86840:AMITRIPTYLINE/NORTRIPTYLINE (ELAVIL)

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86840:AMITRIPTYLINE/NORTRIPTYLINE (ELAVIL)
Alias Names: Endep / Etrafon / Triavil
Methodology: High Performance Liquid Chromatography / Tandem Mass Spectrometry (HPLC/MS/MS)
Edit Date: 11/16/2010
Performed: Daily
Released: 24-48 hours after setup at PeaceHealth Laboratories’ reference lab.
CPT Code: 80152-90 / 80182-90
Specimen Collection Details
Collection: One 5 mL red top tube. Also acceptable: 4 mL lavender top tube (EDTA), 2 mL grey top tube (potassium oxalate/sodium fluoride) or 4 mL green top tube (sodium heparin). Do not use serum separator tube (SST) or plasma separator tube (PST).
Handling: Allow to clot, centrifuge and separate serum or plasma into a plastic vial. Refrigerate.
Stability: 5 days ambient, 14 days refrigerated, or 6 months frozen.
Standard Volume: 2 mL serum or plasma.
Minimum Volume: 0.5 mL serum or plasma.
Transport: Refrigerated.
Rejection Criteria: Use of SST or PST.

Reference Range:
Total drug 95-250 ng/mL
Toxic >500 ng/mL

PeaceHealth Laboratories