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| 84020:FLUOXETINE (PROZAC) AND METABOLITE | |||||||||
| Alias Names: | Norfluoxetine | ||||||||
| Methodology: | High Performance Liquid Chromatography (HPLC) | ||||||||
| Edit Date: | 6/11/2010 | ||||||||
| Performed: | Monday, Wednesday, Friday | ||||||||
| Released: | 1-4 days after setup at PeaceHealth Laboratories’ reference lab. | ||||||||
| CPT Code: | 80299-90 x2 | ||||||||
| Specimen Collection Details | |||||||||
| Collection: | One 5 mL red top tube. Do not use serum or plasma separator tube, SST or PST. Also acceptable: One 4 mL green top tube (sodium heparin), 4 mL lavender top tube (EDTA), or 4 mL grey top tube (potassium oxalate/sodium fluoride). | ||||||||
| Handling: | Allow to clot, centrifuge and separate serum or plasma from cells into a plastic vial. Refrigerate. | ||||||||
| Stability: | 12 hours ambient, 5 days refrigerated, or 1 month frozen. | ||||||||
| Standard Volume: | 2 mL serum or plasma. | ||||||||
| Minimum Volume: | 0.8 mL serum or plasma. | ||||||||
| Transport: | Refrigerated. | ||||||||
| Comments: | Fluoxetine metabolizes into norfluoxetine. Both levels are provided on the report. Dose related ranges for fluoxeline/norfluoxetine are based on a 20-60 mg dose/day. | ||||||||
| Rejection Criteria: | Use of SST or PST.
This test may require insurance company prior authorization before ordering.
Please check the prior authorization list . Failure to gain preauthorization may result in denial of coverage. |
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| Dose-related range: | |||||||||||||||||||
| Fluoxetine | 50-480 ng/mL | ||||||||||||||||||
| NorFluoxetine | 50-450 ng/mL | ||||||||||||||||||