Drug level monitoring in palliative patients.

Joanne Bartlett, Elizabeth Freshwater

BMJ supportive & palliative care 2021 Sep

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Palliative medicine is always patient centred and promotes the principle that no unnecessary investigations are performed. The case is reported of a patient with suspected carbamazepine toxicity presenting as progression of symptoms of primary brain tumour. A comparison is made of the symptoms and signs of toxicity versus tumour, and an aid for deciding when to perform therapeutic drug level monitoring for some common drugs. © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.