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Test Code PBARB Phenobarbital Level

Important Note

Draw 12 hours after last dose or just prior to the next dose.

Additional Codes

EPIC LAB4160

Synonyms

  • Barbita
  • Luminal
  • Solfoton

Clinical Significance

Phenobarbital is one of the most commonly used drugs for the treatment of grand mal, psychomotor epilepsy, and other forms of focal epilepsy. Monitoring of the serum level of the drug is essential in order to achieve maximal seizure control while maintaining minimal blood levels to avoid negative side effects.  As with other anti-convulsant drugs, it is imperative that each patient’s dosage be individualized.

 

Source: Roche Cobas PHNO2 Method Sheet Version 5.0 2024-01 

Methodology

Kinetic interaction of microparticles (KIMS) (Roche Cobas c503)

Sample Type

Preferred Sample Type
Light green top - Plasma

 

Acceptable Sample Type(s)
Dark green top - Plasma
Yellow top - Serum
Red top - Serum

Centrifuge: Yes

Specimen Minimum Volume

55 uL with insert cup

Specimen Stability

Temperature Time
Ambient (25°C) 7 days
Refrigerated (2-8°C) (store) 7 days
Frozen (-20°C) 1 year

Separate plasma or serum from cells within 2 hours.

NOTE: Stability limits only valid for capped specimens.

Reference Ranges

Therapeutic Range
10.0 - 30.0 ug/mL

 

Critical Value
>45.0 ug/mL

 

Technical Range
2.4 - 60.0 ug/mL

Rejection Criteria

Hemolysis Index >1,000
Icterus Index >60
Lipemia Index >600, ultracentrifuge*

*Triglycerides >1,000 mg/dL may cause interference if sample is no ultracentrifuged.

Availability

Performed STAT
24/7 Yes

 

Performing Laboratory

MultiCare Yakima Memorial Hospital Laboratory

Lab Department

Chemistry

CPT Code

82205

LOINC

3948-7 PHENobarbital [Mass/Vol]