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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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FFTAP<br />

57299<br />

TARR<br />

82486<br />

immunosuppression while minimizing toxicity Evaluating patient compliance<br />

Interpretation: Most individuals display optimal response to tacrolimus with trough whole blood<br />

levels of 5.0 ng/mL to 15.0 ng/mL. Preferred therapeutic ranges may vary by transplant type, protocol,<br />

and comedications. Therapeutic ranges are based on samples drawn at trough (ie, immediately before a<br />

scheduled dose). Blood drawn at other times will yield higher results. The assay is specific for tacrolimus;<br />

it does not cross-react with cyclosporine, cyclosporine metabolites, sirolimus, sirolimus metabolites, or<br />

tacrolimus metabolites. Results by liquid chromatography with detection by tandem mass spectrometry<br />

are approximately 30% less than by immunoassay.<br />

Reference Values:<br />

5.0-15.0 ng/mL<br />

Clinical References: 1. Kahan BD, Keown P, Levy GA, et al: Therapeutic drug monitoring of<br />

immunosuppressant drugs in clinical practice. Clin Ther 2002 March;24(3):330-350 2. Scott LJ, McKeage<br />

K, Keam SJ, et al: Tacrolimus: a further update of its use in the management of organ transplantation.<br />

Drugs 2003;63(12):1247-1297<br />

Tapentadol, Urine<br />

Reference Values:<br />

Not established<br />

<strong>Test</strong> Performed <strong>By</strong>: Medtox Laboratories<br />

402 W. County Road D<br />

St. Paul, MN 55112<br />

Tarragon, IgE<br />

Clinical Information: Clinical manifestations of immediate hypersensitivity (allergic) diseases are<br />

caused by the release of proinflammatory mediators (histamine, leukotrienes, and prostaglandins) from<br />

immunoglobulin E (IgE)-sensitized effector cells (mast cells and basophils) when cell-bound IgE<br />

antibodies interact with allergen. In vitro serum testing for IgE antibodies provides an indication of the<br />

immune response to allergen(s) that may be associated with allergic disease. The allergens chosen for<br />

testing often depend upon the age of the patient, history of allergen exposure, season of the year, and<br />

clinical manifestations. In individuals predisposed to develop allergic disease(s), the sequence of<br />

sensitization and clinical manifestations proceed as follows: eczema and respiratory disease (rhinitis and<br />

bronchospasm) in infants and children less than 5 years due to food sensitivity (milk, egg, soy, and wheat<br />

proteins) followed by respiratory disease (rhinitis and asthma) in older children and adults due to<br />

sensitivity to inhalant allergens (dust mite, mold, and pollen inhalants).<br />

Useful For: <strong>Test</strong>ing for IgE antibodies may be useful to establish the diagnosis of an allergic disease<br />

and to define the allergens responsible for eliciting signs and symptoms. <strong>Test</strong>ing also may be useful to<br />

identify allergens which may be responsible for allergic disease and/or anaphylactic episode, to confirm<br />

sensitization to particular allergens prior to beginning immunotherapy, and to investigate the specificity of<br />

allergic reactions to insect venom allergens, drugs, or chemical allergens.<br />

Interpretation: Detection of IgE antibodies in serum (Class 1 or greater) indicates an increased<br />

likelihood of allergic disease as opposed to other etiologies and defines the allergens that may be<br />

responsible for eliciting signs and symptoms. The level of IgE antibodies in serum varies directly with the<br />

concentration of IgE antibodies expressed as a class score or kU/L.<br />

Reference Values:<br />

Class IgE kU/L Interpretation<br />

0 Negative<br />

1 0.35-0.69 Equivocal<br />

2 0.70-3.49 Positive<br />

Current as of January 3, 2013 2:22 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong>Laboratories.com Page 1708

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