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Therapeutic drug monitoring


never2many
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I just got out of my doc's office with a prescription to get my blood work done. One of the tests ordered is called "Therapeutic drug monitoring".  Anyone know what this is and why it would be ordered?  Thanks in advance.
 

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On June 21, 2017 at 9:31 AM, never2many said:

I just got out of my doc's office with a prescription to get my blood work done. One of the tests ordered is called "Therapeutic drug monitoring".  Anyone know what this is and why it would be ordered?  Thanks in advance.
 

@never2many My knowledge of 'therapeutic drug monitoring"  (as a nurse) sounds like when we or (for) docs order say theophylline levels, or some psych drugs, some heart meds etc. To basically get an actual drug level in the blood to see if the drug is staying at the appropriate level for treatment. Depending of course what they are testing and what reason. I would think it would also have had what drug they are checking the level for? For example theophylline (or digoxin or dilantin) the ones I'm most familiar with.. the blood test is ordered say 12 hours after last dose, and if it is timed like this, you HAVE to do it at exact time, then they can see if they need to increase your dosage (it too low), stay the same-keep monitoring, or lower your dose (too high-and a lot of these drugs they do this on, get toxic in your system easily) so it's basically to stay safe and make sure you are maintaining the proper levels for the best therapeutic result. If you are on one of the drugs they do this for, they would have made you aware of the fact you have to get frequent blood tests for this reason, and you would know what that is. I hope this helps?? If you have any questions, let me know and I can try to help. 

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never2many

Would Lisinopril fall into such a category that warrants 'therapeutic drug monitoring" ? Appreciate the reply.

 

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Lisinopril is for lowering blood pressure and for heart failure. Lessons the work of the heart to pump blood throughout the body. It is schedule 4. And I am looking to buy some from a pharmacy that only sells schedule 4 and maybe 5. Schedule 5 is over the counter and schedule 4 still requires a doctor prescription here in the U.S. Baldness pills and viagra are schedule 4 for example. Please let me know if you know of any pharmacys that sell Lisinopril without a prescription.

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