Clinical Pharmacology

Your medication, reviewed by a specialist

Medication reviews, second opinions and pharmacogenetic testing by a specialist in Clinical Pharmacology and Toxicology FMH. Reimbursed in Switzerland, available worldwide.

docliv@hin.ch

Reimbursed in Switzerland
Worldwide

Services

What we do

Medication review

Comprehensive review of complex medication regimens for interactions, dosing and therapeutic duplication.

Drug interactions and adverse effects

Specialist assessment of clinically relevant interactions and adverse drug reactions.

Second opinion

Independent specialist opinion on a drug therapy, for patients and treating physicians.

Pharmacogenetics

Indication, ordering and interpretation of pharmacogenetic tests.

Pharmacogenetics

Indications for pharmacogenetic testing

Unexpected or severe adverse drug reactions
Before a therapy whose efficacy or tolerability depends on the genotype
Lack of efficacy despite correct use
Unusually high dose requirements

Send us existing genetic test results, medical records, laboratory results and the current medication. We interpret existing pharmacogenetic results or assess whether a test is eligible for reimbursement in Switzerland.

Reimbursement in Switzerland

Basic health insurance covers pharmacogenetic testing subject to the following limitations:

Only before a medicine is administered, or after an adverse reaction or lack of efficacy with a scientifically established link to the genes tested.
Not for the diagnosis of disease, predisposition testing, or HLA typing without a drug-related indication.
For the five drug and gene pairs on the SGKPT list, any physician may order the test.
For all other medicines, testing may only be ordered by specialists in Clinical Pharmacology and Toxicology.

The SGKPT list

Abacavir · HLA-B*57:01

Carbamazepine · HLA-A*31:01, HLA-B*15:02

Azathioprine, 6-mercaptopurine · TPMT

5-fluorouracil, capecitabine · DPYD

Irinotecan · UGT1A1*28

Physicians and pharmacists may order pharmacogenetic tests under their own professional responsibility (GUMV Art. 5 and 7).

Legal basis

Relevant documents in Switzerland

PDF, in German as published.