{"id":1872,"date":"2024-06-12T22:38:52","date_gmt":"2024-06-12T22:38:52","guid":{"rendered":"https:\/\/ppsg.ch\/?page_id=1872"},"modified":"2024-11-07T14:47:50","modified_gmt":"2024-11-07T14:47:50","slug":"konsiliarische-untersuchung-second-opinion","status":"publish","type":"page","link":"https:\/\/ppsg.ch\/?page_id=1872","title":{"rendered":"Konsiliarische Untersuchung &#8211; Second Opinion"},"content":{"rendered":"<p><span style=\"font-family: 'Open Sans';\">Ob und wie Medikamente wirken, h\u00e4ngt von pers\u00f6nlichen Faktoren, Umweltfaktoren und\u00a0 genetischen Faktoren ab. Wir f\u00fchren <strong>konsiliarische Untersuchungen<\/strong> durch. Der Schwerpunkt liegt in der \u00dcberpr\u00fcfung der medikament\u00f6sen Behandlung. Wir wenden eine Kombination von<strong> pharmakogenetischen Abkl\u00e4rungen<\/strong> mit einem <strong>Therapeutischen Drug Monitoring<\/strong>\u00a0 f\u00fcr eine <strong>personalisierte Therapie<\/strong> an d.h. eine massgeschneiderte medikament\u00f6se Behandlung. So k\u00f6nnen wir Aussagen bez\u00fcglich der Wirksamkeit der Medikation, unerw\u00fcnschter Arzneimittelwirkungen sowie Risiken machen. Genetische Variationen k\u00f6nnen beispielsweise zu therapeutisch oder toxisch relevanten Abweichungen f\u00fchren. Die Folgen sind\u00a0 \u00dcber- oder Unterdosierung von Medikamenten. Im Rahmen des Therapeutischen Drug Monitorings (TDM) kontrollieren wir die Wirkstoffkonzentration im Blut (Medikamentenspiegel). Auf Wunsch k\u00f6nnen wir mittels Laboranalysen genetische Risikofaktoren und Pr\u00e4dispositionen fr\u00fchzeitig erkennen. Damit besteht die M\u00f6glichkeit, diesen entgegenzuwirken. Dabei k\u00f6nnen\u00a0 unter anderen Detox-Profil, Methylierungs- und Entgiftungsprofil, Profil f\u00fcr Hormonersatztherapie, Profil Depressionsgenetik sowie Vitamingenetik und ein Profil f\u00fcr genetische Entz\u00fcndungsneigung erfasst werden.<\/span><\/p>\n<p><span style=\"font-family: 'Open Sans';\"><a href=\"https:\/\/ppsg.ch\/wp-content\/uploads\/2024\/06\/Billd_Pharamakogenetik-TDM-scaled.bmp\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-1991\" src=\"https:\/\/ppsg.ch\/wp-content\/uploads\/2024\/06\/Billd_Pharamakogenetik-TDM-300x156.jpg\" alt=\"\" width=\"581\" height=\"302\" srcset=\"https:\/\/ppsg.ch\/wp-content\/uploads\/2024\/06\/Billd_Pharamakogenetik-TDM-300x156.jpg 300w, https:\/\/ppsg.ch\/wp-content\/uploads\/2024\/06\/Billd_Pharamakogenetik-TDM-1024x534.jpg 1024w, https:\/\/ppsg.ch\/wp-content\/uploads\/2024\/06\/Billd_Pharamakogenetik-TDM-768x401.jpg 768w, https:\/\/ppsg.ch\/wp-content\/uploads\/2024\/06\/Billd_Pharamakogenetik-TDM-1536x801.jpg 1536w, https:\/\/ppsg.ch\/wp-content\/uploads\/2024\/06\/Billd_Pharamakogenetik-TDM-2048x1068.jpg 2048w\" sizes=\"(max-width: 581px) 100vw, 581px\" \/><\/a><\/span><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 12px; font-family: 'Open Sans';\">modifiziert nach Crettol, S., de Leon, J., Hiemke, C., &amp; Eap, C. B. (2014). Pharmacogenomics in psychiatry: from therapeutic drug monitoring to genomic medicine. Clinical Pharmacology &amp; Therapeutics, 95(3), 254-257.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ob und wie Medikamente wirken, h\u00e4ngt von pers\u00f6nlichen Faktoren, Umweltfaktoren und\u00a0 genetischen Faktoren ab. Wir f\u00fchren konsiliarische Untersuchungen durch. Der Schwerpunkt liegt in der \u00dcberpr\u00fcfung der medikament\u00f6sen Behandlung. Wir wenden eine Kombination von pharmakogenetischen Abkl\u00e4rungen mit einem Therapeutischen Drug Monitoring\u00a0 f\u00fcr eine personalisierte Therapie an d.h. eine massgeschneiderte medikament\u00f6se Behandlung. So k\u00f6nnen wir Aussagen bez\u00fcglich<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"class_list":["post-1872","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.6 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Konsiliarische Untersuchung - Second Opinion - Psychiatrische Praxis St. Gallen \u01c0 PPSG<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ppsg.ch\/?page_id=1872\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Konsiliarische Untersuchung - Second Opinion\" \/>\n<meta property=\"og:description\" content=\"Ob und wie Medikamente wirken, h\u00e4ngt von pers\u00f6nlichen Faktoren, Umweltfaktoren und\u00a0 genetischen Faktoren ab. 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