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Therapeutic Drug Monitoring

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Monitored Drugs by Category

There are several categories of drugs that require monitoring, as summarized here.
Drug CategoryDrugsTreatment Use
Cardiac drugs Digoxin, digitoxin, amiodarone, lidocane, quinidine, procainamide, N-acetyl-procainamide (a metabolite of procainamide) Congestive heart failure, angina, arrhythmias
Antibiotics Aminoglycosides (gentamicin, tobramycin, amikacin), vancomycin, chloramphenicol Infections with bacteria that are resistant to less toxic antibiotics
Antiepileptics Phenobarbital, phenytoin, valproic acid, carbamazepine, ethosuximide, sometimes gabapentin, lamotrigine, levetiracetam, topiramate, zonisamide, eslicarbazepine acetate, felbamate, lacosamide, oxcarbazepine, pregabalin, rufinamide, stiripentol, tiagabine, vigabatrin Epilepsy, prevention of seizures, sometimes to stabilize moods
Bronchodilators Theophylline, caffeine Asthma, chronic obstructive pulmonary disorder (COPD), neonatal apnea
Immunosuppressants Cyclosporine, tacrolimus, sirolimus, mycophenolate mofetil, azathioprine Prevent rejection of transplanted organs, autoimmune disorders
Anti-cancer drugs Methotrexate, all cytotoxic agents Psoriasis, rheumatoid arthritis, various cancers, non-hodgkin lymphomas, osteosarcoma
Psychiatric drugs Lithium, valproic acid, some antidepressants (imipramine, amitriptyline, nortriptyline, doxepin, desipramine) Bipolar disorder (manic depression), depression

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