GeneSight Psychotropic update

What’s new?

Based on a comprehensive analysis of peer-reviewed literature and our continued commitment to providing clinicians with genetic insights to help inform treatment decisions, we:

Updated certain variants of CYP3A4, HTR2A, and UGT2B15

Added medications for tardive dyskinesia

Modified results for various antipsychotics and anxiolytics/hypnotics

What’s different in the report?

Updated genes

  • CYP3A4
  • HTR2A
  • UGT2B15

Added medications for tardive dyskinesia

Moved medications to “No Proven Genetic Markers” category

  • fluphenazine
  • paliperidone
  • temazepam
  • thiothixene

Revised categorization rules

View a sample GeneSight Psychotropic report

  •  Use as directed
  •  Moderate gene-drug interaction
  •  Significant gene-drug interaction

The report classifies over 60 mental health medications into three categories.

The GeneSight test results do not provide information on disease diagnosis, medication allergies, drug-drug interactions, or which medications will work best.

Upgrades for previously tested patients

GeneSight Psychotropic upgrades are available for all previously tested patients. Upgrades may be warranted if you are considering valbenazine (Ingrezza®) or deutertrabenaznie (Austedo®) for the previously tested patient or if their results detected the UGT2B15*2 allele and/or CYP3A4*15A allele.

If you have specific questions on whether an upgrade may be warranted for a specific patient, please contact our Medical Information Team.

A new patient consent and sample may be required to upgrade.

If the patient has the most recent GeneSight report (released May 18th, 2024), no new sample is needed.

If the report is from an earlier version, a new sample will be required.

MTHFR report design

The MTHFR report has been updated to align with the design of the GeneSight Psychotropic report. Additional information has also been added to enhance clarity and better assist with report interpretation.

Since the patient’s genetic results remain unchanged, there is not currently an option to upgrade the MTHFR report. However, all future orders will reflect the updated report design.

Sample image of a GeneSight Psychotropic report

Questions about this update?

We’re here to help! Please contact our Medical Information Team.

Dr. Rachel Hart Earls

Dr. Rachael Hart Earls

PhD in Molecular Neuroscience

Medical Science Liaison Manager

Dr. Earls helps support pharmacogenomic education efforts, medical strategy, and evidence generation to advance the science of psychiatric pharmacogenomics.

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