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Test Code LEVE Levetiracetam, Serum

Useful For

This test is useful for monitoring leviteracetam (anticonvulsant) levels.  Leviteracetam is approved for adjunctive therapy in the treatment of partial onset seizures in adults and children, 4 years or older, with epilepsy

Synonyms/Keywords

Keppra, Leviteracetam

Specimen Requirements

Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
No Serum Red Top Tube (RTT)   0.5 mL 0.5 mL 0.3 mL

Collection/Processing Instructions

Separate serum/plasma from cells within 2 hours of collection.

Specimens collected in serum separator tube (SST) will be rejected.

Heparinized or ETDA plasma collected in a green top or lavender top tube will be rejected

Specimen Stability Information

Specimen Type Temperature Time
Serum Ambient 48 hours
Refrigerate 2 weeks
Frozen 3 months

Rejection Criteria

Specimens collected in a serum or plasma separator tube

Test Information

This test was developed and its performance characteristics determined by Marshfield Labs.  It has not been cleared or approved by the US Food and Drug Administration.  This test is used for clinical purposes.  It should not be regarded as investigational or for research.

Interpretations

Trough concentrations are most accurate and recommended for therapeutic drug monitoring. Preferably obtained just before the next dose.

Reference Range Information

Performing Location Reference Range
Marshfield

Peak concentration: 10-63 ug/mL

Trough concentration: 3-34 ug/mL

Marshfield Labs Performing Department

Marshfield Labs Special Chemistry

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield Monday, Wednesday, Friday 6-8 hours UPLC MS/MS - Waters Acquity UPLC, XEVO TQ-S Tandem Mass Spectrometry System
Samples must be in performing department by 8am on day of testing for results the same day. Testing may be batched and set up on alternative days of the week as needed.

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
80177        

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
80177        

Ordering Applications

Ordering Application Description
COM Levetiracetam
Cerner Levetiracetam Level