Lab Tests By Medication You Take

1 in 20 people misuse their prescription medications.

Common drugs that can require monitoring are:
  • Blood Thinners (e.g., warfarin )
  • Diabetes Medicine -e.g., insulin )
  • Seizure Medicines -e.g., Phenytoin or valproic acid, carbamazepine, phenobarbital...
  • Heart Medicine -e.g., Flecainide, procainamide or digoxin , digitoxin , Lidocaine NAPA , procainamide...
  • Bronchodilators -e.g., Theophylline
  • Psychiatric Drugs -e.g. , Lithium , Zyprexa (olanzapine), clozapine , Risperdal (risperidone) , Seroquel (quetiapine), chlorpromazine and thioridazine.
    • Baseline Fasting Glucose or HbA1C if patient can not fast for test
    • 4 months - Follow-up Fasting Glucose, test again at 1 year if weight stable.
    • If Gaining Weight - test every 4 months
    • LIPIDS - Baseline FASTING LIPID PANEL: total cholesterol, low-density lipoprotein (LDL) and HDL cholesterol, and triglyceride levels.
    • LIPIDS AGAIN AT 3 months, then every year; refer to PCP if LDL is higher than 130 mg/dl.

  • Immunosuppressants -e.g. , Cyclosporine, Mycophenolic Acid , Sirolimus , Tacrolimus...
  • Antibiotics -e.g. , Gentamicin , Tobramycin , Vancomycin...
  • SSRI's - Antidepressants - e.g. , bleeding risk of SSRIs is not thought to be caused by platelet dysfunction, but is probably a direct effect of serotonergic stimulation. This is such a rare side effect that routine monitoring of the hematocrit is not indicated, but order a CBC if you present with symptoms suggestive of blood loss such as;
  • Cymbalta -duloxetine). Cymbalta causes elevation of alanine transaminase (ALT) in 1% of patients, check ALT at within 3 months of beginning use of Cymbalta and periodically (6 months to 1 year) after that and while taking this medication.

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Thank you for being a part of the movement to lower the costs of healthcare. Also learn about symptoms and medications you take that require testing. Due to the nature of the discount program all sales are final. This allows us to keep delivering the lowest prices possible. All lab orders are valid for 6 months to be completed.



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PO BOX 1134

Winchester, TN 37398

United States

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