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Methotrexate Level

eD-H Order Code

LAB481

Specimen Collection Information

Specimen Minimum Test Volume Container Special Handling
Blood 0.1 ML  

 

Additional collection information:

Vancomycin and Aminoglycoside Therapeutic Drug Monitoring Nursing Procedure

Specimen Transport Temperature

Refrigerated

Interpretive Data

Assay Display Interpretive Data
Methotrexate Lvl Therapeutic/Toxic Ranges: Therapeutic & toxic ranges values vary greatly with the dosage regimen used and the time between dosing and sample collection. Generally during high dose Methotrexate therapy peak levels may be greater than 1000 mcmol/L.Salicylates Barbiturates Sulfonamides and Phenytoin diminish renal tubular transport of Methotrexate and can prolong methotrexate clearance. Serum concentrations >5 mcmol/L at 24 hrs after high dose therapy and 1 mcmol/L at 48 hrs after start of therapy are predictive of toxicity. 

Day(s) Performed

Monday through Sunday; continuously

CPT(s)

80299

Performing Lab Section

Chemistry