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Pharmacogenetic analysis.
What does it look like?
If you are a patient or a prescriber, you have tools to help you make decisions and these tools should be used for folks with multiple, complex chronic conditions that generate pain, psychological distress, anxiety, depression.
Normal response to NSAIDS. Gabapentinoids are processed through the kidneys (N/A)
Normal response to opiates
Antidepressant panel illustrates which medications can be expected to perform as expected (green) and which should be used with caution (yellow/red)
Anxiolytics
Antipsychotics
Mood stabilizers
Genotypes (what you have to work with) and phenotypes (How you can expect them to behave)
Notable interactions: Genes/Drugs
Notable interactions: Genes/Drugs
Precautions (yellow)
Summary
Physicians, ART and SCIENCE work hand in hand.
Knowing your complex patient, what tools to use, and when to use them is 99% of the care equation.
Cookie cutter approaches designed to protect you from the DEA are very likely to result in harming your patient.
Take back medicine.
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