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Mental Health
Formerly known as Genecept Assay®, OptimalRx Plus® is a unique test that looks at genes that may affect your body’s ability to benefit from certain drugs for mental health, pain and addiction treatments. Clinicians generally use this test to help guide their treatment plans for mental health conditions such as depression, anxiety, ADHD and bipolar disorder, among others. OptimalRx Plus® can help your clinician decide which medication and dosage may work best for your symptoms. We now offer a new expanded panel for more comprehensive insights into your health.
Click here to view the collection instructions.
Sample Type: Buccal (cheek) swab
Collection Method: At-home self test
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Get a Free Dynacare Plus Membership for One Year with Purchase of a Test
Included with purchase of a test is a free Dynacare Plus membership valid for one (1) year (“Membership Offer”). For customers with an active Dynacare Plus membership, a 1-year extension will automatically be applied to their current membership term upon completion of a test purchase. A Dynacare Plus customer is eligible for up to two (2) Membership Offers with the purchase of tests per year. Purchases exceeding the amount of two (2) tests in a (12) twelve-month period are not eligible to receive the Membership Offer. At membership renewal time, the going renewal rate in effect, will apply. The Membership Offer is non-transferrable and not exchangeable for cash value. A cancelled test revokes the Membership Offer. The Membership Offer is not valid towards any other service/product or any other discounts or offerings provided by Dynacare. This Membership Offer shall be subject to change or revocation at any time, at the sole and unfettered discretion of Dynacare. Dynacare shall be entitled to deny eligibility to this Membership Offer in the event of fraud, misuse, or abuse, or in the event that Dynacare permits the customer to receive a refund on the test purchased online.
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"Up to half of all patients respond poorly to the first psychiatric medication they try. That’s because everyone’s body is different, and how your body responds to a given medication is influenced by your genetic makeup, or your individual DNA.
OptimalRx Plus looks at key genes in your body that affect how it responds to 97% of medications typically used to treat mental health, pain and addiction. This can help your clinician understand if a drug may work for you before you even try it. With this information and your history, your clinician can find the right treatments so you can feel better, faster."
"In a recent study, clinicians reported that 87% of their patients showed improvement with treatment guided by OptimalRx Plus. They also reported improvement in 91% of patients who had failed at least two medications in the past.¹
Testing with OptimalRx Plus can help your clinician and you choose a medication and a dosage that work well for your body, minimizing the chances of side effects. This test may help whether you are new to treatment or your current treatment isn’t working.
¹Brennan FX et al. Prim Care Companion CNS Disord 2015:17(2)."
You are about to add OptimalRx Plus® (Formerly Genecept Assay®) to your shopping cart.
Please select one of the following:
You are about to add OptimalRx Plus® (Formerly Genecept Assay®) to your shopping cart.
Please select one of the following:
Select a test from the catalogue to take control of your health and pay online.
An approved requisition is required to collect and analyze your sample. To get your OptimalRx Plus test requisition, please download the requisition form and have it signed by your doctor.
A collection kit will be shipped to the mailing address you provided within 3-5 business days.
Collect your sample and ship it back to Dynacare with your approved requisition. Contact Dynacare if you have not received a kit at 1.888.988.1888.
Allow 5-8 days* for your result to appear in Dynacare Plus. Log in to your Dynacare Plus account to view your results. Your ordering physician will also receive a report. *You may experience a temporary delay in viewing your results online due to technical updates currently underway in Dynacare Plus.
With your test purchase, you will receive a free Dynacare Plus membership valid for one year.
You can access your health records by using Interac® verification service to help verify your identity using personal information that you consent to share from your financial institution.
Do not eat or drink, brush your teeth or use mouthwash for 30 minutes prior to buccal sample collection. Store and ship the sample at room temperature.
Your clinician will review your results with you and develop a personalized treatment plan specific to your genetic makeup. Dynacare always offers the services of our experts, including pharmacists and physicians, who can provide your clinician with additional guidance and explanation to understand your test results.
You can access your health records by using Interac® verification service to help verify your identity using personal information that you consent to share from your financial institution.
You are about to add OptimalRx Plus® (Formerly Genecept Assay®) to your shopping cart.
Please select one of the following:
Here are some questions we commonly get from our customers.
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A: No. The complimentary membership you receive after purchasing a test in Dynacare Plus is considered as a 1-year extension for current customers.
A: You can receive up to 2 complimentary memberships per year. Complimentary memberships are non- transferable.
A: To cancel a test, please contact the Dynacare Plus Customer Care team at 855.748.1115, Monday to Friday from 8 a.m. to 4 p.m. EST.
A:Yes. You will receive a receipt via email.
A: Information about these pathogens is available in the Sexually Transmitted Infections Panel webpage on Dynacare Plus. To learn more, you can also log into your Dynacare Plus account and click on section Health A-Z.
A: No. Consulting with a healthcare provider for a full assessment is essential when an STI is suspected. This product does not remove the need for or replace the advice of a healthcare provider when an STI is suspected.
A: This product is intended for individuals who are curious about their chlamydia, gonorrhea, and/or Trichomonas status for wellness purposes only.
The STI Panel screening test detects only genital chlamydia, gonorrhea, and Trichomonas from a urine sample source. A negative result from this screening test does not rule out an STI at another anatomic site (e.g., throat, rectum), or infection with another STI that is not tested as part of this panel (e.g., HIV, syphilis). Consider discussing with a healthcare provider if more comprehensive testing is needed.
Your kit needs to be registered in order for our lab to process your sample. As part of registration, you will enter your unique kit barcode and the date and time of sample collection. Kit registration will also help you to ensure you have followed all collection and packaging steps successfully.
To access the kit registration page, simply scan the QR code located on the kit box and the Customer Instructions within the kit box. You can also go to DynacarePlus.com and click on 'Register Kit'.
You can scan the barcode on the kit box using your mobile phone. You can also enter it manually. If the problem persists, contact Customer Care at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST. Closed on public holidays.
You need to register your kit first so our lab can process your sample and send you results. If you forgot to register your kit, go back and register it. If your sample has already been shipped, please call Customer Care at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST.
You can go back and edit the information you have entered before continuing to the next step. At the end of the registration process, you can also edit kit details before completing the registration process. You will not be able to go back and edit once you have completed kit registration. If you identify a mistake after finalizing registration, call Customer Care at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST.
You can access instructions and tutorial video on our website to guide you through the sample collection process. You can also check out the printed test instructions included in your kit box. If you still have questions about sample collection, call 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST.
Weekdays are the best time to collect your sample. Avoid collecting your sample at times where Purolator pickup may not be available within 24 hours of collection (i.e., Saturdays and Sundays), or holidays.
It is recommended to schedule sample pickup within 24 hours of collection. If sample is collected within said time frame, sample stability at ambient temperature will not be compromised.
It is important to remember not to urinate or clean genital area at least one hour prior to sample collection.
No. Homecare services are not available for the home collection kit. If you need further assistance, you can reach out to Customer Care at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST. Closed on public holidays.
Please contact Customer Care at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST. Closed on public holidays.
Please contact Customer Care at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST. Closed on public holidays.
Please contact Customer Care at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST. Closed on public holidays.
It may take 5 days to 2 weeks for chlamydia, gonorrhea and Trichomonas to be detectable after exposure. If you decide to test within this period and receive a negative result, you may consider retesting at least 2 weeks after exposure to increase the likelihood of detection.
If your result is positive, you will need to seek advice from a healthcare provider. You will be contacted by Dynacare to ensure you have seen your result.
Chlamydia and gonorrhea are public health-notifiable diseases in Canada and Dynacare is required to report these according to the regulations in the province where the sample was collected. A member of your local public health team may also contact you.
Because the STI Panel is considered a screening test, your healthcare provider may require you to conduct a confirmatory test.
Current practice guidelines indicate that anyone suspected of having a specific STI (e.g., chlamydia or gonorrhea) should be screened for other STIs (e.g., syphilis, HIV) based on their individual history and risk factors, so additional assessment may be needed.
We recommend that you check with the public health agency or a healthcare provider for directions on this matter.
Although the STI Panel screening test is very sensitive, the accuracy of the result depends on many factors including the quality of the sample collection and how soon the sample is collected after a potential exposure. If you have concerns that you have received a false-negative result (e.g., persistent or worsening symptoms) a discussion with your healthcare provider should be considered.
The STI Panel screening test detects only genital chlamydia, gonorrhea and Trichomonas from a urine sample source. A negative result for this screening test does not preclude STI from at another anatomic site (e.g., throat, rectum), or infection with another STI that is not tested as part of this panel (e.g., HIV, syphilis). Consider discussing with a healthcare provider if more comprehensive testing is needed.
Current practice guidelines indicate that anyone suspected of having a specific STI (e.g., chlamydia or gonorrhea) should be screened for other STIs (e.g., syphilis, HIV) based on their individual history and risk factors, so additional assessment may be needed.
Through Dynacare Plus, you can connect with a virtual healthcare provider via Tia Health and discuss directly any concerns you may have. Please note this is not included with purchase of your STI screening test and is a separate transaction between you and Tia Health.
This feature is not currently available through Dynacare Plus. Instead, you will be able to generate a PDF test report and share it within your primary circle of care.
Please discuss any symptoms or other health concerns directly with your healthcare provider.
The STI Panel screening test is intended for people who are curious about whether they have been exposed to an STI and/or wellness purposes. Diagnostic tests are ordered by healthcare providers in order to guide clinical management decisions. Screening tests ordered by customers are non-diagnostic.
At this time, Dynacare only offers the STI Panel as a customer-ordered test for screening purposes.
Testing may take up to 5-7 days after the sample is received at our lab.
Dynacare uses molecular testing methods for the detection of chlamydia, gonorrhea and Trichomonas nucleic acid.
The tests used by Dynacare to detect chlamydia, gonorrhea and Trichomonas in your urine sample are highly sensitive (94-100%) and specific (>99%). This means that false-negative or false-positive test results are very rare. Importantly, the likelihood of receiving an incorrect result depends on your specific risk factors for disease, the disease prevalence in your exposure area, and the quality of the sample collection. If you have questions about your specific STI risk factors or whether you should be screened for an STI, please discuss this with your healthcare provider.
You will receive the kit within 1-3 days after placing order.
To protect your privacy, by default, Purolator will require that someone at your delivery address sign for the kit package. Otherwise, it will be brought to your nearest Purolator depot and a card will be left at your delivery address indicating the same. You may call Purolator to schedule another delivery attempt. Alternatively, you can opt for e-signature and provide instructions to Purolator to leave the package at your door by utilizing the Purolator Your Way program that is offered via SMS. To learn more, check 'Can I customize my delivery?' in the FAQs section.
Please note that choosing the e-signature option, implies that you understand the risk of loss of both your package and privacy.
You will have the option to pre-select a pickup time that is convenient for your schedule. If you are not at home at the time of scheduled pickup, the shipment, sealed with the return airway bill affixed, can be left in a secure location outside your home for pickup by the courier.
Please contact Customer Care for assistance at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST. Closed on public holidays.
Please check on Purolator website for pickup availability in your area.
You can schedule a pickup through the Purolator chat bot available on Purolator.ca. The chat bot will guide you through the pickup scheduling process and also answer questions you may have. If you have difficulty with the chat bot, you can contact Purolator at 888.SHIP.123 (888.744.7123).
Yes, the shipping address field is separate and can be edited if required.
No, unfortunately Purolator cannot deliver to a PO Box.
Please contact Customer Care at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST. Closed on public holidays.
Kit size is 8" w x 5.5" d x 1.5" h.
Check the email you received following kit online purchase with tracking number details. You can also contact Customer Care at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST. Closed on public holidays.
Yes, as long as the change request is made prior to the kit being shipped. Please contact Customer Care if you need to update your shipping address at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST. Closed on public holidays.
Check the Purolator website using your tracking number. If you need further assistance, contact Customer Care at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST. Closed on public holidays.
You can contact Purolator by live chat or phone call. If they are unable to help, please contact Customer Care at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST. Closed on public holidays.
You can customize your delivery using Purolator Your Way - an easy and convenient way to customize your delivery settings from Purolator. You will receive an SMS from Purolator with a link to the portal where you will have the option to customize your drop off location, add a buzzer code and add additional delivery notes for the courier. You will also have the option to release your package with an e-signature if you will not be home at the time of the scheduled delivery. This SMS you receive from Purolator is directly linked to your specific order. You will not receive additional communication from Purolator once delivery is complete. To learn more, click here for more information.
You are able to cancel your order until 11:00 a.m. EST of the following business day from your order date.
Please check directly with your insurance provider for coverage information. We provide a receipt for your order that can be used for claim submissions, if needed.
Refunds take approximately 10-12 business days from the day you apply for a refund.
For more information, contact Customer Care at 855.748.1115, Monday to Friday from 8:00 a.m. to 4:00 p.m. EST. Closed on public holidays.
No. The Sexually Transmitted Infections (chlamydia, gonorrhea and Trichomonas) Panel at-home kit offered by Dynacare, is intended for screening purposes only. If you are looking for a provincially-insured diagnostic STI test, visit your healthcare provider to discuss options available under your provincial insurance plan.
A: The Harmony test from Dynacare Prenatal Solutions provides accurate screening for Trisomy 21 (Down syndrome), Trisomy 18 and 13, and sex chromosome abnormalities.
A: Harmony identified 99% of trisomy 21 cases, with a false-positive rate of less than 0.1% in clinical testing.¹
¹ Norton et al. N Engl J Med. 2015 Apr 23;372(17):1589-97
A: Traditional screening tests (maternal serum screening, first trimester screening, Quad screening) can miss as many as 20% of Trisomy 21 cases in pregnant women. With traditional screening, as many as 1 in 20 women will receive a false-positive result.
A: If the Harmony prenatal test shows you are high risk, it does not necessarily mean that the pregnancy has one of these genetic conditions. Harmony has a less than 0.1% false-positive rate for trisomies 21, 18 and 13. This means fewer than 1 in 1,000 Harmony tests yields a false-positive result.¹ Your healthcare provider may offer you a follow-up diagnostic procedure to confirm.
¹ Norton et al. N Engl J Med. 2015 Apr 23;372(17):1589-97
A: In some provinces the cost for the Harmony test is covered by provincial health insurance plans for women who meet specific clinical criteria. These criteria vary but may include age of the mother at delivery, a positive first trimester screen or maternal serum screen, findings on ultrasound, or a previous pregnancy with chromosome abnormality. Please check with your physician to inquire.
For those patients self-paying please be aware that some private, supplemental insurance plans also reimburse for the cost of the Harmony Test. Please check with your insurance provider for more details.
A: The Harmony test provides accurate screening for Trisomy 21 (Down syndrome), Trisomy 18 and 13, and sex chromosome abnormalities.
This test option provides additional screening for 22q11.2 deletion, a condition associated with heart defects, poor immune system function, low calcium levels which can lead to seizures, cleft palate, and delayed development.
A: 22q11.2 deletion syndrome is caused by a missing piece of chromosome 22. It occurs in about 1 in 1,000 pregnancies.² The majority of children with 22q11.2 deletion have heart defects, immune system problems, learning challenges, and specific facial features. Some children with the condition also have intellectual disability, feeding problems, speech delays, low calcium levels, kidney problems, and/or seizures. Children with 22q11.2 deletion have an increased chance of autism and may develop psychiatric conditions such as schizophrenia later in life.
²Grati et al. Prenat Diagn. 2015 Aug;35(8):801-9.
A: Harmony identified 99% of trisomy 21 cases, with a false-positive rate of less than 0.1% in clinical testing.¹
¹ Norton et al. N Engl J Med. 2015 Apr 23;372(17):1589-97.
A: Traditional screening tests (maternal serum screening, first trimester screening, Quad screening) can miss as many as 20% of Trisomy 21 cases in pregnant women. With traditional screening, as many as 1 in 20 women will receive a false-positive result.
A: If the Harmony prenatal test shows you are high risk, it does not necessarily mean that the pregnancy has one of these genetic conditions. Harmony has a less than 0.1% false-positive rate for trisomies 21, 18 and 13.¹ This means fewer than 1 in 1,000 Harmony tests yields a false-positive result. Your healthcare provider may offer you a follow-up diagnostic procedure to confirm.
¹ Norton et al. N Engl J Med. 2015 Apr 23;372(17):1589-97.
A: Any pregnancy has a potential risk of 22q11.2 deletion. Babies born with 22q11.2 deletion usually do not have a family history of the condition. Unlike Trisomy 21 (Down syndrome) or other genetic conditions caused by entire extra or missing chromosomes, women of all ages have an equal chance of having a baby with 22q11.2 deletion.
If results indicate an increased chance of 22q11.2 deletion in a pregnancy, additional testing may be offered in order to confirm whether the pregnancy actually has 22q11.2 deletion.
A: In some provinces the cost for the Harmony test is covered by provincial health insurance plans for women who meet specific clinical criteria. These criteria vary but may include age of the mother at delivery, a positive first trimester screen or maternal serum screen, findings on ultrasound, or a previous pregnancy with chromosome abnormality. Please check with your physician to inquire.
For those patients self-paying please be aware that some private, supplemental insurance plans also reimburse for the cost of the Harmony Test. Please check with your insurance provider for more details.
A: OptimalRx Plus tests two types of genes to help your clinician make treatment decisions:
Pharmacodynamic genes are a type of gene that indicates the effect a drug has on the body. It helps inform the selection of drugs that are safe, with low or no side effects, and that are effective in relieving symptoms.
Pharmacokinetic genes are a type of gene that indicates the effect your body has on the drug, determining the speed at which the body breaks down and gets rid of the drug. The pharmacokinetic genes inform the dosage. The faster or slower your body processes a drug determines the dose that maybe required for the drug to be safe and effective.
A: Providing a sample for the OptimalRx Plus is simple; it requires only a p sample of your saliva, collected by swabbing the inside of your cheek with a cotton swab. The sample is sent to the laboratory for testing.
Your test results are reported to your clinician 5-8 business days after your sample is received at the laboratory.
A: Genetic counsellors are here to help. Dynacare’s genetic counsellors are available for a complimentary consultation, in both English and French. To schedule your telephone consultation, please call 888.988.1888.
A: The COVID-19 (SARS-CoV-2) Antibody Test is intended to determine the antibody status for individuals previously diagnosed with COVID-19 and can also help identify individuals who have been exposed to the virus. Antibody testing should NOT be used to infer immunity status or infectivity and should not be used as the sole basis to diagnose or exclude COVID-19 (SARS-CoV-2) infection.
A: Antibodies are microscopic proteins made by the blood cells to help your body fight off an infection. These antibodies may protect you from getting the same disease again. For example, when you get sick with chickenpox or receive the chickenpox vaccine, your blood cells respond by making antibodies that protect you from getting it in the future. This is how immunity to certain diseases is produced, although it doesn’t occur with all diseases.
A positive antibody test result may indicate previous or current exposure to an illness but should NOT be used to infer immunity status or infectivity. It is unknown whether COVID-19 antibodies indicate protective immunity and for how long.
A: No, this test is intended for asymptomatic customers.
Symptoms of COVID-19 can include fever, new or worsening chronic cough, shortness of breath, difficulty breathing, sore throat, difficulty swallowing, decrease or loss of sense of taste or smell, chills, headache, unexplained fatigue/malaise/muscle aches, nausea//vomiting/diarrhea/abdominal pain, pink eye, or runny nose/nasal congestion without other known cause.
If you think you have an active infection, call your local Public Health unit to be referred to the right resource.
A: Yes. All of Tia Health doctors are Canadian licensed physicians. Customers can verify the status of their license and view their credentials on the College of Physicians’ website for the province they are licensed. The city and province in which the physician practices is listed on their profile while navigating the booking process.
A: Customer privacy is a top priority for Tia Health. They use bank-level encryption and store data securely in Canada.
A: Virtual care is covered by the provincial health plan in Ontario (OHIP), Alberta (AHCIP), and British Columbia (MSP), but not the other provinces. Patients with a valid Ontario, Alberta, or British Columbia health card will not be charged. Patients in other provinces will receive a receipt that may be reimbursed through a health spending account or other private insurance.
A: Click on the Book Now button to get started. You will then be prompted to select the type of consultation (video or phone), who the appointment is for (you or someone else), and which provider you would like to speak with. Lastly, you will be prompted to sign up or login to confirm your appointment.
A: Yes. To book an appointment with a Tia Health physician, simply click on the "Book Appointment" button.
A: Yes. Tia Health has a variety of male and female doctors who speak different languages and with different specialties.
A: Yes.
A: Once the results are available, the Tia Health doctor will discuss them with customer depending on the customer's individual needs. If needed, the customer can book a follow-up appointment with a Tia Health doctor or book an in-person appointment for further diagnosing.