Precision medicine, particularly therapeutic drug monitoring (TDM), is essential for optimizing drug dosage and minimizing toxicity. However, current TDM methods have limitations, including the need for skilled operators, patient discomfort, and the inability to monitor dynamic drug level changes. In recent years, wearable sensors have emerged as a promising solution for drug monitoring. These sensors offer real-time and continuous measurement of drug concentrations in biofluids, enabling personalized medicine and reducing the risk of toxicity. This review provides an overview of drugs detectable by wearable sensors and explores biosensing technologies that can enable drug monitoring in the future. It presents a comparative analysis of multiple biosensing technologies and evaluates their strengths and limitations for integration into wearable detection systems. The promising capabilities of wearable sensors for real-time and continuous drug monitoring offer revolutionary advancements in diagnostic tools, supporting personalized medicine and optimal therapeutic effects. Wearable sensors are poised to become essential components of healthcare systems, catering to the diverse needs of patients and reducing healthcare costs.

Current ammonia sensors exhibit cross-sensitivity to water vapor, leading to false alarms. We developed a core–shell nanofiber (CSNF) structure to address these issues, using conductive poly(3,4-ethylenedioxythiophene) (PEDOT) as the core and hydrophobic polyvinylidene fluoride-tetrafluoroethylene (PVDF-TrFE) as the shell. The PEDOT-PVDF CSNF, with a diameter of ~500 nm and a 300 nm thick PVDF layer, showed a superior sensitivity and humidity resistance compared to conventional PEDOT membranes for ammonia concentrations of 10–100 ppm. In humid environments, CSNF sensors outperformed membrane sensors, exhibiting a tenfold increase in performance at 51% relative humidity (RH). This study highlights the potential of CSNF sensors for practical ammonia detection, maintaining a high performance under varying humidity levels.