DMARD Shared Care Arrangements (Excluding Renal Transplant Patients)

These Shared Care Arrangements apply to DMARDs prescribed to adult patients under the care of rheumatology, dermatology, gastroenterology, neurology, ophthalmology and renal (excluding renal transplant patients) specialities.

Listed below are the locally agreed shared care arrangements.

• Azathioprine 
• Ciclosporin
• Leflunomide
• Mercaptopurine
• Methotrexate
• Mycophenolate Mofetil
• Sulfasalazine
• Tacrolimus

Guidance for the Monitoring of Disease Modifying Anti-Rheumatic Drugs (DMARDs) for Patients Under the Care of Rheumatology, Dermatology, Gastroenterology, Neurology, Ophthamology and Renal (Excluding Renal Transplant Patients) Specialties by Healthcare Professionals Working within NHS Grampian

This guideline outlines the monitoring requirements for DMARDs, independent of indication. Any patients who require an alternative monitoring schedule to that indicated will be highlighted by the specialist service on an individual patient basis.

Please note: This information should be used in conjunction with the NHS Grampian Shared Care Arrangements (SCAs) for other aspects relating to the prescribing of these medicines, e.g. responsibilities for prescribing, trough levels (if indicated), vaccinations (if indicated).

Renal Transplant Patients - DMARD Shared Care Arrangements

Other Shared Care Arrangements (Non-DMARDs)

Listed below are the locally agreed non-DMARD shared care arrangements.

• Amiodarone (adults only)
• Clozapine:
  • Clozapine Aberdeen City
  • Clozapine Aberdeenshire
• Denosumab 120mg injection (Xgeva ) 
• Denosumab (Prolia) Osteoporosis
• Dronedarone 
• Lithium
• Tenofovir 

Published: 21/08/2025 15:36