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Order Code LAMO Lamotrigine, Serum

Additional Codes

Mayo Test ID
LAMO

Reporting Name

Lamotrigine, S

Useful For

Monitoring serum concentration of lamotrigine

 

Assessing compliance

 

Adjusting lamotrigine dose in patients receiving other anticonvulsant drugs that interact pharmacokinetically with lamotrigine

Specimen Type

Serum


Specimen Required


Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube:

Preferred: Red top

Acceptable: Serum gel

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL

Collection Instructions:

1. Collect blood immediately before next scheduled dose.

2. For sustained-release formulations only, collect blood a minimum of 12 hours after last dose.

3. Centrifuge within 2 hours of collection

4. For red-top tubes, immediately aliquot serum into a plastic vial.

5. For serum gel tubes, aliquot serum into a plastic vial within 24 hours of collection.


Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Refrigerated (preferred) 28 days
  Ambient  28 days
  Frozen  28 days

Reject Due To

Gross hemolysis OK
Gross lipemia OK
Gross icterus OK
 

Reference Values

Patients receiving therapeutic doses usually have lamotrigine concentrations of 3.0-15.0 mcg/mL.

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Day(s) Performed

Monday through Sunday

Method Name

Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)

CPT Code Information

80175

Method Description

Samples are diluted and extracted online by high turbulence liquid chromatography with detection by tandem mass spectrometry.(Unpublished Mayo method)

Forms

If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:

-Neurology Specialty Testing Client Test Request (T732)

-General Request (T239)

-Therapeutics Test Request (T831)