ARUP's Laboratory Test Directory

Clozapine : 0098930

Mnemonic: CLOZAPINE

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Performed: Sun-Sat
Reported: 1-2 days
Specimen Required: Collect: Plain red. Also acceptable: Lavender (EDTA), pink (K2EDTA or K3EDTA), or green (sodium or lithium heparin). Also acceptable (avoid if possible): Serum or plasma in a gel separator tube stored at
room temperature is acceptable if separated from the gel within 6 hours. Serum or plasma in a gel separator tube stored refrigerated is acceptable if separated from the gel within 2 hours


Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature: 1 mL serum or plasma at 2-8°C. (Min: 0.6 mL) Submit specimen in an ARUP Standard Transport Tube.

Remarks: Avoid use of separator tubes and gels.

Stability (collection to initiation of testing): After separation from cells: Ambient: 5 weeks; Refrigerated: 2 months; Frozen: 2 months
Reference Interval:
Therapeutic range not established.
Interpretive Data: A therapeutic range has not been established; however, a clozapine level of 100 ng/mL is suggested as the minimum therapeutic threshold. Data suggests that concentrations between 200 and 700 ng/mL correlate more with response; however, non-response does occur within this range. For refractory schizophrenia, at least 350 ng/mL of clozapine is suggested to achieve a therapeutic response. After initial therapeutic response occurs, the dose should be progressively reduced to the minimum level necessary to maintain clinical remission.

The likelihood of seizures and other side effects increase with clozapine levels greater than 1200 ng/mL and/or dosages greater than 600 mg/d.
CPT Code(s): 80299
Cross References: Clozaril (Clozapine), FazaCol (Clozapine), Froidir (Clozapine), Leponex (Clozapine)
 
 

 

 

 
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