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Test Code LAB21 Carbamazepine Total Level

Clinical Information

Carbamazepine (Tegretol) is used in the control of partial seizures with both temporal lobe and psychomotor symptoms as well as for generalized tonic-clonic seizures. It is also used for analgesia in trigeminal neuralgia. Dosage adjustments are usually guided by monitoring blood levels. 

Synonym

  • CARB

Specimen Required

Preferred Container/Tube: Mint Green Top
Acceptable Container/Tube: Mint Green Top, Red Top
Specimen Volume: 3 mL
Specimen Minimum Volume: 1 mL

Specimen Stability Information

Ambient: 4 hours
Refrigerated: 5 days

Specimen Collection Information

Outreach Clients: Refrigerate serum as soon as possible after separation from the cells.

Processing instructions: Draw 30 min - 1 hour PRIOR to dose.

Rejected Due To

  • Gross hemolysis
  • Gross icterus
  • Quantity not sufficient
  • Quality not acceptable

Reference Values

Therapeutic Range: 4.0-12.0 mcg/mL

Method Description

Competition between drug in the sample and drug labeled with the enzyme glucose-6-phosphate dehydrogenase (G6PDH) for antibody binding sites. Enzyme activity decreases upon binding to the antibody, so the drug concentration in the sample can be measured in terms of enzyme activity. Active enzyme converts oxidized nicotinamide adenine dinucleotide (NAD) to NADH, resulting in an absorbance change.

Performing Lab

Clinical Lab UH

Day(s) Performed

Monday through Sunday

Report Available

Same day/1 day

Reporting Name

Carbamazepine Total

CPT Code Information

80156

LOINC Code Information

3432-2