Drug Monitoring

Question 1

How do you monitor ACE Inhibitors?

Answer 1

U&Es
1/ U&Es prior to treatment
2/ U&Es after increasing doses
3/ U&Es at least annually

Question 2

How do you monitor Amiodarone?

Answer 2

TFT, LFT

1/ TFT, LFT, U&E, CXR prior to treatment
2/ TFT, LFT Every 6 months

Question 3

How do you monitor Methotrexate?

Answer 3

FBC, LFT, U&Es

FBC, U&E and LFTs before starting treatment
Repeat them weekly until treatment stabilises
When stable, repeat them every 2-3 months

Question 4

How do you monitor Azathioprine?

Answer 4

FBC & LFT
1/ FBC & LFTs before treatment
2/ FBC weekly for the first 4 weeks
3/ FBC & LFTs every 3 months

Question 5

How do you monitor lithium?

Answer 5

Lithium level, TFTs, U&Es
1/ TFT & U&Es prior to treatment
2/ Lithium levels weekly until stabilised then 3 monthly
3/ TFTs & U&Es every 6 months

Question 6

How do you monitor sodium valproate?

Answer 6

LFTs

1/ LFT & FBC before treatment
2/ LFT periodically during the first 6 months

Question 7

How do you monitor Glitazones?

Answer 7

LFTs

1/ LFT before treatment
2/ LFT regularly during treatment

Question 8

How do you monitor Statins?

Answer 8

LFTs

LFTs at baseline, 3 months and 12 months