Rheumatology Drug Monitoring

Shared care protocols and advice for DMARDs & Biologics

These sheets provide guidance on monitoring of DMARDS in primary care.

For the full shared care protocols and responsibilities for primary care refer to www.bnssgformulary.nhs.uk/Shared-Care-Protocols

DMARDs (BNSSG joint formulary updated September 2012)

  • Azathioprine
  • D-Pencillamine
  • Gold
  • Hydroxychloroquine
  • Leflunomide
  • Methotrexate
  • Sulphasalazine

Anti TNF

  • Anti-TNF monotherapy
  • Tocilizumab monitoring guidelines
  • Safety of anti TNF treatment in males wishing to father children


Rheumatology Drug Monitoring