Amitri/Nortriptyline

Centralized Core Laboratory:Chemistry

Test ID/Workstation: AMINT CLEVE

Specimen Type: Blood

Tube Type: Navy Blue top (EDTA) tube

Collection Volume: 2 mL (1.3 mL minimum)

Storage: Refrigerated

Availability: Sent to reference lab

Methodology: High Performance Liquid Chromatography

Special Instructions: Collect immediately prior to next dose. Centrifuge and take off cells within 2 hours of collection. Avoid contact of blood with the rubber stopper.

OC Power Word: LAMITRIP

Lab/Phone: 330-543-8418

TAT: 1-4 days

Additional Info: Reference range:

Nortriptyline: 50-150 ng/mL Critical Value: greater than 500 ng/mL

Amitri/Nortriptyline: 125-250 ng/ml Critical Value: greater than 500 ng/mL

CPT Code: 8015280182

Panel Includes: Amitriptyline; Nortriptyline; Total Amitrip/Nortriptyline

Requisition Form
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