I’d think just the opposite. Metabolic panel is never sensitive to detect early renal insufficiency. I’d rather to have drug test periodically, then start to monitor renal function if that number does go up.
That’s kind of my second concern about long term Vancomycin, particularly in patient with UC.
jtb said:
I have, and the concentration of Vanco (if there was any) has been below detectable levels. This is checked through a Vancomycin test and really wasn’t necessary, but I was curious and got my doctor to sign off. The first clue that Vanco is sneaking through would be elevated kidney function revealed in the metabolic panels we get anyway to check our livers. If anything looks fishy, then it would be a good idea to get a Vancomycin test. Honestly, it is a very rare thing to happen and isn’t something to worry about. I’ve only come across a handful of case reports where this has happened at significant levels and it only appears to happen in extreme and unusual circumstances.