Pharmacogenomics

[deleted862527]

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I am really interested in this field of study. I am hoping one day this will be heavily incorporated in GP practice so it will help the Physician to decide which medications work best for the patient. It also would work well for those suffering from mental illness, as medications for those typically involve a trial and error method of delivery.

What kind of Doc's use this (if any) in their practice? I haven't heard of Doc's in my area using them (unfortunately) but if I was to become a Doc I would love to use this.


Sorry for my nerd freakout.

 

[TheBiologist]

I suppose all doctors do to some extent

 

[ekmf27050]

Interestingly, I recently came across this test developed in conjunction with the Mayo Clinic:

The OneOme RightMed comprehensive test

I would love to know the utility in clinical practice. At a price point in the hundreds instead of thousands, it seems that tests like these would have less of a financial barrier for patients. If the results are actually useful, it could be a game changer in clinical/pharmacological management of a lot of conditions.

 

[Goro]

I am really interested in this field of study. I am hoping one day this will be heavily incorporated in GP practice so it will help the Physician to decide which medications work best for the patient. It also would work well for those suffering from mental illness, as medications for those typically involve a trial and error method of delivery.

What kind of Doc's use this (if any) in their practice? I haven't heard of Doc's in my area using them (unfortunately) but if I was to become a Doc I would love to use this.


Sorry for my nerd freakout.

Right now oncologists seem to be on the forefront of the field.

 

[ekmf27050]

Also, for your interest:

Clinical Pharmacogenomics Service (CPS) | Boston Children's Hospital

 

[deleted862527]

Also, for your interest:

Clinical Pharmacogenomics Service (CPS) | Boston Children's Hospital

Also, for your interest:

Clinical Pharmacogenomics Service (CPS) | Boston Children's Hospital

Thank you both!

 

[meddymed]

I shadowed a psychiatrist that used this for patients who had treatment resistant depression or anxiety as a way to see what meds to try next instead of shooting in the dark


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[CyrilFiggis]

I am really interested in this field of study. I am hoping one day this will be heavily incorporated in GP practice so it will help the Physician to decide which medications work best for the patient.

If you plan to be a PCP, I doubt this will carry heavily into your day to day practice. Most of the cases I've seen of this use is done by specialists (mainly HemOnc as Goro pointed out). The kind of patients and cases a PCP sees don't have the cost benefit to pay for genomic integration and insurance companies won't pay for it. Managing a pts BP and lipids can be titrated and measured with low-cost pharm and labs. I think it's use among PCPs and internists (for now) will be not in the efficacy of the therapy but in minimizing adverse immunoallergic reactions through HLA screening. But again, until we have highly stratified risk pools to prove the most benefit, billing may be tough.

 

[futuredoc331]

I worked for a pain doc who was starting to implement this in his practice. I think it was actually part of a study though and his patients were not paying for it. He did make clinical decisions based on the information, but I'm not sure if he will continue it once the study ends.

I imagine in the near future the cost of these tests will be greatly reduced and most primary care docs making them a useful tool for all specialties.