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CMP Mycophenolate - BDNG

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Clinical Management Plan <strong>Mycophenolate</strong> Mofetil<br />

Patient Name:<br />

Patient medication sensitivities/allergies:<br />

Patient identification e.g. ID number, date of birth:<br />

Independent Prescriber(s):<br />

Condition(s) to be treated<br />

Psoriasis<br />

Eczema<br />

Blistering skin disorders<br />

Medicines that may be prescribed by SP:<br />

Preparation<br />

Indication<br />

Supplementary Prescriber(s)<br />

CNS Ann Davies & CNS Sharon Hulley<br />

Aim of treatment<br />

To control disease and reduce symptoms<br />

Dose schedule<br />

Specific indications for<br />

referral back to the IP<br />

Oral <strong>Mycophenolate</strong><br />

Mofetil<br />

Moderate to severe psoriasis<br />

Moderate to severe eczema<br />

Blistering skin disorders e.g.<br />

Bullous Pemphigus<br />

Initial dose of 250-500mg<br />

twice daily, increasing to<br />

a maximum dose of one<br />

gram twice daily<br />

When psoriasis improves<br />

reduce <strong>Mycophenolate</strong> to<br />

the lowest dose that will<br />

maintain adequate control<br />

of condition.<br />

As specified in BNF<br />

Low Hb (< 10),<br />

WBC


Clinical Management Plan <strong>Mycophenolate</strong> Mofetil<br />

Frequency of review and monitoring by:<br />

Supplementary prescriber<br />

As per departmental algorithm<br />

Supplementary prescriber and independent prescriber<br />

12 months or sooner if there are complications<br />

Process for reporting ADRs:<br />

Write to GP<br />

Report to independent prescriber.<br />

Yellow card if severe drug reaction<br />

Shared record to be used by IP and SP:<br />

Patients medical notes<br />

Agreed by independent<br />

prescriber(s)<br />

Date<br />

Agreed by supplementary<br />

prescriber(s)<br />

Date<br />

Date agreed with<br />

patient/carer

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