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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. |
Dose-related range: | |||||||||||||||||||
Fluoxetine | 50-480 ng/mL | ||||||||||||||||||
NorFluoxetine | 50-450 ng/mL | ||||||||||||||||||