“Patients are very gratified to know you can do a scientific test and that you are not going to just guess at their medications.”
I’m a physician from Mission Viejo, California, Dr. Kevin Kinback. I didn’t have any hesitation at all in incorporating the GeneSight test into my practice. Especially since the company is so easy to work with. They have a patient assistance program for making it financially affordable for the patients. The insurance coverage is getting better and better. The genetic information can be used by doctors of any specialty.
Patients are very gratified to know that you can do a scientific test and that you’re not just going to guess at their medications. Especially if they’ve been to other psychiatrists they would want to know that you can zero in. They did some study that showed that the GeneSight test reduces the number of medication trials from like four to five down to maybe one or two. So it eliminates a lot of unnecessary medication. It tells you how the medications are gonna behave. It kind of gives you a roadmap so that if any of the medications are going to throw you a curve ball based on someone’s genetics you can see this in advance.
In the past we would use medications empirically, or we would just, you know, toss plan A plan, B plan, plan C, at a patient. And this could take months to try several different medications. With the GeneSight test you can adjust the dose if necessary. You can avoid a certain class of medications, you can go with the ones that will have the least side effects.
The science is well established for genetic testing, the difference is the output format. So if you have a report they can immediately help you make clinical decisions without having to wade through pages and pages of genetic data, that’s a lot more valuable.
I generally use the GeneSight test on patients who are a little bit treatment-resistant. Especially the ones that had drug gene interactions or that are genetically contraindicated. But if I know ahead of time that a medication is going to go low and it’s gonna maybe rapidly metabolized, I know that I can be a little bit more aggressive with the medication. And conversely if it’s gonna go high I’m even more careful with the medication. So you can tailor the medication and the dose to the patient’s specific genetic profile and get better clinical out comes with less side effects. That’s pretty good.