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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