Therapeutic Drug Monitoring in the Elderly

Therapeutic drug monitoring (TDM) is defined as the strategy by which the dosing regimen for a patient is guided by repealed measurements of plasma drug concentrations. TDM is also used to confirm drug poisoning and toxicity, to diagnose adverse drug reactions, and to verify patient compliance with...

Full description

Saved in:
Bibliographic Details
Published inAmerican journal of therapeutics Vol. 3; no. 12; p. 839
Main Authors Ruiz, Jorge G., Array, Samir, Lowenthal, David T.
Format Journal Article
LanguageEnglish
Published United States 01.12.1996
Online AccessGet more information

Cover

Loading…
Abstract Therapeutic drug monitoring (TDM) is defined as the strategy by which the dosing regimen for a patient is guided by repealed measurements of plasma drug concentrations. TDM is also used to confirm drug poisoning and toxicity, to diagnose adverse drug reactions, and to verify patient compliance with drug regimens. There is a scarcity of data about the use of TDM in treating the elderly, but general inferences can be made based on pharmacokinetic and pharmacodynamic studies in older populations and on investigations in younger individuals. Despite its important limitations TDM seems to be an important tool in drug therapy management in the elderly given the increased frequency of chronic medical conditions, polypharmacy, drug interactions, and the atypical presentation of adverse drug reactions in this population.
AbstractList Therapeutic drug monitoring (TDM) is defined as the strategy by which the dosing regimen for a patient is guided by repealed measurements of plasma drug concentrations. TDM is also used to confirm drug poisoning and toxicity, to diagnose adverse drug reactions, and to verify patient compliance with drug regimens. There is a scarcity of data about the use of TDM in treating the elderly, but general inferences can be made based on pharmacokinetic and pharmacodynamic studies in older populations and on investigations in younger individuals. Despite its important limitations TDM seems to be an important tool in drug therapy management in the elderly given the increased frequency of chronic medical conditions, polypharmacy, drug interactions, and the atypical presentation of adverse drug reactions in this population.
Author Ruiz, Jorge G.
Array, Samir
Lowenthal, David T.
Author_xml – sequence: 1
  givenname: Jorge G.
  surname: Ruiz
  fullname: Ruiz, Jorge G.
  organization: Extended Care/Geriatrics, Mountain Home Veterans Affairs Medical Center, Johnson City, TN, USA
– sequence: 2
  givenname: Samir
  surname: Array
  fullname: Array, Samir
– sequence: 3
  givenname: David T.
  surname: Lowenthal
  fullname: Lowenthal, David T.
BackLink https://www.ncbi.nlm.nih.gov/pubmed/11862246$$D View this record in MEDLINE/PubMed
BookMark eNo1jstOwzAQRS0Eog_4BeQ1ksEeO2N7iUp5SEVsyrqy40kblCaRkyz691QCFldHZ3N0F-yy7VpijCv5oKS3j1JKU2ivhPIeFZxVnCfdBZurQqPQ6HDGFsPwLaUCp8w1mynlEMDgnN1vD5RDT9NYl_w5T3v-0bX12OW63fO65eOB-LpJlJvTDbuqQjPQ7R-X7OtlvV29ic3n6_vqaSNKADcKlVwsjNYhIGkjgQIYsEQSPYaIASoXwDptCNEaW9jKY4wpkQtRltrCkt39dvspHint-lwfQz7t_k_DDypAQ-I
CitedBy_id crossref_primary_10_1080_00325481_2015_1063957
crossref_primary_10_2174_1872312815666220405122021
crossref_primary_10_1017_S0959259814000033
ContentType Journal Article
DBID NPM
DOI 10.1097/00045391-199612000-00008
DatabaseName PubMed
DatabaseTitle PubMed
DatabaseTitleList PubMed
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
DeliveryMethod no_fulltext_linktorsrc
Discipline Medicine
Pharmacy, Therapeutics, & Pharmacology
EISSN 1536-3686
ExternalDocumentID 11862246
Genre Journal Article
GroupedDBID ---
.Z2
0R~
23M
354
4Q1
4Q2
4Q3
53G
5GY
5VS
6J9
71W
8L-
AAAAV
AAHPQ
AAIQE
AARTV
AASCR
AAWTL
AAYOK
ABASU
ABBUW
ABDIG
ABJNI
ABVCZ
ABXVJ
ABZAD
ACDDN
ACEWG
ACGFS
ACILI
ACNWC
ACWDW
ACWRI
ACXJB
ACXNZ
ADFPA
ADGGA
ADHPY
ADNKB
AE3
AEETU
AENEX
AFDTB
AHQNM
AHVBC
AINUH
AJIOK
AJNWD
AJNYG
AJZMW
ALMA_UNASSIGNED_HOLDINGS
ALMTX
AMJPA
AMKUR
AMNEI
AOHHW
AWKKM
BQLVK
BS7
C45
CAG
COF
CS3
DIWNM
DUNZO
E.X
EBS
EEVPB
EJD
EX3
F5P
FCALG
FL-
GNXGY
GQDEL
H0~
HLJTE
HZ~
IKREB
IN~
IPNFZ
JF9
JG8
JK3
JK8
K8S
KD2
L-C
NPM
N~M
O9-
OAG
OAH
OCUKA
ODA
OHH
OJAPA
OLG
OLW
OPUJH
ORVUJ
OUVQU
OVD
OVDNE
OWU
OWV
OWX
OWY
OWZ
OXXIT
P-K
P2P
R58
RIG
RLZ
S4R
S4S
T8P
TEORI
TSPGW
V2I
VVN
W3M
WOQ
WOW
X3V
X3W
XXN
XYM
YFH
ZFV
ZZMQN
ID FETCH-LOGICAL-c228t-1d8b5433aa6e3402ea2427ee0696ab6a2f8a27834e6674757f96bbdde8ab0c372
IngestDate Sat Sep 28 07:36:37 EDT 2024
IsPeerReviewed true
IsScholarly true
Issue 12
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c228t-1d8b5433aa6e3402ea2427ee0696ab6a2f8a27834e6674757f96bbdde8ab0c372
PMID 11862246
ParticipantIDs pubmed_primary_11862246
PublicationCentury 1900
PublicationDate 1996-Dec
PublicationDateYYYYMMDD 1996-12-01
PublicationDate_xml – month: 12
  year: 1996
  text: 1996-Dec
PublicationDecade 1990
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle American journal of therapeutics
PublicationTitleAlternate Am J Ther
PublicationYear 1996
SSID ssj0012814
Score 1.5026141
Snippet Therapeutic drug monitoring (TDM) is defined as the strategy by which the dosing regimen for a patient is guided by repealed measurements of plasma drug...
SourceID pubmed
SourceType Index Database
StartPage 839
Title Therapeutic Drug Monitoring in the Elderly
URI https://www.ncbi.nlm.nih.gov/pubmed/11862246
Volume 3
hasFullText
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bS8MwFA5TQXwR73fJg_jg1tEmbZI9ihdEdOxhgm-StJkO3IW5Iduv96TJ1njDy0spPRBKv5PTk-Q730HoSKmEZ4QngSCRDGISy0ApHgaEZSpKhJCCmALn2zq7uouv75P7UunaYy2NhqqaTr6sK_kPqvAMcDVVsn9AdjYoPIB7wBeugDBcf4vxtHiqfD4YPboZOnB1KianvDBduJ_fnd3ODmk81QivDMsjv7cndoN98Ai-VC18YyAtQ0x22jNu703vFf5fT3n_AMuULzerxZ5CTkMu-Bl6GgdZQJlTqXaBkvr-QLyoJ6we0adobFV-87SR1iLDaYF8ypWy52oOQw-kfidHCRY8zIjc_Wz9oJM9Nc2hOS5MxKubfRt3nkREFDsel5Ps_PKVjISsG-bDMiNPN5oraNmtE_CpBX0VlXR3DS3eOibEGjpuWM3xcQV7XvBSwce4UaiRj9fRiWfGxklw4SS43cWAPHZOsoHuLi-aZ1eBa5ARpISIYRBlQiUxpVIyTeOQaAkJF9c6ZDUmFZOkJWTeSUUzBsvGhLdqTCn4oQmpwpRysonmu72u3kZYhJTSmKdZQtJYUakU5VQL1aplpqVCuIO27Od46FsVlIfph9r91rKHlgrn2kcLLZh2-gByuKE6zOF5A1euQBw
link.rule.ids 783
linkProvider National Library of Medicine
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Therapeutic+Drug+Monitoring+in+the+Elderly&rft.jtitle=American+journal+of+therapeutics&rft.au=Ruiz%2C+Jorge+G.&rft.au=Array%2C+Samir&rft.au=Lowenthal%2C+David+T.&rft.date=1996-12-01&rft.eissn=1536-3686&rft.volume=3&rft.issue=12&rft.spage=839&rft_id=info:doi/10.1097%2F00045391-199612000-00008&rft_id=info%3Apmid%2F11862246&rft_id=info%3Apmid%2F11862246&rft.externalDocID=11862246