Order Code LABGOR, BUTAS Butalbital, Serum
Additional Codes
Mayo Test Code: BUTAS
Reporting Name
Butalbital, SUseful For
Monitoring butalbital therapy
Performing Laboratory

Specimen Type
Serum RedSpecimen Required
Supplies: Sarstedt Aliquot Tube, 5 mL (T914)
Collection Container/Tube: Red top (serum gel/SST are not acceptable)
Submission Container/Tube: Plastic vial
Specimen Volume: 1.5 mL
Collection Instructions:
1. Draw blood immediately before the next scheduled dose.
2. Within 2 hours of collection centrifuge and aliquot serum into a plastic vial.
Specimen Minimum Volume
0.6 mL
Specimen Stability Information
Specimen Type | Temperature | Time |
---|---|---|
Serum Red | Refrigerated (preferred) | 28 days |
Ambient | 28 days | |
Frozen | 28 days |
Reference Values
Peak concentrations (100 mg single oral dose):
1.7-2.6 at 2 hours
1.3-1.7 at 24 hours
Toxic concentration: ≥10 mcg/mL
Cutoff concentrations by gas chromatography mass spectrometry:
Butalbital: 0.5 ng/mL
Day(s) Performed
Thursday
CPT Code Information
80299
Method Description
Barbiturates are extracted from serum using solid-phase extraction techniques. The serum is buffered and eluted with organic solvent. The organic phase is dried, reconstituted, and the analysis performed by gas chromatography-mass spectrometry using selected ion monitoring. The assay utilizes deuterated barbiturates as internal standards.(Unpublished Mayo method)
Reject Due To
Gross hemolysis | OK |
Gross lipemia | OK |
Gross icterus | OK |
Method Name
Gas Chromatography-Mass Spectrometry (GC-MS)
Forms
If not ordering electronically, complete, print, and send a Therapeutics Test Request (T831) with the specimen.