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  • Rf-cb-tox-cloz - Request Form V3 - Viapath Co

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PLASMA ASSAY REQUEST FORM Please send the completed form with a blood sample (at least 2 mL, collect into EDTA tube) to: TDM Section, Toxicology Unit, Bessemer Wing, Kings College Hospital, Denmark.

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Baseline blood tests should check white cell count, troponins, CRP and possibly BNP3. Patients with a history of cardiac disease or abnormal cardiac findings on examination (such as QT prolongation) should be referred to a cardiologist7.

White Blood Cell (WBC) count and Neutrophil Count (NC) are assessed by the psychiatrist prior to commencement of . Blood monitoring continues weekly for first 18 weeks and every 28 days thereafter. WBC 3.0 to 3.5 x 109/L and/or NC 1.5 to 2.0 x 109/L Repeat blood count after one week.

The sample should be done as a trough level or 12 hours post dose if the patient is on the drug once a day. The postulated therapeutic range is 350-500micrograms/L (0.35-0.5mg/l). Levels above 600micrograms/L increase the risk of seizure.

Serum/plasma concentrations greater than or equal to 1500 ng/mL (, norclozapine and -N-oxide combined) may cause drug-induced agranulocytosis, Stevens-Johnson syndrome, seizures, hypotension, cardiovascular abnormalities, drowsiness, and death.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232