Laboratory events in monitoring oral gold
Event: Value Action
Leucopaenia <3.5*10^9/l Stop & seek advice
Neutropaenia <2.5*10^9/l Stop & seek advice
Thrombocytopaenia <150*10^9/l Stop & seek advice
Sequential falls >10% on Stop & seek advice in WCC or PMNs 3 occasions
Sequential falls >10% on Stop unless falls are from in platelets 3 occasions a high level, which is a response to treatment
Haematuria trace or + Continue drug
Haematuria ++ or +++ Stop drug, check MSU, consider other causes, seek advice
Proteinuria trace or + Continue drug
Proteinuria ++ or +++ Stop drug, check MSU, 24 hour urinary protein seek advice
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