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NORFOLK AND WAVENEY STP THERAPEUTICS ADVISORY GROUP (TAG) SHARED CARE AGREEMENT
Norfolk And • March 27th, 2024

Generic and Proprietary/Brand Name Leflunomide / Arava®; Generics are also available Indications for shared care Rheumatoid arthritis, psoriatic arthritis (licensed indications). Specialist Prescribing and Monitoring Responsibilities – summary. Full details in main body of document GP / Community Team - Primary Care Prescribing and Monitoring Responsibilities – summary. Full details in main body of document Prescribing:• Rheumatology medical team are responsible for the initiation and first 6 weeks of stable prescription of leflunomide.• Patient education will be undertaken by the Rheumatology multidisciplinary teamMonitoring:• Undertake pre-treatment monitoring of FBC, liver function tests (ALT and albumin), and creatinine eGFR.• Check FBC, eGFR, ALT and albumin every 2 weeks until a stable dose has been achieved for 6 weeks.• Specific monitoring explained in more detail below in main body of document regarding:o Lung diseaseo Liver diseaseo Occult viral infectionso Blood pressureo We

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