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Pain & Opioid Metabolism Panel

Why painkillers work for some people but not others

CYP2D6 ultra-rapid metabolisers can experience opioid toxicity at standard doses; poor metabolisers receive no pain relief. This panel prevents dangerous over- or under-dosing.

Postal saliva kit— no clinic visit needed
Results in 10 days
Managed via patient portal
ISO 15189 Certified Lab
JCI Accredited Clinic
GDPR Compliant
Patients from 30+ countries

Istanbul, Turkey

260

Results in 10 days

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🇬🇧 United Kingdom~£728
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Postal saliva kit — no clinic visit required

Collect from home, post back in the pre-paid envelope. Results delivered digitally in 10 days.

What you receive

What your saliva
sample reveals

CYP2D6 (codeine, tramadol, oxycodone metabolism)

OPRM1 (mu-opioid receptor — pain sensitivity)

COMT (pain perception & morphine requirement)

NSAIDs & COX-2 inhibitor metabolism (CYP2C9)

Anaesthesiologist-reviewed dosing guide

Best for: Anyone planning surgery, managing chronic pain, or who has had unexpected reactions to codeine or tramadol

Test Categories

Explore each panel

Browse every category covered in your Pain & Opioid Metabolism Panel — click a marker to see the action it unlocks.

The liver enzymes that determine whether standard drug doses are safe and effective for you.

CYP2D6 phenotype

CYP2D6 (chr22)

High Risk
ResultPoor metaboliser

CYP2C19 phenotype

CYP2C19 (chr10)

Moderate
ResultIntermediate

CYP2C9 phenotype

CYP2C9 (chr10)

Good
ResultNormal

CYP3A4/5 activity

CYP3A4 (chr7)

Good
ResultNormal
From Result to Action

Turn data into action

Every finding in your report comes with a concrete next step. Here's what your results can unlock.

Carry Your Drug-Compatibility Profile for Life

Carries for life

Triggered by: Any CYP450 variant identified

200+

medications covered by your profile

Click to collapse

What this result reveals:

How your CYP2D6, CYP2C19, CYP2C9, and CYP3A4/5 phenotypes interact with over 200 specific medications — covering every major therapeutic area from psychiatry to cardiology to anaesthesia.

Download your printable drug-compatibility card from the portal — bring it to every GP, specialist, and hospital visit

Share the full report with your pharmacist to screen current medications for interactions

If hospitalised: insist your pharmacogenomics report is reviewed before any new prescription, especially pain medication

1 in 3 people carry a CYP450 variant that significantly affects drug metabolism. CYP2D6 PM status eliminates all analgesic effect from codeine — a medication given daily in hospitals worldwide.

End Psychiatric Medication Trial-and-Error

Most impactful

Triggered by: CYP2D6, CYP2C19, or SLC6A4 variants

4 weeks

average time to effective treatment (vs. 9 months)

Click to see the full action protocol →

Get Anticoagulant Dosing Right First Time

Safety critical

Triggered by: VKORC1 or CYP2C9 variants

−60%

time outside therapeutic range with genotype dosing

Click to see the full action protocol →

Every action protocol above is included in your digital report, reviewed by a specialist.

Is This Test Right for You?

Who benefits most

Experienced unexpected side effects

A medication your GP described as standard caused an unusually strong or completely absent reaction. Your CYP450 enzyme profile explains exactly why.

Starting a new long-term prescription

About to begin antidepressants, statins, or blood thinners. Getting your pharmacogenomics first means getting the right drug and dose on the very first attempt.

Multiple medication changes with no result

Gone through 3 or more antidepressants or pain medications with poor results. That pattern has a genetic explanation in the majority of cases.

Sample Report

60 pages of actionable insight

Not a raw data dump — a structured clinical report written in plain language, reviewed by your specialist before delivery, with every finding mapped to a concrete action.

Pain & Opioid Metabolism Panel — Genetic Report

Sample results · For illustrative purposes

Results ready

PM

CYP2D6 status

Poor metaboliser — critical

Partial resp.

Clopidogrel

Consider alternative

−35%

Warfarin dose

Sensitive genotype

47

Medications affected

By your profile

CYP2D6 phenotype

CYP450 Panel

Poor metaboliser
15%

CYP2C19 phenotype

CYP450 Panel

Intermediate
55%

CYP2C9 phenotype

CYP450 Panel

Normal
82%

CYP3A4/5 activity

CYP450 Panel

Normal
78%

+ 6 more markers in your full report

Full report unlocked after sample receipt
PDF + Portal

Report delivered digitally in 10 days from sample receipt. Reviewed by a specialist before release.

Inside your report

60-page clinical document

Executive summary — 1-page clinician overview

Full gene-by-gene findings with reference ranges

Your variant vs. 100,000-person population norms

Ranked intervention priority list by impact

Supplement & lifestyle protocol tailored to your results

GP & specialist summary letter (formatted for referrals)

Document library access via patient portal 24/7

Report formats included

Digital PDF

Download instantly from your portal

Patient portal

Interactive results, always accessible

GP referral letter

Formatted for your local doctor

Specialist letter

Category-specific clinical summary

Patient Portal

Included free with every test

Your patient portal is activated the moment your saliva kit is dispatched. Every result, action item, specialist message, and document — in one place, accessible 24/7 from any device.

Full report library

PDF + interactive results, always accessible

Secure specialist messaging

Direct line to your doctor, included free

Protocol reminders

Daily supplement and action item tracker

Access from any device

Web portal — no app download required

GDPR encrypted storage

Your data is private and deletable on request

Mobile-optimised

Full functionality on phone, tablet, desktop

My Patient Portal
Active

Your action plan

2/5 done

40% complete — tap any item to mark done

Download drug-compatibility card (wallet size)

GP letter generated — CYP2D6 PM alert

Cardiologist clopidogrel alternative letter

Hospital alert wristband request (optional)

Pharmacist review of current medications

Message your specialist
Typically replies in 4h

Portal activated instantly on kit dispatch. No app required — web-based access only.

How It Works

From order to results:
4 simple steps

Everything managed through your patient portal — no clinic visits, no waiting rooms.

1

Saliva kit sent

Delivered to your door

2

Lab analysis

ISO 15189 certified lab

3

Specialist review

Doctor reads your results

4

Patient portal

Manage everything online

Patient portal: Order your kit, track shipping, view results, message your specialist, and access your complete report — all from one secure dashboard, available on any device 24/7.

Medical Team & Real Q&A

Real questions from real patients

These are actual questions asked by patients about their Medication Safety results — answered in full by our specialists.

Dr. Aylin Kaya

Dr. Aylin Kaya

MD PhD

Molecular Genetics & Epigenetics Lead

EpigeneticsLongevityCancer Genetics
14 years experience 38 publications English, German, Turkish

Available for consultations Mon–Fri 9am–5pm (CET)

Dr. Mehmet Yilmaz

Dr. Mehmet Yilmaz

MD

Clinical Genetics & Pharmacogenomics Specialist

PharmacogenomicsHereditary RiskCardiac Genetics
11 years experience 22 publications English, French, Turkish

Available for consultations Tue–Sat 8am–4pm (CET)

Have a question about your specific situation? Our specialists reply within 2 hours.

Before You Order

Your questions, answered

Order Pain & Opioid Metabolism Panel

Start knowing, not guessing.

Get in touch and your coordinator will send you the complete test guide, exact pricing, and your saliva kit within 2 hours. Free, no obligation.

Complete test guide & sample report emailed immediately

Saliva kit dispatched the same working day

Secure patient portal access on day of kit dispatch

Free 15-min pre-test call to answer all your questions

Results in 10 days — reviewed by a specialist before delivery

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Pain & Opioid Metabolism Panel

260 · 10 days · Medication Safety

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