50. Therapeutic drug monitoring (TDM): Difference between revisions

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{{#lst:Therapeutic drug monitoring|clinical biochemistry}}
{{#lst:Therapeutic drug monitoring|clinical biochemistry}}
[[Category:Clinical Biochemistry (POTE course)]]

Latest revision as of 11:07, 18 June 2024

= measurement of drug concentration or activity in plasma

  • Methods
    • High performance liquid chromatography
    • Immunoassay
  • Indications
    • Non-linear kinetics of drug
    • When there is poor compliance
    • If the therapeutic effect can’t be assessed clinically
    • If the therapeutic index is low
      • Warfarin
      • Aminoglycosides
      • Antipsychotics
      • Digoxin
      • Lithium
    • When there are signs of overdose
    • To determine pharmacokinetic interactions