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

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RCITR<br />

84773<br />

CITR<br />

9329<br />

associated with excessive serum concentration are fatigue, impotence, insomnia, and anticholinergic<br />

effects. The toxic range for R,S-citalopram is >400 ng/mL and S-citalopram is >250 ng/mL.<br />

Reference Values:<br />

R,S-Citalopram: 100-250 ng/mL<br />

S-Citalopram: 50-130 ng/mL<br />

Clinical References: 1. Physicians' Desk Reference (PDR). 59th edition. Montvale, NJ, <strong>Medical</strong><br />

Economics Company, 2005 2. Goodman & Gilman's The Pharmacological Basis of Therapeutics. 10th<br />

edition. Edited by JG Hardman, LE Limbird. New York, McGraw-Hill Book Company, 1994, p 1934<br />

Citrate Excretion, Pediatric, Random, Urine<br />

Clinical Information: Urinary citrate is a major inhibitor of kidney stone formation due in part to<br />

binding of calcium in urine. Low urine citrate levels are considered a risk for kidney stone formation.<br />

Several metabolic disorders are associated with low urine citrate. Any condition which lowers renal<br />

tubular pH or intracellular pH may decrease citrate (eg, metabolic acidosis, increased acid ingestion,<br />

hypokalemia, or hypomagnesemia). Low urinary citrate is subject to therapy by correcting acidosis,<br />

hypokalemia, or hypomagnesemia by altering diet or using drugs such as citrate and potassium.<br />

Useful For: Diagnosing risk factors for patients with calcium kidney stones. Monitoring results of<br />

therapy in patients with calcium stones or renal tubular acidosis. A timed 24-hour urine collection is the<br />

preferred specimen for measuring and interpreting this urinary analyte. Random collections normalized<br />

to urinary creatinine may be of some clinical use in patients who cannot collect a 24-hour specimen,<br />

typically small children. Therefore, this random test is offered for children

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