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Pharmacogenomics in neurology and psychiatry

Genetic information to guide therapeutic choices.

Pharmacogenomics can support decisions in different areas of medicine. NeoFarma Neurologia has a specific focus on medications used in neurology and psychiatry, always integrated into the clinical context.

The result supports the professional decision and must be interpreted in conjunction with the patient's clinical picture, medications in use and other factors.

Neurologist talking to patient during treatment review
Genetic data integrated into therapeutic history.
Scope
Neurology and psychiatry
Sample
Mouth swab
References
CPIC, DPWG and PharmGKB
Deadline
Up to 10 calendar days*

What the test adds

From variant to clinical recommendation.

The report brings together the pharmacogenomic profile and available evidence to support medication selection, dose adjustment and monitoring.

01 · Evidence

International guidelines

Integrates relevant genotypes into higher level CPIC, DPWG and PharmGKB evidence recommendations.

02 · Scope

Genes and therapeutic classes

Evaluates metabolizing enzymes, transporters and targets associated with neurology and psychiatry drugs.

03 · Support

Expert discussion

The team supports professionals and institutions in interpreting and incorporating findings into the therapeutic plan.

When to consider

Cases where drug response needs more context.

The indication must consider therapeutic history, response, adverse events, interactions and clinical objectives.

01

Partial response or adverse effects

Depressive or anxiety disorders with cycles of trial and error.

02

Complex therapeutic adjustment

ADHD, ASD, epilepsy or combinations with incomplete response.

03

Movement and pain

Use of antipsychotics, VMAT-2 modulators, anticonvulsants or opioids.

04

Polypharmacy

Elderly people, sensitive populations and hospital programs that require greater attention to interactions.

Clinical scope

Therapeutic classes evaluated.

The selection of genes and drugs follows the technical scope of the examination and the main clinical pharmacogenomics guidelines.

Swipe to consult

Class Subcategory Examples of pharmaceuticals Core genes
AntidepressantsSSRI and SNRISertraline, escitalopram, citalopram, venlafaxine, vortioxetineCYP2C19, CYP2D6, CYP2B6
AntidepressantsTricyclicsAmitriptyline, nortriptyline, clomipramine, imipramine, desipramineCYP2D6, CYP2C19
AntipsychoticsFirst and second generationAripiprazole, risperidone, haloperidol, ziprasidone, quetiapine, pimozideCYP2D6, CYP3A4
Motion controlAnticonvulsants and VMAT-2Phenytoin, tetrabenazine, deutetrabenazineCYP2C9, CYP2D6
Analgesia and painOpioids and adjuvantsCodeine, tramadol, hydrocodone, oxycodoneCYP2D6, CYP2C9
Specific modulatorsBenzodiazepines and ADHDDiazepam, clobazam, atomoxetine and adjuvantsCYP2C19, CYP2D6

Informed choice

What differentiates an expanded clinical analysis?

NeoFarma Neurologia combines genetic data with guidelines, curation and support so that the result is incorporated into routine care.

Swipe to compare

AppearanceNeoFarma NeurologyBasic testNo pharmacogenomics
GenesCYPs, transporters and relevant targetsReduced panel of CYPsNot evaluated
GuidelinesCPIC, DPWG and PharmGKBSelected referencesNot applicable
RecommendationDose, alternative, monitoring and interactionsScope-limited guidanceClinical fit without genetic data
UpdateReview when new evidence changes the recommendationNo scheduled reevaluationNot applicable

Update NeoFarma Neurologia

Evidence evolves. The interpretation too.

CPIC and DPWG guidelines, regulatory information and relevant publications are monitored. Changes that impact the recommendation undergo clinical review before an update.

  1. 01Changes in evidence levels and security alerts are identified.
  2. 02The clinical team reviews the relevance to the result already issued.
  3. 03When applicable, the guidance is updated without new sample collection.
Professionals analyzing sequencing data

Assisted flow

From request to therapeutic plan.

A process designed to integrate pharmacogenomics into clinical routine.

  1. 01

    Clinical request

    The team confirms the indication, therapeutic history and medications in use.

  2. 02

    Simplified sample collection

    The mouth swab kit comes with a medication checklist and instructions.

  3. 03

    Sequencing and curation

    Pharmacogenomic genes undergo technical analysis and clinical review.

  4. 04

    Practical recommendations

    The report brings together dose, alternatives and monitoring alerts.

  5. 05

    Discussion with experts

    The team supports the incorporation of findings into the therapeutic plan.

* Deadline counted after receipt of the sample and necessary information.

Clinical deliverable

A report prepared for the decision.

The executive summary highlights the medicines with pharmacogenomic recommendations and presents the suggested procedures in accordance with the applicable guidelines.

  • Predicted metabolizing profile
  • Dose adjustments and alternatives when indicated
  • Interactions and monitoring points
  • CPIC and DPWG References

Real excerpt from the NeoReport demonstration environment, cut without personal data.

Anonymized excerpt from a demonstrative report NeoFarma with pharmacogenomic recommendations
Demonstrative and anonymized example. The content and length of the report vary depending on the findings of each test.

Frequently asked questions

About NeoFarma Neurologia.

What is the role of pharmacogenomics in neurology and psychiatry?+

It adds information about how genetic variants can influence metabolism, response or risk of adverse events. This information is integrated into the clinical assessment.

Which classes receive recommendations?+

The scope includes antidepressants, antipsychotics, anticonvulsants, VMAT-2 modulators, opioids, benzodiazepines and atomoxetine, among other drugs defined by the test.

For which patients can it be considered?+

It can be useful in the face of partial response, adverse events, polypharmacy or the need to structure pharmacogenomic protocols, always in accordance with professional assessment.

Is it necessary to suspend medication before sample collection?+

No. DNA is obtained by mouth swab. The medications in use must be informed to contextualize the interpretation, without changing the treatment without medical guidance.

What is the deadline for the result?+

The report is delivered within 10 calendar days after receiving the sample and the necessary information.

Is it necessary to repeat the test in the future?+

DNA does not change. When new evidence impacts the recommendation, the result can be reassessed without a new sample collection, according to the service's criteria.

Clinical integration

Bring pharmacogenomics into routine care.

Talk to the team about cases, institutional protocols and demonstrative reports.

Catalog information

Technical data of NeoFarma Neurology

Pharmacogenomics applied to neurology and psychiatry medicines.

Applications
Pharmacogenomics
Accepted samples
peripheral blood, Mouth swab (preferred), DNA extraído
Estimated deadline
10 calendar days, contados após the complete documentation.
Methodology
Pharmacogenomic gene sequencing, clinical curation and interpretation according to CPIC, DPWG and PharmGKB.
Analytical scope
Metabolizing enzymes, transporters and targets associated with neurology and psychiatry drugs, according to the current technical scope.
Medical request
Required

Requirements

Clinical request, therapeutic history, list of medications in use, sample and necessary information.

Limitations

The result is an additional layer of information and does not replace clinical decision-making. Treatment should not be changed without medical advice.