Medication Audit Criteria and Guidelines

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Appendix A - Purpose of Laboratory Monitoring

Table A - Cytochrome P450 Drug Metabolism

 

Medication Audit Critera and Checklists
Medication Audit Criteria and Checklist
carbamazepine (Tegretol®) carbamazepine (Tegretol®) Criteria, February, 2008 (MS Word)
carbamazepine (Tegretol®) Checklist, February, 2008 (MS Word)
lamotrigine (Lamictal®) lamotrigine (Lamictal®) Criteria, February, 2006 (MS Word)
lamotrigine (Lamictal®) Checklist, February, 2006 (MS Word)
lithium (Eskalith®, Lithobid®, Eskalith CR®, etc.) lithium (Eskalith®, Lithobid®, Eskalith CR®, etc.) Criteria, February, 2006 (MS Word)
lithium (Eskalith®, Lithobid®, Eskalith CR®, etc.) Checklist, February, 2006 (MS Word)
oxcarbazepine (Trileptal®) oxcarbazepine (Trileptal®) Criteria, February, 2006 (MS Word)
oxcarbazepine (Trileptal®) Checklist, February, 2006 (MS Word)
topiramate (Topamax®) topiramate (Topamax®) Criteria, February, 2006 (MS Word)
topiramate (Topamax®) Checklist, February, 2006 (MS Word)
valproic acid (Depakene®), divalproex sodium (Depakote®) valproic acid (Depakene®), divalproex sodium (Depakote®) Criteria, April, 2010 (MS Word)
valproic acid (DepakeneE®), divalproex sodium (Depakote®) Checklist, April, 2010 (MS Word)
verapamil (Calan®, Isoptin®) verapamil (Calan®, Isoptin®) Criteria, February, 2006 (MS Word)
verapamil (Calan®, Isoptin®) Checklist, February, 2006 (MS Word)
Benzodiazepines alprazolam (Xanax®), chlordiazepoxide (Librium®), clorazepate (Tranxene®), diazepam (Valium®), lorazepam (Ativan®), Oxazepam (Serax®), temazepam (Restoril®), triazolam (Halcion®), Clonazepam (Klonopin®) benzodiazepines alprazolam (Xanax®), chlordiazepoxide (Librium®), clorazepate (Tranxene®), diazepam (Valium®), lorazepam (Ativan®), Oxazepam (Serax®), temazepam (Restoril®), triazolam (Halcion®), Clonazepam (Klonopin®) Criteria, February, 2006 (MS Word)
Drug Audit Checklist: benzodiazepines alprazolam (Xanax®), chlordiazepoxide (Librium®), clorazepate (Tranxene®), diazepam (Valium®), lorazepam (Ativan®), Oxazepam (Serax®), temazepam (Restoril®), triazolam (Halcion®), Clonazepam (Klonopin®) Checklist, February, 2006 (MS Word)
buspirone (Buspar®) buspirone (Buspar®) Criteria, February, 2006 (MS Word)
buspirone (Buspar®) Checklist, February, 2006 (MS Word)
amoxapine (Asendin®) amoxapine (Asendin®) Criteria, February, 2008 (MS Word)
amoxapine (Asendin®) Checklist, February, 2008 (MS Word)
bupropion (Wellbutrin® and Wellbutrin® SR) bupropion (Wellbutrin® and Wellbutrin® SR) Criteria, February, 2006 (MS Word)
bupropion (Wellbutrin® and Wellbutrin® SR) Checklist, February, 2006 (MS Word)
mirtazapine (Remeron®) mirtazapine (Remeron®) Criteria, February, 2006 (MS Word)
mirtazapine (Remeron) Checklist, February, 2006 (MS Word)
monoamine oxidase inhibitors phenelzine (Nardil®), tranylcypromine (Parnate®) monoamine Oxidase Inhibitors phenelzine (Nardil®), tranylcypromine (Parnate®) Criteria, February, 2006 (MS Word)
monoamine Oxidase Inhibitors phenelzine (Nardil®), tranylcypromine (Parnate®) Checklist, February, 2006 (MS Word)
nefazodone (Serzone®) nefazodone (Serzone®) Criteria, February, 2006 (MS Word)
nefazodone (Serzone®) Checklist, February, 2006 (MS Word)
SSRIs: citalorpam (Celex®), fluoxetine (Prozac®), sertraline (Zoloft®), paroxetine (Paxil®), fluvoxamine (Lubox®) SSRIs: citalorpam (Celex®), fluoxetine (Prozac®), sertraline (Zoloft®), paroxetine (Paxil®), fluvoxamine (Lubox®) Criteria, October, 2006 (MS Word)
SSRIs: citalorpam (Celex®), fluoxetine (Prozac®), sertraline (Zoloft®), paroxetine (Paxil®), fluvoxamine (Lubox®) Checklist, October, 2006 (MS Word)
trazodone (Desyrel®) trazodone (Desyrel®) Criteria, February, 2006 (MS Word)
trazodone (Desyrel®) Checklist, February, 2006 (MS Word)
tricyclic antidepressants amitriptyline (Elavil®), desipramine (Norpramin®, Pertofrane®), doxepin (Sinequan®), imipramine (Tofranil®), maprotiline (Ludiomil®), nortriptyline (Pamelor®, Aventyl®), protriptyline (Vivactil®), trimipramine (Surmontil®) tricyclic antidepressants amitriptyline (Elavil®), desipramine (Norpramin®, Pertofrane®), doxepin (Sinequan®), imipramine (Tofranil®), maprotiline (Ludiomil®), nortriptyline (Pamelor®, Aventyl®), protriptyline (Vivactil®), trimipramine (Surmontil®) Criteria, February, 2006 (MS Word)
tricyclic antidepressants amitriptyline (Elavil®), desipramine (Norpramin®, Pertofrane®), doxepin (Sinequan®), imipramine (Tofranil®), maprotiline (Ludiomil®), nortriptyline (Pamelor®, Aventyl®), protriptyline (Vivactil®), trimipramine (Surmontil®) Checklist, February, 2006 (MS Word)
venlafaxine (Effexor® and Effexor® ER) venlafaxine (Effexor® and Effexor® ER) Criteria, February, 2006 (MS Word)
venlafaxine (Effexor® and Effexor® ER) Checklist, February, 2006 (MS Word)
antipsychotics chlorpromazine (Thorazine®), fluphenazine (Prolixin®), haloperidol (Haldol®), loxapine (Loxitane®), perphenazine (Trilafon®), thiothixene (Navane®), trifluoperazine (Stelazine®) antipsychotics chlorpromazine (Thorazine®), fluphenazine (Prolixin®), haloperidol (Haldol®), loxapine (Loxitane®), perphenazine (Trilafon®), thiothixene (Navane®), trifluoperazine (Stelazine®) Criteria, January, 2012 (MS Word)
antipsychotics chlorpromazine (Thorazine®), fluphenazine (Prolixin®), haloperidol (Haldol®), loxapine (Loxitane®), perphenazine (Trilafon®), thiothixene (Navane®), trifluoperazine (Stelazine®) Checklist, January, 2012 (MS Word)
antipsychotics thioridazine (Mellaril®) antipsychotics thioridazine (Mellaril®) Criteria, January, 2012 (MS Word)
antipsychotics thioridazine (Mellaril®) Checklist, January, 2012 (MS Word)
clozapine (Clozapril®, Fazaclo®) clozapine (Clozapril®, Fazaclo®) Criteria - January 27, 2012 (MS Word)
clozapine (Clozapril®, Fazaclo®) Checklist - January 27, 2012 (MS Word)
decanoates fluphenazine decanoate (Prolixin® Decanoate), haloperidol decanoate (Haldol® Decanoate) decanoates fluphenazine decanoate (Prolixin® Decanoate), haloperidol decanoate (Haldol® Decanoate) Criteria, January, 2012 (MS Word)
decanoates fluphenazine decanoate (Prolixin® Decanoate), haloperidol decanoate (Haldol® Decanoate) Checklist, January, 2012 (MS Word)
risperidone (Risperdal®, Risperdal Consta®), olanzapine (Zyprexa®, Zyprexa® Relprevv™), paliperidone (Invega®, Invega sustenna®), quetiapine (Seroquel®) ziprasidone (Geodon®), aripiprazole (Abilify®, Abilify® Maintena™), asenapine (Saphris®), iloperidone (Fanapt®), lurasidone (Latuda®) risperidone (Risperdal®, Risperdal Consta®), olanzapine (Zyprexa®, Zyprexa® Relprevv™), paliperidone (Invega®, Invega Sustenna®), quetiapine (Seroquel®) ziprasidone (Geodon®), aripiprazole (Abilify®), asenapine (Saphris®), iloperidone (Fanapt®), lurasidone (Latuda®) Criteria, Revised November 18, 2013 (MS Word)
risperidone (Risperdal®, Risperdal Consta®), olanzapine (Zyprexa®, Zyprexa® Relprevv™), paliperidone (Invega®, Invega Sustenna®), quetiapine (Seroquel®) ziprasidone (Geodon®), aripiprazole (Abilify®), asenapine (Saphris®), iloperidone (Fanapt®), lurasidone (Latuda®) Checklist, Revised November 18, 2013(MS Word)
sedating antihistamines diphenhydramine HCL (Benadryl®), hydroxyzine HCL (Atarax®) sedating antihistamines diphenhydramine HCL (Benadryl®), hydroxyzine HCL (Atarax®) Criteria, February, 2006 (MS Word)
sedating antihistamines diphenhydramine HCL (Benadryl®), hydroxyzine HCL (Atarax®) Checklist, February, 2006 (MS Word)
zaleplon (Sonata®) zaleplon (Sonata®) Criteria, February, 2006 (MS Word)
zaleplon (Sonata®) Checklist, February, 2006 (MS Word)
zolpidem (Ambien®) zolpidem (Ambien®) Criteria, February, 2006 (MS Word)
zolpidem (Ambien®) Checklist, February, 2006 (MS Word)
beta-blockers propranolol (Inderal®), atenolol (Tenormin®), metoprolol (Lopressor®), nadolol (Corgard®) beta-blockers propranolol (Inderal®), atenolol (Tenormin®), metoprolol (Lopressor®), nadolol (Corgard®) Criteria, February, 2006 (MS Word)
beta-blockers propranolol (Inderal®), atenolol (Tenormin®), metoprolol (Lopressor®), nadolol (Corgard®) Checklist, February, 2006 (MS Word)
clomipramine (Anafranil®) clomipramine (Anafranil®) Criteria, February, 2006 (MS Word)
clomipramine (Anafranil®) Checklist, February, 2006 (MS Word)
gabapentin (Neurontin®) gabapentin (Neurontin®) Criteria, February, 2006 (MS Word)
gabapentin (Neurontin®) Checklist, February, 2006 (MS Word)
naltrexone (Revia®) naltrexone (Revia®) Criteria, February, 2006 (MS Word)
naltrexone (Revia®) Checklist, February, 2006 (MS Word)
stimulants methylphenidate (Ritalin®, Concerta™), dextroamphetamine (Dexedrine®), dextroamphetamine/amphetamine mixture (Adderall®) stimulants methylphenidate (Ritalin®, Concerta™), dextroamphetamine (Dexedrine®), dextroamphetamine/amphetamine mixture (Adderall®) Criteria, March, 2006 (MS Word) (MS Word)
stimulants methylphenidate (Ritalin®, Concerta™), dextroamphetamine (Dexedrine®), dextroamphetamine/amphetamine mixture (Adderall®) Checklist, March, 2006 (MS Word)
duloxetine (Cymbalta®) duloxetine (Cymbalta®) Criteria, March, 2006 (MS Word)
duloxetine (Cymbalta®) Checklist, March, 2006 (MS Word)
clonidine (Catapres@) guanfacine (Tenex@) clonidine (Catapres@) guanfacine (Tenex@) Criteria, June, 2009 (MS Word)
clonidine (Catapres@) guanfacine (Tenex@) Checklist, June, 2009 (MS Word)
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Last updated January 16, 2014