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Doxepin
Last Modified:
3/23/2022 10:10:02 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
3.0 mL Serum from a
Red Top Tube
in a Plastic Vial
Collection Instructions:
Collect at steady-state trough concentration Specimen should be collected > 12 hours after dose
Centrifuge and separate from cells immediately
Minimum Volume:
1.5 mL Serum
Transport & Storage: Temperature/Stability:
5 days Ambient (Transport)
7 days Refrigerated
30 days Frozen
Rejection Criteria:
Gross Hemolysis • Do not collect in a Serum Separator Tube (SST or PST)
Reference Range:
Total 110-250 mcg/L
Critical Ranges:
Test Comments:
Methodology:
Chromatography/Mass Spectrometry
Clinical Significance:
Doxepin is a tricyclic antidepressant. Therapeutic drug levels are monitored to assist the physician assessing therapeutic response and to avoid toxicity.
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
1 to 2 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Quest - Chantilly
PHL Test Code:
MSOT
EPIC Test Code:
MISC
Send Out Test Code:
826
Alternate Test Names:
Adapin®; Desmethydoxepin; Desmethyldesipramine; Doxepin, Trough; Nordaxepin; Sinequan; Sinequan®; Zonalon
Included Tests:
Doxepine; Nordoxepin (Desmethyldoxepin)
CPT Coding:
80335
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