
Cardio PGx Test
Your Heart. Your DNA. Your Treatment.
Your heart deserves the very best.
The PGx Cardio Test helps you understand how your genes may influence the way your body responds to heart medications. By revealing insights unique to your DNA, it enables your healthcare professional to choose the safest and most effective treatments for you, optimizing your well-being and protecting your heart health for the long term.
In Canada, millions of people take medication every day to treat or prevent heart disease. With the PGx Cardio Test, every treatment can be better tailored to your genetic profile because your health is as unique as you are.
This test is useful for patients who:
- Are currently taking or plan to take heart medications (see list of covered drugs)
- Have already experienced side effects related to medications for cardiovascular diseases
- Are about to start treatment with one of the following drugs: statins, clopidogrel, metoprolol, warfarin
- Are taking multiple medications (three or more) and are experiencing issues with effectiveness or side effects
- Have a personal or family history of drug intolerance or treatment failure
Optimizing cholesterol treatment
The Cardio PGx test can be a valuable tool for individuals currently taking statins and experiencing muscle pain, a side effect that affects up to 25% of patients. [1]
This test can help:
- Minimize muscle pain by guiding your clinician toward a more suitable statin and/or dosage. [2]
- Continue your cholesterol-lowering treatment in a personalized way to maintain its heart-protective benefits.
Choosing the right medication to prevent blood clots
The Cardio PGx test may also be useful if you are about to start clopidogrel/Plavix® after a stroke, heart attack, or before a heart procedure (such as placing a small expandable metal tube, or “stent,” to open a blocked artery).
For clopidogrel to be effective, it must be activated by an enzyme called CYP2C19. However, approximately 30% of the general population does not have enough of this enzyme, which can reduce the effectiveness of the medication.[3]
The test can show whether your body can properly activate clopidogrel. If it cannot, your doctor can choose a more suitable treatment, helping to reduce the risk of blood clots and strokes by approximately 40% (4.5% risk with PGx vs. 7.0% without PGx). [4,5]
Main categories of medication covered by the Cardio PGx test
Angiotensin-Converting Enzyme Inhibitors (ACEI)
- Benazepril (Lotensin®)
- Captopril (Capoten®)
- Cilazapril (Inhibace®)
- Enalapril (Vasotec®)
- Fosinopril (Monopril®)
- Lisinopril (Prinivil, Zestril®)
- Perindopril (Coversyl®)
- Quinapril (Accupril®)
- Ramipril (Altace®)
- Trandolapril (Mavik®)
Antiarrhythmics
- Amiodarone (Pacerone®, Cordarone®)
- Digoxine (Lanoxin®)
- Flecaïnide (Tambocor®)
- Propafenone (Rythmol®)
- Disopyramide (Rythmodan®)
Anticoagulants
- Acenocoumarol, Nicoumalone (Sintrom®)
- Apixaban (Eliquis®)
- Dabigatran (Pradaxa®)
- Edoxaban (Lixiana®, Savaysa®)
- Rivaroxaban (Xarelto®)
- Warfarine (Coumadin®)
Antiplatelets
- Clopidogrel (Plavix®)
- Prasugrel (Effient®)
- Ticagrelor (Brilinta®)
Angiotensin II Receptor Blockers (ARBs)
- Azilsartan (Edarbi®)
- Irbesartan (Avapro®)
- Losartan (Cozaar®)
- Olmesartan (Olmetec®, Benicar®)
- Telmisartan (Micardis®)
- Valsartan (Diovan®)
Beta-blockers
- Acebutolol (Sectral®, Monitan®)
- Atenolol (Tenormin®)
- Bisoprolol (Monocor®, Zebeta®)
- Carvedilol Coreg®
- Labetalol (Trandate®)
- Metoprolol (Lopressor®, Betaloc®, Toprol XL®)
- Nadolol (Corgard®)
- Propranolol (Inderal®)
- Sotalol (Sotacor®, Betapace®)
Calcium channel blockers (CCBs)
- Amlodipine (Norvasc®)
- Diltiazem (Cardizem®, Tiazac®)
- Felodipine (Plendil®)
- Nifedipine (Adalat, Procardia®)
- Verapamil (Isoptin®, Verelan®, Calan®)
Diuretics
- Acetazolamide (Diamox®)
- Amiloride (Midamor®)
- Chlorthalidone (Hygroton®)
- Eplerenone (Inspra®)
- Furosemide (Lasix®)
- Hydrochlorothiazide (Hydrodiuril®, Microzide®)
- Indapamide (lozide®, Lozol®)
- Spironolactone (Aldactone®)
- Triamterene (Dyrenium®)
Lipid-lowering agent
- Fenofibrate (Lipidil®, Tricor®)
Selective cholesterol-absorption inhibitor
- Ezetimibe (Ezetrol®, Zetia®)
Statins
- Atorvastatin (Lipitor®, Caduet®)
- Fluvastatin (Lescol®)
- Lovastatin (Mevacor®)
- Pitavastatin (Livalo®)
- Pravastatin (Pravachol®)
- Rosuvastatin (Crestor®)
- Simvastatin (Zocor®)
Click here for the list of all medications covered
Advantages of the PGx Cardio test
Over 62 medications covered

A simple saliva sample is enough

Results in 10 business days

Dosage recommendations

Comparison of PGx Tests for heart medication
| Feature | Biron | Most Competitors | Benefit to You |
|---|---|---|---|
| Gene & Medication Coverage | Widest range (cardiovascular focus, 60+ meds) | Limited panels (fewer genes and meds) | More accurate, personalized recommendations |
| Turnaround Time | Results delivered in 10 business days | Typically, 2–3 weeks | Faster access to results and treatment adjustments |
| Expert Guidance Included | Included with every test; personalized consultation with a clinical pharmacist is included with every test to support both patients and healthcare providers | Not always included | Expert guidance for safer prescribing |
| Trusted by Patients and Providers | High satisfaction scores reflect our commitment to service, clarity, and clinical impact | Varies | Confidence in quality and service experience |
| Comprehensive Options | Available (Mental Health & Pain & Cardio) | - | One trusted provider for multiple conditions |
| Strict Data Privacy Protections | All genetic data is handled with the highest level of confidentiality and stored securely in Canada, in compliance with provincial and federal privacy laws | - | Security and confidentiality of genetic information |
| Accredited Laboratory Standards | Testing is conducted in certified laboratories that meet rigorous quality and accreditation standards to ensure reliability and accuracy | - | Reliable and accurate results |

Talk to your doctor about the test
Want to talk to your doctor about pharmacogenomic testing?
Download the documentation to start the conversation.
How does the pharmacogenomic test work?
Collect your sample

Receive your report and a free consultation


At Biron, safeguarding your privacy is our core commitment.
Ensuring the security and confidentiality of your information is a top priority for us. Your genetic data is encrypted on multiple levels and stored on Canadian servers that meet or exceed the most stringent security standards. No information is ever disclosed to third parties without your consent.

Avoid the lengthy process of trial and error. Order your test today.
Frequently asked questions about genetic testing, pharmacogenomics, and nutrition
Can I do the test without a prescription?
Yes, but we recommend that you ask your doctor for one. What's more, if you have a prescription, you may be exempt from paying taxes.
My doctor doesn't know about the test, but I'd like to have it done.
We will be happy to provide your doctor with relevant information regarding the test. While genetic analysis helps predict how you might respond to different medications, many other factors can also play a significant role. By having access to your results, your healthcare professional will be able to put them in context with your overall health, allowing for more informed decision-making.
Can I combine this genetic test with others?
Yes, you can combine this test with any other test offered by Biron Genetics. Make your selection in the online store to see the available options and get the best bundled price.
Is DNA testing covered by insurance plans?
Coverage for genetic testing depends on your private insurance and plan.
A prescription may be required.
If you have a Health Spending Account with your insurance plan, you may be able to use this account to cover the cost of your genetic test. We recommend that you contact your insurance company for more information on your coverage. Get a quote for your genetic test and submit it to your insurance company.
Do I have to stop taking my medication to do the test?
No. Taking any prescribed or non-prescribed medication will have no influence on the pharmacogenomic test. However, it is not advisable to stop or modify your current treatments without the approval of a healthcare professional. We therefore recommend that you continue your treatments as directed by your healthcare professional.
Learn more about pharmacogenomics and cardiovascular health
Are you curious? Get unmatched expertise and knowledge from our experts in our Education Center.
Sources5
- Warden et al. Assessment and management of statin-associated muscle symptoms (SAMS): A clinical perspective from the National Lipid Association. Journal of Clinical Lipidology (2023) 17:19-39.
- Cooper-DeHoff et al. The Clinical Pharmacogenetics Implementation Consortium Guideline for SLCO1B1, ABCG2, and CYP2C9 genotypes and Statin-Associated Musculoskeletal Symptoms. Clinical Pharmacology and Therapeutics (2022) 111:1007-1021.
- Koopmans et al. Meta-analysis of probability estimates of worldwide variation of CYP2D6 and CYP2C19. Translational Psychiatry (2021) 11:141.
- Lee et al. Clinical Pharmacogenetics Implementation Consortium Guideline for CYP2C19 Genotype and Clopidogrel Therapy: 2022 Update. Clinical Pharmacology and Therapeutics (2022) 112(5):959-967.
- Ingraham et al. Genetic-Guided Oral P2Y12 Inhibitor Selection and Cumulative Ischemic Events After Percutaneous Coronary Intervention. JACC Cardiovascular Interventions (2023) 16:816-825.








