Centralized Core Laboratory:Chemistry

Test ID/Workstation: AMINT CLEVE

Specimen Type: Blood

Tube Type: Navy Blue top (EDTA) tube

Collection Volume: 5 mL (3.5 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.

If collected at an offsite location, send by a STAT Courier to Hospital lab (Akron or Beeghly).

Lab/Phone: 330-543-8418

TAT: 1-7 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: 80335

Panel Includes: Amitriptyline; Nortriptyline; Total Amitrip/Nortriptyline

Requisition Form
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