Clopidogrel (CYP2C19 Genotyping) Test for Acute Coronary Syndrome

Clopidogrel (CYP2C19 Genotyping) Test for Acute Coronary Syndrome

CYP2C19 Genotyping Test helps predict how your body responds to a medication called clopidogrel, which is used to prevent heart attacks and strokes. It guides personalized treatment decisions for your heart health.

 

CYP2C19 Genotyping Test

Here are the basic details of the CYP2C19 Genotyping Test.

Also Known As Clopidogrel Pharmacogenetic Testing
Type Genetic Test
Purpose Predict responsiveness to clopidogrel for heart attack
Sample Type Whole blood 
Preparation No
Fasting Not required
Gender Unisex
Age Group All
Normal Value Normal enzymatic activity
Reporting Time 1-2 days
Cost 3800-8000 INR*

*CYP2C19 Genotyping Test Price range may vary as per location, lab type, and procedure of lab test.

 

CYP2C19 Genotyping Test Means

CYP2C19 Genotyping Test is a genetic analysis that assesses how an individual's genes impact their response to medications, particularly clopidogrel.

  • It helps tailor treatment for heart attack and stroke prevention by identifying genetic variations.
  • The test examines the CYP2C19 gene, which plays a role in metabolizing clopidogrel into an active form.
  • Variations in this gene can affect the drug's effectiveness.
  • Healthcare providers use the results to determine the most suitable treatment plan for each patient.

 

CYP2C19 Genotyping Test Purpose

The purpose of the CYP2C19 Genotyping Test is to:

  • CYP2C19 Genotyping Test helps personalize medical treatment.
  • It predicts how a patient will respond to clopidogrel, an antiplatelet drug.
  • The purpose is to optimize heart attack and stroke prevention.
  • The test assesses genetic variations in the CYP2C19 gene.
  • Results guide healthcare providers in selecting the most effective treatment strategy.

CYP2C 19 Genotyping Test- Price, Normal Range, Result, Purpose, Procedure Meaning and Interpretation - Drlogy Test

 

CYP2C19 Genotyping Test Preparation

Here is the basic preparation for the CYP2C19 Genotyping Test.

 

Before Test

  • Generally, no special preparation is required before the CYP2C19 Genotyping Test.
  • Inform your healthcare provider about any medications or supplements you are currently taking.
  • Follow any specific pre-test instructions provided by your healthcare team.

 

During Test

  • The test may involve a blood sample, cheek swab, or saliva collection, depending on the method chosen by your healthcare provider.
  • Stay relaxed and follow the instructions provided by the healthcare professional conducting the test.
  • It's a straightforward and minimally invasive procedure.

 

After Test

  • There are typically no specific post-test guidelines to follow.
  • Your healthcare provider will interpret the results and discuss any necessary treatment adjustments with you.
  • Continue with your regular healthcare routine as advised by your provider.

 

CYP2C19 Genotyping Test Procedure

Here is the basic CYP2C19 Genotyping Test Procedure.

  • A blood sample from a vein, a cheek swab, or saliva is collected by a healthcare professional.
  • The collected sample is sent to a specialized laboratory for genetic analysis.
  • The laboratory examines the CYP2C19 gene to identify any genetic variations.
  • A healthcare provider interprets the results to determine your responsiveness to clopidogrel.
  • Based on the genetic findings, your healthcare team may adjust your treatment plan for heart attack and stroke prevention.

 

CYP2C19 Genotyping Test Result

  • Genetic variations detected in CYP2C19 gene.
  • Determine patient's responsiveness to clopidogrel.
  • Guide treatment plan adjustments for heart attack and stroke prevention.

 

CYP2C19 Genotyping Test Normal Result

Here is the normal range of the CYP2C19 Genotyping Test

Test Normal Result
CYP2C19*1 alleles Normal enzymatic activity
CYP2C19*2, *3, and *4 alleles Loss-of-function alleles leading to complete elimination of enzymatic activity

 

CYP2C19 Genotyping Test Interpretation

Here is the Interpretation of the CYP2C19 Genotyping Test.

CYP2C19 Genotyping Test Interpretation
Two CYP2C19*1 alleles (e.g., *1/*1) Normal metabolizer phenotype
One CYP2C19*1 allele and one loss-of-function allele (e.g., *1/*2) Intermediate metabolizer phenotype
Two loss-of-function alleles (e.g., *2/*2) Poor metabolizer phenotype
Two different loss-of-function alleles (e.g., *2/*3) Poor metabolizer phenotype
Other combinations of alleles Variable metabolizer phenotype

CYP2C19 Genotyping Test identifies genetic variations impacting clopidogrel response for personalized cardiovascular treatment.

 

CYP2C19 Genotyping Test Normal

Here are potential causes of normal result of a CYP2C19 Genotyping test.

Normal Causes Description
CYP2C19*1 alleles present (e.g., *1/*1) Normal enzymatic activity (Normal metabolizer phenotype)
Absence of loss-of-function alleles Indicates typical metabolic activity

CYP2C19 Genotyping Test reports normal results when CYP2C19*1 alleles are present, indicating standard metabolic activity.

 

CYP2C19 Genotyping Test Abnormal

Here are potential causes of abnormal result of a CYP2C19 Genotyping test.

Abnormal Cause Description
CYP2C19 loss-of-function alleles (e.g., *2, *3) Reduced or complete loss of enzymatic activity, leading to altered metabolism of clopidogrel
Presence of combinations of loss-of-function alleles (e.g., *2/*2) Affecting drug responsiveness, potentially requiring treatment adjustments
Heterozygous or homozygous loss-of-function alleles Indicating decreased enzyme activity and potential drug ineffectiveness
Various genetic combinations of CYP2C19 alleles Leading to variable metabolic phenotypes

Abnormal CYP2C19 Genotyping Test results may indicate the presence of loss-of-function alleles, potentially affecting drug metabolism and requiring treatment adjustments.

 

Specimen Requirements For CYP2C19 Genotyping Test

Here are the specimen requirements for the CYP2C19 Genotyping Test.

Specimen

Whole blood 

Volume

2 mL

Container

Lavender-top (EDTA) tube or yellow-top (ACD) tube

Collection

Collect in lavender-top or yellow-top tubes (EDTA/ACD) or use buccal swab kit (4 swabs). Ship per instructions.

Storage

Room temperature

Sample Stability

Temperature

Period

Room temperature

28 days

Refrigerated

28 days

Frozen

2 years

Freeze/thaw cycles

Stable x1

Causes for Rejection

Hemolysis, low quantity, wrong container, single buccal swab, wet swab, damaged/envelope, open envelope, frozen glass tube.

 

CYP2C19 Genotyping Test is Safe?

CYP2C19 Genotyping Test is considered generally safe and non-invasive, posing minimal risk or discomfort to patients.

  • The test typically involves the collection of a blood sample, cheek swab, or saliva, which are standard, well-tolerated procedures.
  • The test is conducted by trained healthcare professionals who follow safety protocols to ensure accuracy and reliability.
  • Patient privacy and confidentiality are maintained in accordance with established healthcare standards and regulations.
  • It is essential to discuss any concerns or questions with your healthcare provider before undergoing the CYP2C19 Genotyping Test.

 

When Do You Get CYP2C19 Genotyping Test Results? 

  • Reporting time varies by the laboratory or healthcare provider.
  • Results are typically available within a few days to a few weeks.
  • Factors such as the test method, laboratory workload, and location may influence result turnaround time.
  • Patients should consult with their healthcare provider for specific timing details.
  • Quick access to results allows for timely treatment decisions.

 

CYP2C19 Genotyping Test Limitation

Here is the basic limitation of CYP2C19 Genotyping Test.

  • Genetic variations do not account for all variability in clopidogrel response.
  • Other factors, such as concomitant medications and lifestyle, also impact effectiveness.
  • Interpretation requires expertise; results may not provide a definitive treatment plan.
  • Testing is not recommended for the general population; selective use.
  • Variability in testing and interpretation among healthcare providers and laboratories.

 

CYP2C19 Genotyping Test Risk Factors

Here are some of the risk factors of the CYP2C19 Genotyping Test.

  • Risk factors for CYP2C19 Genotyping Test are generally low.
  • Minimal discomfort associated with sample collection (blood, cheek swab, or saliva).
  • Standard safety and privacy protocols are followed by healthcare professionals.
  • No invasive procedures or significant health risks.
  • Consultation with healthcare provider may address individual concerns or risks.

 

Doctor Recommendations After CYP2C19 Genotyping Test Result

 Here are the Doctor's recommendations or consult a specialist after the CYP2C19 Genotyping Test.

Test Result Doctor to Visit Reason to Visit
Normal Cardiologist Discuss treatment plan
Abnormal Cardiologist Adjust medication plan

 

CYP2C19 Genotyping Test Price

Here are the estimated CYP2C19 Genotyping Test Prices in India with different top cities:

City

Price Range (INR)*

Mumbai

3800-8000

New Delhi

3900-7950

Bangalore

3800-8000

Hyderabad

3900-7950

Kolkata

3800-8000

Pune

3900-7950

Lucknow

3800-8000

Noida

3900-7950

Surat

3900-7950

Gurugram

3800-8000

Patna

3900-7950

Chennai

3800-8000

Jaipur

3900-7950

Ahmedabad

3800-8000

*CYP2C19 Genotyping Test Prices are approximate and vary depending on a specific laboratory or healthcare facility.

 

Summary

Overall, The CYP2C19 Genotyping Test assesses genetic variations affecting clopidogrel's effectiveness, guiding personalized treatment for heart attack and stroke prevention. Also check Drlogy Test for detailed information about all medical tests for patients, doctors, scholers and medical students.

 

Reference

  • CYP2C19 - Wikipedia [1].
  • CYP2C19 genotyping - Clinical test NIH [2].

 

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CYP2C 19 Genotyping Test FAQ

What is CYP2C19 Genotyping?

CYP2C19 Genotyping is a genetic test that identifies variations in the CYP2C19 gene, which plays a crucial role in metabolizing many medications. It helps determine how an individual's body processes certain drugs.

Why is CYP2C19 Genotyping important?

CYP2C19 Genotyping is essential because it can impact the effectiveness and safety of various medications. Knowing your CYP2C19 genotype can help healthcare providers tailor drug treatments to your genetic profile, minimizing the risk of adverse reactions and optimizing therapeutic outcomes.

How is the CYP2C19 Genotyping test performed?

The test typically involves collecting a sample of your DNA, often through a blood or saliva sample. This DNA is then analyzed to identify specific CYP2C19 gene variants.

What is the cost of CYP2C19 Genotyping?

The cost varies depending on the testing facility, insurance coverage, and the reason for the test. It's advisable to check with your healthcare provider or testing facility for specific pricing.

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