Sample data · educational

Medications: what may work, what may not.

Your liver uses a handful of enzymes to break medicines down. When one of those runs fast or slow, a normal dose can feel too strong, too weak, or bring side effects. Type a medicine below to see what your file suggests.

Most likely to cause a problem

2

Bring these up before your next prescription.

Statins

Cholesterol · CYP3A5 · your result CC

Most likely to cause a problem

Muscle aches and fatigue are commonly reported. Different statins clear differently, so switching often helps.

Also sold as: atorvastatin, lipitor, simvastatin, rosuvastatin, crestor · Used for lowering cholesterol

Tacrolimus

Transplant / immune · CYP3A5 · your result CC

Most likely to cause a problem

You may clear it much faster. Transplant teams routinely test this gene for exactly this reason.

Also sold as: prograf, cyclosporine · Used for preventing transplant rejection

Worth asking about

8

These may work differently than the label expects.

Clopidogrel

Blood thinner · CYP2C19 · your result GA

May work differently — worth asking

You may turn less of this pill into the active form. Some people get less protection than expected — this one is worth asking about.

Also sold as: plavix · Used for keeping blood from clotting after a stent or heart event

Omeprazole

Stomach acid · CYP2C19 · your result GA

May work differently — worth asking

You may clear it a bit slower, so it can feel stronger or last longer than expected.

Also sold as: prilosec, esomeprazole, nexium, pantoprazole · Used for heartburn and reflux

Escitalopram

Mood / SSRI · CYP2C19 · your result GA

May work differently — worth asking

You may hold onto more of the medicine. Starting low and going slow is often the smoother path.

Also sold as: lexapro, citalopram, celexa, sertraline, zoloft · Used for low mood and anxiety

Warfarin

Blood thinner · CYP2C9 · your result CT

May work differently — worth asking

You may need less than average, and levels can swing. Closer monitoring is common.

Also sold as: coumadin · Used for preventing clots

Ibuprofen / Naproxen

Pain / anti-inflammatory · CYP2C9 · your result CT

May work differently — worth asking

May stay in your system longer. Stomach upset and fluid retention can show up more easily.

Also sold as: advil, motrin, aleve, celecoxib, celebrex, meloxicam · Used for aches, inflammation, cramps

Phenytoin

Seizure / blood sugar / blood pressure · CYP2C9 · your result CT

May work differently — worth asking

Levels can run higher than average — side effects may show up at 'normal' doses.

Also sold as: dilantin, glipizide, glyburide, losartan · Used for seizures, blood sugar, blood pressure

Antihistamines

Allergy / histamine · AOC1 (DAO) · your result CT

May work differently — worth asking

Your histamine clean-up enzyme may run lower, so you may lean on antihistamines more than most people.

Also sold as: benadryl, diphenhydramine, cetirizine, zyrtec, loratadine, claritin · Used for allergy symptoms, hives, itching

Nitroglycerin

Blood vessels · NOS3 · your result GT

May work differently — worth asking

Your blood vessels may relax a little less easily — blood pressure is worth watching.

Also sold as: nitrates, sildenafil, viagra · Used for chest pain, blood-vessel widening

Likely fine as usual

6

Nothing in your file points to a problem here.

Codeine

Pain · CYP2D6 · your result CC

Likely works as expected

Your body converts it to the pain-relieving form as expected.

Also sold as: tramadol, ultram · Used for moderate pain, some cough syrups

Tamoxifen

Hormone therapy · CYP2D6 · your result CC

Likely works as expected

Converts to its active form the usual way.

Also sold as: nolvadex · Used for breast cancer prevention and treatment

Metoprolol

Heart / blood pressure · CYP2D6 · your result CC

Likely works as expected

Cleared at a typical speed.

Also sold as: lopressor, toprol, carvedilol, propranolol · Used for blood pressure, heart rate, palpitations

Fluoxetine / Paroxetine

Mood / SSRI-SNRI · CYP2D6 · your result CC

Likely works as expected

Typical dosing is usually a reasonable fit.

Also sold as: prozac, paxil, venlafaxine, effexor, duloxetine, cymbalta · Used for low mood, anxiety, hot flashes

Amitriptyline

Mood / sleep / nerve pain · CYP2D6 · your result CC

Likely works as expected

Cleared as expected.

Also sold as: elavil, nortriptyline, doxepin · Used for nerve pain, migraine prevention, sleep

Caffeine

Everyday · CYP1A2 · your result CC

Likely works as expected

You likely clear caffeine quickly. Afternoon coffee may not wreck your sleep.

Also sold as: coffee, espresso, energy drink, theophylline · Used for alertness — and it uses the same liver enzyme as some medicines

Never stop a medicine because of this page

Consumer DNA files are not clinical-grade pharmacogenomic tests. They read a few spots, not the whole gene. Use this as a list of questions to ask, and ask for a proper PGx test if a medicine has never sat right with you.

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