tested (6)

COMT
CYP2C19
CYP2D6
CYP3A4
CYP3A5
OPRM1

Important Panel Information

Turnaround time: 7-10 days

Preferred specimen: BD Vacutainer Whole Blood K2 EDTA Collection Tube 4mL or Oragene Dx Saliva Collection Kit

Shipping Instructions: Specimens to arrive at Helix within 96 hours of collection at ambient temperature.

This test utilizes next-generation sequencing to determine results for COMT, CYP2C19, CYP2D6, CYP3A4, CYP3A5, and OPRM1 . These results are used to determine drug considerations for the following drugs: Celecoxib, Clomipramine, Codeine, Desipramine, Doxepin, Flurbiprofen, Hydrocodone, Ibuprofen, Imipramine, Lornoxicam, Meloxicam, Nortriptyline, Oliceridine, Piroxicam, Tenoxicam, Tramadol, and Trimipramine.

Additionally, due to lack of sufficient scientific evidence, genetic outcomes are provided without drug considerations for the following drugs: Aceclofenac, Alfentanil, Amoxapine, Buprenorphine, Carisoprodol, Diclofenac, Fentanyl, Hydromorphone, Indomethacin, Lumiracoxib, Maprotiline, Metamizole, Mirtazapine, Morphine, Nabumetone, Naproxen, Oxycodone, Protriptyline, Sufentanil.

All detected variants are evaluated according to the Clinical Pharmacogenetics Implementation Consortium (CPIC). Variants are classified based on known, predicted, or possible impact on drug metabolism.

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