Research shows that of all the factors, such as age, sex,
weight, general health and liver function that alter a patient's
response to drugs, genetic factors are the most important. This
information becomes even more critical when you consider that
adverse reactions to prescription drugs are killing about 106,000
Americans each year -- roughly three times as many as are killed by
automobiles. This makes prescription drugs the fourth leading killer
in the U.S., after heart disease, cancer, and stroke.
Many Drugs
Affected
Approximately one-third of the 200 most commonly prescribed
heart medicines, pain killers, anti-depressant and anti-psychotic
drugs are affected. These include such important medications as
Coumadin (warfarin), Prozac, Zoloft, Paxil, Effexor, Hydrocodone,
Amitriptyline, Claritin, Cyclobenzaprine, Haldol, Metoprolol,
Rythmol, Tagamet, Tamoxifen, Valium, Carisoprodol, Diazepam,
Dilantin, Premarin, and Prevacid (and the over-the-counter drugs,
Allegra, Dytuss and Tusstat).
Genetic Glitches
Common
More than half of all Americans have genetic defects that
affect how they process these commonly used prescription drugs.
These DNA glitches can reduce the efficacy of drugs and lead to an
increased incidence of undesirable drug interactions. The most
dangerous outcome is the build up of toxicity that can occur because
of the body's inability to eliminate the drug from the system.
Coumadin (warfarin) patients
at especially high risk from dangerous
DNA
One-third of patients taking Coumadin (warfarin) lack the DNA
coding necessary to detoxify this dangerous drug and fall into an
especially high risk group. Clinical research has shown that one in
eight will have a serious or life-threatening adverse drug reaction
to warfarin. They will also take more than 90 days longer to reach a
stable dosage. Genetic testing can readily identify patients who
fall in this group.
Test
Results
There are four main groups of
classification:
·
Extensive Metabolizer. This is the norm, medications prescribed in
normal doses will be metabolized by your body.
·
Intermediate Metabolizer. This means that you have only one of two
operating pathways, and will need a lower than normal dosage and
need to carefully monitor medication.
·
Poor Metabolizer. This means you have no active pathways. There is a
possibility that alternate routes can be found, but this type of
metabolizer is potentially very dangerous, as there is a great
chance for the medication to build up in your system making you very
sick, or even killing you.
· Ultra
Extensive Metabolizer. (2D6 only) This means you have more than two
operating pathways.