methods of therapeutic drug monitoring


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PDF Overview on Monitoring of Therapeutic Drugs

Methods include three components structural process and output measurement three types of drug monitoring clinical biochemical and plasma drug 

  • What are the analytical methods for TDM?

    Analytical methodologies employed in TDM are as follows: 1.
    Spectrophotometry and Fluorimetry: Prior to the advent of Gas-Liquid Chromatography (GLC) and High-Performance Liquid Chromatography (HPLC), drug samples were analysed by spectrophotometric methods.

  • What are the methods used in therapeutic drug monitoring?

    The most commonly used procedures are fluorescence polarization immunoassay (FPIA), enzyme immunoassay (EMIT), and enzyme-linked immunosorbant assay (ELISA) [31,32].
    These assays are specific; however, in certain cases, metabolites or other drug-like substances are also recognized by the experimental antibody [33-35].6 mar. 2009

  • The process of TDM is predicated on the assumption that there is a definable relationship between dose and plasma or blood drug concentration, and between concentration and therapeutic effects.

  • How drug therapy can be monitored?

    Depending on the relative importance of pharmacokinetic and pharmacodynamic components in response variability, monitoring drug therapy relies on measurement of blood concentrations or of appropriate biomarkers respectively.

  • TDM is often performed by chromatographic analysis (HPLC), but mass spectrometry (MS) is increasingly used and is becoming the prime analytical tool in this field.
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