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J Am Med Inform Assoc 6:322-331 doi:10.1136/jamia.1999.0060322
  • Original Investigation

Analysis of the Practice Guidelines of the Dutch College of General Practitioners with Respect to the Use of Blood Tests

Table 5

Recommended Tests for Measuring Side Effects of Therapy

Therapy Side Effect Recommended Tests Guideline
Isotretinoin Hyperlipidemia Cholesterol, triglycerides* Blom et al., 199131
HMG-coenzyme inhibitors Liver dysfunction ALAT† Van Binsbergen et al., 199149
Muscular pain CK‡ Van Binsbergen et al., 199149
Ace-inhibitors, digoxine, diuretics Not specified K, Creatinine, Na§ Walma et al., 199551
Sulfasalazine Anemia Hb∥ Schuurman et al., 199447
Liver dysfunction ALAT, gamma-GT∥ Schuurman et al., 199447
Agranulocytosis Thrombocytes, WBC, WBC-differentiation∥ Schuurman et al., 199447
Not specified Creatinine∥ Schuurman et al., 199447
  • Note: HMG-coenzyme inhibitors indicates hydroxymethylglutaryl-CoA reductase inhibitors; ALAT, alanine aminotransferase; CK, creatine kinase; K, potassium; Na, sodium; Hb, hemoglobin; gamma-GT, gamma-glutamyltransferase; WBC, white blood cell (leukocyte) count.

  • * Baseline measurement of triglycerides at the start of treatment; subsequently, after four weeks, followed by evaluation every three months.

  • Baseline measurement of ALAT at the start of treatment; subsequently, after four weeks.

  • Creatine kinase measurement after four weeks of therapy (only when the patient complains of muscular pain).

  • § Sodium measurement once every six months.

  • Hemoglobin measurement every two weeks during the first three months of therapy; subsequently, every month.

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