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Test Code CZPS Clonazepam and 7-Aminoclonazepam, Serum

Important Note

CMH Cerner Order: Ref Misc

Test Down Notes

This test is temporarily unavailable due to instrumentation issues. As an alternate, order FCLMS. For additional details, see test update here.


Specimen Required


Collection Container/Tube: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 1.2 mL

Collection Instructions:

1. Draw blood immediately before next scheduled dose (minimum 12 hours after last dose).

2. Within 2 hours of collection, the specimen must be centrifuged and the serum aliquoted into a plastic vial.


Children's Mercy Hospital Note:

CMH COLLECTION: 1.5 mL blood in Red vacutainer

Specimen Minimum Volume

0.6 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Red Refrigerated (preferred) 14 days
  Frozen  28 days
  Ambient  72 hours

Useful For

Assessing patient compliance

 

Monitoring for appropriate therapeutic level

 

Assessing clonazepam toxicity

Reject Due To

Gross hemolysis OK
Gross lipemia OK
Gross icterus Reject

Day(s) Performed

Monday, Wednesday

Report Available

3 to 7 days

Reporting Name

Clonazepam and 7-Aminoclonazepam, S

Reference Values

Clonazepam

Anticonvulsant: 20-70 ng/mL

Anxiolytic: 4-80 ng/mL

Some individuals may show therapeutic response outside of these ranges or may display toxicity within the therapeutic range, thus interpretation should include clinical evaluation. 

Note: Therapeutic ranges are for specimens collected at trough (ie, immediately before next scheduled dose). Levels may be elevated in non-trough specimens.

Method Name

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

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

80299