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Hello and welcome to health talk I'm Rick Leventhal sitting in for Dr.
Personalized medicine used to be a thing of the future but the future is here doctors are now using a new technique to prescribe more effective medicine for chronic pain.
Joining me now doctor -- -- -- she's an anesthesiologist.
And pain specialist.
At Drexel university College of Medicine thanks so much for coming my -- to how does personalized genetic testing work in your practice.
So as you know -- all made very differently genetic thing and these differences that we have genetically actually influence how we respond to medications.
So what I have is actually a test that may predict a patient's response to these medications for example.
You know one patient I give one medication they may actually have a wonderful benefit and the same medication and different patient and actually have a severe adverse event.
So you have a test.
That can predict how patient will respond to a particular drug yes it's actually called -- a good genetic testing and it's.
Sometimes coined -- personalized medicine but this is a very specific test that looks at how drugs metabolize to your individual -- to what is that test how does it work.
So essentially in individuals they need to have the test done and if there aren't appropriate candidate for it -- -- given as.
A sample of -- saliva.
But saliva sampled by a laboratory -- end result is sent back to the position who ordered the tabs.
And then what happens.
On an examination usually when I see my patience -- review the results with them I'll go over what kind of metabolic system they have.
And perhaps off -- a medication regiment that might be best for their pain control.
So in the past without this test you'd give a patient a drug and it wouldn't work or would adversely affect them now know that what would happen usually you know when you see the doctor doctor we'll see you.
And provides you perhaps with the medication and then follow up with you one month later.
To see how you dead yeah but that takes second guessing out of the game essentially I'm able to do this test on the first visit.
Prescribed in the medication once ever seen the results and really personalize her medication regiment and often times -- get benefit.
And so is it working -- what do the results of this so for me they've been wonderful.
I've found that my patients have really appreciated the personal is discussion.
Designing a good regiment for them that help some particularly with chronic pain.
-- which is a challenge for most of my patients and certainly.
That that test that we do do for them.
They take that information to other providers you know primary care specialists they can use it to maybe help them with other conditions such as heart disease cancer cure.
Is there a type of patient or had a person that is more likely to benefit from the -- an individual who may be on multiple medications sometimes called poly pharmacy.
Would be a wonderful candidate for this type of -- you know really looking at how they're metabolize and their drugs -- the metabolize them.
To get benefit -- to perhaps get a drug interaction -- adverse event.
That would really help.
Give that information in any disadvantages.
There's still a lot of information that needs to be learned about genetic testing in general.
From a good genetics has been around for years this test I've been using the last six months so really the research that's been going on -- and finally brought to the clinicians hand.
-- to use of there still a lot more evidence that's needed.
This evidence is promising but -- morning it's become -- -- have you had patients who you gave this test to who then -- prescribed a different medication and they were.
But so grateful I can actually made a difference in their lives players of course and you know.
Not every patient we'll have a wonderful benefit but certainly it does help -- design a very personalized regiment based upon their genetic makeup and -- -- Applied to a variety of health problems you -- patients to take a lot of medication that's right that's right.
And often times I have patients too are taking pain medications you may be taking other medication say for depression.
And a lot of times when I go back and review the results with them I find that there may be drug interaction that was on identified and perhaps it may be why the medication regiment was not working the way it should.
So again this test provides a lot of resources to the one predict the outcome of the medication and also the potentially.
Divert any drug contraction adverse event what about like a false positive that -- give the test of some money doesn't work or it gives you the wrong results are -- point two in the wrong direction does that happen.
Well it's only ten but often you know with the physician who is comfortable -- the results has used it.
Often enough the results can be very informative -- to where can people get more information.
They're there's a lot of information online of course the but first and foremost patients need to have a discussion with their physician to see if there aren't appropriate candidate.
On the doctors need to be informed and how to use a test appropriately.
And certainly they can consult the National Library of Medicine there's plenty of evidence excellent.
-- all you need some saliva until it.
Thanks for joining us doctor Gupta and if you have a health question you can send an email to Dr.
I'm Rick Leventhal thanks for watching.
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