Monitoring before or soon after the initiation of therapy |
Drug/drug group |
Monitoring requirements |
Angiotensin-converting enzyme inhibitor/ |
Renal function and electrolytes before starting therapy, repeated 2 weeks after initiation |
Angiotension II receptor antagonists |
Renal function and electrolytes before starting therapy, repeated 2 weeks after initiation |
Digoxin |
Renal function and electrolytes before starting therapy |
Diuretics |
Renal function and electrolytes before starting therapy |
Glitazones |
Liver function tests before starting therapy |
Statins |
Liver function tests before starting therapy |
Monitoring of longer-term therapy |
Drug/drug group |
Monitoring requirements |
Angiotensin-converting enzyme inhibitor/ |
12-monthly renal function and electrolytes |
Angiotension II receptor antagonists |
12-monthly renal function and electrolytes |
Amiodarone |
6-monthly thyroid function tests |
6-monthly liver function tests |
Azathioprine |
3-monthly full blood count |
Carbimazole |
3-monthly thyroid function tests (6-monthly if patient been stabilised for over 1 year) |
Digoxin |
Digoxin level if toxicity or lack of efficacy suspected. |
Diuretics |
12-monthly renal function and electrolytes |
Glitazone |
12-monthly liver function tests |
Levothyroxine |
12-monthly thyroid function tests |
Lithium |
3-monthly lithium concentration |
12-monthly thyroid function tests |
Methotrexate |
3-monthly full blood count |
3-monthly liver function tests |
6-monthly renal function and electrolytes |
Sulfasalazine |
Full blood count 3-monthly in first year |
Liver function tests 3-monthly in first year |
Full blood count 6-monthly in second year |
Liver function tests 6-monthly in second year |
No further monitoring if stable |
Statin |
Liver function tests within 3 months, and at 12 months, of starting treatment |
Theophylline |
Theophylline level if toxicity suspected |
Valproate |
3-monthly liver function tests for first 6 months |
Warfarin |
12-weekly International Normalized Ratio |