Medication Management Using Pharmacogenomics

A live and interactive discussion to learn about using innovative tools of modern medicine to easily have your genes analyzed and tell which medications work or don’t work for you and what doses are appropriate. 

Featuring Chana Hershkop PharmD, BCGP

• (484) 534-7954
• chana@goldenhealthconsulting.com
• goldenhealthconsulting.com

Precision Medicine Pharmacist Registry

• https://www.findyourpharmacist.com/

 Questions Asked

• I'm sure she will get to this, but interested in the cost to get the Preemptive testing
• How do we find a PGx Pharmacist?
• Where in Fairfax VA
• Can you share how your clients quality of life improved overall following the implementation of your recommendations?
• How much can one expect to spend on the test when requested by their physician or when they pay out of pocket?
• ER errors!
• How open have physicians been to your recommendations? Are most providers willing to collaborate with you when you provide recommended changes/?
• Thank you for this enlightening informative educational presentation. How long has this care and support been available?
• Does insurance cover this care?
• While testing is valuable for all individuals, does the research point indicate that the testing is more beneficial for any particular patient populations (i.e. Parkinson, mental health, etc)?
• "https://www.findyourpharmacist.com/
• In conjunction with Keisha’s Q, how many medications was your cilent on after the testing and med changes-was she on 13 to begin with?
• Do you have any thoughts about the new expanded roles and care services now approved for pharmacists to give shots and prescriptions during the covid 19 pandemic. Hope you are familiar with this. For example CVS is offering Pharmacy consultations for the antiviral medications since once an individual has tested positive for covid they explain there is often not enough time to get appointment and or prescription from their health care provider so it is our understanding from reading about approval for pharmacists to write prescriptions. They explain that antiviral medication needs to be started very soon within a few days after testing positive. thank you.
• How do the consulting pharmacist charge? Does insurance cover any of the pharmacist consulting cost?
• What about vitamins, herbal products, other supplements, are these evaluated also? For example Ensure nutritional and supplemental meal replacements and protein drinks, these contain a lot of vitamins and minerals. Can these be evaluated?
• Many medications cause gastrointestinal upset, will this care and support find potential sensitivity before an individual begins or starts taking the medication?
• please see the 2 questions submitted in the chat window
• Would you go over costs and where you go for a test again - if insurance won’t pay for it.
• Are you aware of and familiar with high blood pressure medication recalls? If people need to change to another medication will this help deciding what medication might work or have potential concerns?
• Bioavailability will this care and support help determining what medication may or may not be properly absorbed?
• So are you saying that it can be determined whether an individual has necessary enzyme for folate? Could you discuss and expand on this a little more?
• Really good Question Steve about allergy and sensitivity, thank you
• Which states are she licensed in? She already said that, but I missed all of them. Thanks,
• How long does it take for practicing pharmacist to train and be certified to provide this pharmacy care support and consulting?

Chat Transcript

12:17:15     From  Rose Thorn : Really appreciate what you're doing! I'm on four drugs that have high variability across the population, i.e. great for me and a percentage of the population and useless or worse for others. Very tricky situation for providers! I only found the good ones by changing providers a few times, and experimenting with various options, some of which fell into that making things worse category. This sounds so much better!

12:18:32     From  Rose Thorn : Interesting about the genetic component. Within my family we have found that drugs that help a blood relation are more likely to be successful!

12:19:34     From  Anne Arrington : How would the preventative testing work with medications being developed or not yet created?  Does the test have to be updated down the line?

12:20:43     From  Andrea   to   Hosts and panelists : Where can we get these tests done and the formal name of each.  Do you need a doctor's script?

12:27:35     From  Sonja Barsky   to   Hosts and panelists : Genomind- genomind.com. test has been great for managing my clients drugs for mental health too

12:28:10     From  Carol Ragsdale : This can be life-changing to the course of treatment. Every patient should be able to have their medications tailored to their specific needs.

12:29:03     From  Linda Arret : Can you suggest how to address two potential obstacles:   long time internist middle aged who does not yet believe in pharmacogenomics, can you point to good lit sources discussing and advocating; for patents who mostly use mail order pharmacies, such as FEP federal employees programs and therefore have challenges interacting with pharmacists

12:31:29     From  Rebecca Estrada   to   Hosts and panelists : What about a rage syndrome?  Out burst to people?

12:31:41     From  Sonja Barsky   to   Hosts and panelists : Can you talk about insurance coverage to cover costs of this type of genetic testing?  Also how do consulting pharmacist charge and is there any insurance coverage for those fees?

12:32:17     From  Marsha Seabold : We use Genesight testing to test for psychiatric medications. What companies do you know of for testing?

12:33:07     From  Jessica Novello   to   Hosts and panelists : I am interested in getting a list of companies or providers to guide the process. Is such a list available or searchable online?

12:38:45     From  Anne Arrington : https://www.findyourpharmacist.com/

12:41:51     From  Steve Gurney - ProAging Community : https://www.findyourpharmacist.com/states

12:47:46     From  Rose Thorn : I just messaged my PCP about the availability of this test!

12:48:14     From  Linda Arret : can the testing cover aspects of nonprescription meds, such as vitamin and mineral supplements?

12:50:56     From  Andrea   to   Hosts and panelists : WHERE CAN WE ORDER THIS TEST, PLESE NAME SOME GOOD COMPANIES

12:51:15     From  Emily Shewmaker   to   Hosts and panelists : PGx has been limited to certain drug classes. Has the scope of this testing broaden to include most drugs or is it limited? What is the average turn around time for the results of the PGx tests?

12:57:11     From  Steve Gurney - ProAging Community : Chana's website https://goldenhealthconsulting.com/

12:57:15     From  Emily Shewmaker   to   Hosts and panelists : Forgive me if this was covered in the presentation. I was pulled away for a few minutes.

12:57:15     From  Steve Gurney - ProAging Community : email chana@goldenhealthconsulting.com

12:57:24     From  Steve Gurney - ProAging Community : phone (484) 534-7954

13:09:24     From  Andrea   to   Hosts and panelists : Sorry I might of missed this

13:10:17     From  Andrea   to   Hosts and panelists : Can name some labs that cover everything in VA

13:12:26     From  Andrea   to   Hosts and panelists : Excellent topic, learned a lot!