Our Tests

Analgesic Pharmacogenetic Screen

Also known as: CYP2D6, CYP3A4, CYP3A5

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Variants in the CYP2D6, CYP3A4, and CYP3A5 genes may slow the rate at which certain drugs are broken down. The drugs involved are

  • fentanyl
  • methadone
  • some analgesics
  • some anti-psychotics

A patient with such a variant may be at risk of toxicity from the medication.

This test has a role in identifying patients who may benefit from avoiding a specific drug or dose, but it provides little useful information for people (including relatives) who are not taking the medications of concern. Testing of relatives is generally not recommended.

Clinical Utility

The laboratory report describes the gene variants detected in a patient, and the implications regarding drug choice or dose.

Test Method

Analysis of the CYP2D6, CYP3A4, and CYP3A5 genes.

Test Ordering

This test can be requested by any medical practitioner.

5 mL blood in EDTA. Specimens may be collected by the requesting practitioner or at any Sonic Healthcare pathology collection centre.

To help ensure the quality of the test, a genetic test should be done with a dedicated sample whenever possible i.e. a sample collected specifically for that test rather than a sample that is used for multiple tests.

We also recommend that the patient or another adult check the labelling of request forms and sample tubes.

Special Instructions

Please list current and proposed medications on the request form. Please highlight any medications that have caused problems in the past.


Pricing note:

The price varies according to the specific clinical conditions for a particular patient. Please contact Sonic Genetics on 1800 010 447 for more information.

Medicare Rebate

This test is not rebated by Medicare. The laboratory assumes that the patient or client has provided informed financial consent for the test.

Turnaround Time

10 working days.