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Epic Code LAB681 Amitriptyline Level

Test Name Alias

Elavil | Tryptanol | Endep | Tryptizol | Laroxyl | Trepiline | Saroten | Triptyl | Redomex | 8251

Interface Order Alias

10005

Collection Instructions

Specimen Collection: Blood

 

Container(s): Red top (no additive) or Gray top (Oxalate and Sodium Fluoride)

Preferred Volume to Collect: 3.0 mL

Minimum Volume to Collect: 1.0 mL

Neonate Volume to Collect: 1.0 mL

Capillary collect ok? Yes

Microtainer acceptable: Yes

 

Collection Instructions:

  • After collection, gently invert tube 8-10 times.
  • Red top is preferred tube.
  • Specimen should be processed  – See Processing Instructions.

Processing Instructions (Laboratory, Outpatient or Off-site collection)

Processed Specimen: Serum or Plasma

Centrifuge/Spin: Yes

Aliquot: Yes

 

Processing Instructions:

  • Red top:
    • When tubes are clotted (30-45 minutes), centrifuge specimens
    • Pipette serum into aliquot tube
  • Gray top:
    • Centrifuge after collection
    • Pipette plasma into aliquot tubes

Minimum plasma/serum volume: 0.5 mL

 

Transport Temperature: Ambient

Specimen Stability

Ambient: 72 hours

Refrigerate: 7 days

Frozen: 14 days

Laboratory Retention: 7 days

Test Frequency

Available 24 hours, usual TAT 1-3 days.

STAT TAT 4 hours.

 

Reference Range

Combined Amitriptyline and NortriptylineTherapeutic Range: 80 – 250 ng/mL

Performing Department

Toxicology

Performing Department Laboratory Location

Corewell Health Reference Laboratory, Grand Rapids, MI

Methodology

Liquid Chromatography-Mass Spectrometry

 

This test was developed and its performance characteristics determined by Spectrum Health Toxicology Laboratory. It has not been cleared or approved by the FDA. The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

 

 

CPT

80335, G0480

CDM Code

3018033501

Epic Test ID

1230100328

LOINC

Amitriptyline Lvl: 3333-2

Nortriptyline Lvl: 3872-9

Mayo Access Code

SHO8251

Additional Information

Gold Top SST not acceptable

Reviewed Date

2/15/2023