There is something in the archives:
http://www.jiscmail.ac.uk/cgi-bin/webadmin?S1=acb-clin-chem-gen
and enter
Lithium Contract
in the search field.
But I think the conclusion is that we don't know the provenance of the
figures in the GMS contract.
I'd be really interested to know what reference intervals and comments
others use...
Jonathan
On 20 Jul 2004, at 12:23, Philip Hyde wrote:
> Apologies if this topic has been discussed previously, but I wonder if
> anyone else has had problems with lithium monitoring recommendations
> since the new GP contract came into being. BNF recommends a
> therapeutic range of 0.4-1.0 mmol/L in samples taken @ 12h post-dose
> (pref. after an evening dose). The GP contract has a range of 0.6-1.0.
> Several of our GPs have noticed this but no-one knows where the range
> came from. Is this an appropriate range, or, cynically, has there been
> a typing error? Apparently there is no reference to its source in the
> contract.
>
> Philip Hyde
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