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Sorted By Test Name - Mayo Medical Laboratories

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FDOXY<br />

90061<br />

CDAU1<br />

80917<br />

doxepin and nordoxepin are between 50 and 150 ng/mL. Some individuals may respond well outside of<br />

this range, or may display toxicity within the therapeutic range; thus, interpretation should include clinical<br />

evaluation. Risk of toxicity is increased with combined levels > or =300 ng/mL. Therapeutic ranges are<br />

based on specimens drawn at trough (ie, immediately before the next dose).<br />

Reference Values:<br />

Therapeutic concentration (doxepin + nordoxepin): 50-150 ng/mL<br />

Toxic concentration (doxepin + nordoxepin): > or =300 ng/mL<br />

Clinical References: 1. Wille SM, Cooreman SG, Neels HM, Lambert WE: Relevant issues in the<br />

monitoring and the toxicology of antidepressants. Crit Rev Clin Lab Sci 2008;45(1):25-89 2. Thanacoody<br />

HK, Thomas SH: Antidepressant poisoning. Clin Med 2003;3(2):114-118 3. Baumann P, Hiemke C,<br />

Ulrich S, et al: The AGNP-TDM expert group consensus guidelines: therapeutic drug monitoring in<br />

psychiatry. Pharmacopsychiatry 2004;37(6):243-265<br />

Doxycycline Level, BA<br />

Reference Values:<br />

Peak serum level (avg)<br />

200 mg dose: 3.6 +or- 0.9 mcg/mL<br />

Trough serum level (avg)<br />

200 mg dose, 12 hrs post dose: 1.6 mcg/mL<br />

Any undisclosed antimicrobials might affect the results.<br />

<strong>Test</strong> Performed <strong>By</strong>: Focus Diagnostics, Inc.<br />

5785 Corporate Avenue<br />

Cypress, CA 90630-4750<br />

Drug Abuse Survey with Confirmation, Evaluation 1, Urine<br />

Clinical Information: This test was designed to screen for and confirm by gas chromatography-mass<br />

spectrometry (GC-MS) or gas chromatography-flame ionization detection (GC-FID) the following drugs:<br />

-Amphetamines -Barbiturates -Cocaine -Ethanol -Methadone -Opiates -Phencyclidine -Propoxyphene<br />

This assay represents the coupling of IDOAU/8248 Drug Abuse Survey, Urine with an automatic<br />

confirmation of all positive results by the definitive assay available and described elsewhere (eg,<br />

AMPHU/8257 Amphetamines, Urine). All positive screening results are confirmed by GC-MS or<br />

GC-FID, and quantitated, before a positive result is reported.<br />

Useful For: Detecting drug abuse involving amphetamines, barbiturates, cocaine, ethanol, methadone,<br />

opiates, phencyclidine, and propoxyphene This test is intended to be used in a setting where the test<br />

results can be used definitively to make a diagnosis.<br />

Interpretation: A positive result indicates that the patient has used the drugs detected in the recent<br />

past. See individual tests (eg, AMPHU/8257 Amphetamines, Urine) for more information. For<br />

information about drug testing, including estimated detection times, see Drugs of Abuse <strong>Test</strong>ing at<br />

http://www.mayomedicallaboratories.com/articles/drug-book/index.html Creatinine and specific gravity<br />

are measured as indicators of specimen dilution.<br />

Reference Values:<br />

Negative<br />

Screening cutoff concentrations<br />

Amphetamines: 500 ng/mL<br />

Barbiturates: 200 ng/mL<br />

Cocaine (benzoylecgonine-cocaine metabolite): 150 ng/mL<br />

Ethanol: 30 mg/dL<br />

Methadone: 300 ng/mL<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 628

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