A survey of therapeutic drug monitoring services in Malaysia

A Review on Therapeutic Drug Monitoring of Immunosuppressant Drugs

Immunosuppressants require therapeutic drug monitoring because of their narrow therapeutic index and significant inter-individual variability in blood concentrations. This variability can be because of factors like drug-nutrient interactions, drug-disease interactions, renal-insufficiency, inflammation and infection, gender, age, polymorphism and liver mass. Drug monitoring is widely practiced ...

Therapeutic drug monitoring for gentamicin in Hospital Universiti Sains Malaysia.

We evaluated the usefulness of therapeutic drug monitoring (TDM) for gentamicin and the use of a two-point peak and trough pair concentration method to adjust its dose. Of the 194 patients included, initial concentrations were appropriate in only sixty nine. In the seventy one cases of dosage adjustments using this method, those attaining therapeutic levels increased overall from 38% to 67%. It...

monitoring cyclosporine absorption: a step beyond therapeutic drug monitoring

therapeutic drug monitoring

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Cost evaluation of therapeutic drug monitoring of gentamicin at a teaching hospital in Malaysia

BACKGROUND Therapeutic drug monitoring (TDM) makes use of serum drug concentrations as an adjunct to decision-making. Preliminary data in our hospital showed that approximately one-fifth of all drugs monitored by TDM service were gentamicin. OBJECTIVE In this study, we evaluated the costs associated with providing the service in patients with bronchopneumonia and treated with gentamicin. ME...