Oxcarbazepine
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
| Ph: ( ) - Fax: ( ) - |
| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Oxcarbazepine | |
| 2. | |
| 3. | |
| 4. | |
| 5. | |
| 6. | |
| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
OXCAR
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top ( no anticoagulant)
Collection Volume:
2.5 mL (minimum 1.5 mL)
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
High Turbulence Liquid Chromatography Mass Spectrometry (HTLC-MS/MS)
Special Instructions:
Draw specimen immediately before next scheduled dose. Spin down within 2 hours of draw.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly)
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference Range: 10-35 mcg/mL
CPT Code:
80183
Synonyms:
Trileptal
