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. 2013 Jul 29;63(613):e543–e553. doi: 10.3399/bjgp13X670679
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