Drug and medication monitoring
Therapeutic drug monitoring are blood tests to measure the concentration of certain medications in your blood.
You might need therapeutic drug monitoring if you are prescribed medication that is easily under or over dosed. Drugs that might cause significant side effects may also be monitored. In addition, some drugs need to be monitored because the amount of drug prescribed does not correlate well with the amount that reaches the blood.
To monitor toxic effects of some medications tests such as urea and electrolytes, creatinine and liver function tests are carried out at prescribed intervals to check kidney and liver function. Monitoring can help identify decreases in the efficiency and functioning of the body in processing and eliminating the drugs.
The timing of blood collection is an important part of therapeutic drug monitoring. When you take a dose of medication, the amount in the blood rises for a period of time, peaks, and then begins to fall; usually reaching its lowest level (trough) just before the next dose. To be effective, peak levels should be below toxic concentrations and trough levels should remain in the therapeutic range.
Examples of drugs that may be monitored are:
Warfarin | Anticoagulant (anti blood clotting) therapy |
Lithium | Anti-depression therapy |
Azathioprine | Immune system suppressant |
Methotrexate | Immune system suppressant |
Sulfasalazine | Anti-inflammatory |
Myocrisin | Immune system suppressant |
Roaccutane | Used to treat acne or rosacea |
HRT Profile | Hormone replacement therapy monitoring |
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Bournemouth
01202 29186667 Lansdowne Road, Bournemouth, BH1 1RW
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01277 695695Shenfield Road, Brentwood, CM15 8EH
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01273 624 488Warren Road, Brighton, BN2 6DX
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0117 906 48703 Clifton Hill, Clifton, Bristol, BS8 1BN
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Cambridge
01223 370 9224 Trumpington Road, Cambridge, CB2 8AF
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02920 836700The Vale Hospital, Hensol Castle Park, Vale of Glamorgan, CF72 8JX
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01242 246574Hatherley Lane, Cheltenham, Gloucestershire, GL51 6SY
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01244 680 444Wrexham Road, Chester, CH4 7QP
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Chichester
01243 53060078 Broyle Road, Chichester, PO19 6WB
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01332 540100Rykneld Road, Derby, DE23 4SN
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01392 276 591Wonford Road, Exeter, EX2 4UG
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0141 334 944125 Beaconsfield Road, Glasgow, G12 0PJ
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01483 555 800Stirling Road, Guildford, GU2 7RF
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01444 456999Burrell Road, Haywards Heath, RH16 1UD
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01473 279100Foxhall Road, Ipswich, IP4 5SW
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0113 32272512 Leighton Street, Leeds, LS1 3EB
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Leicester
0116 276 9401Scraptoft Lane, Leicester, LE5 1HY
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Newcastle upon Tyne
01912 816 131Clayton Road, Newcastle-upon-Tyne, NE2 1JP
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01782 432227Clayton Road, Newcastle-under-Lyme, ST5 4DB
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Plymouth
01752 775 861Derriford Road, Plymouth, PL6 8BG
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Shrewsbury
01743 282500Longden Road, Shrewsbury, SY3 9DP
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Taunton
01823 286 991Staplegrove Elm, Taunton, TA2 6AN
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Tees
01642 360 100Junction Road, Norton, Stockton on Tees, TS20 1PX
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Tunbridge Wells
01892 531 111Kingswood Road, Tunbridge Wells, TN2 4UL
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Warwickshire
01926 427971The Chase, Old Milverton Lane, Leamington Spa, CV32 6RW
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02380 266 377Winchester Road, Chandlers Ford, Eastleigh, SO53 2DW
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Woking
01483 227800Shores Road, Woking, GU21 4BY
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Wolverhampton
0300 1311406Wood Road, Tettenhall, Wolverhampton, WV6 8LE
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