Tricyclic Antidepressant ID




Test Mnemonic

TAID

CPT Codes

  • 80337 - QTY (1)

LOINC ®

4073-3

Aliases

  • Tricyclic Antidepressants, Quantitative

Includes

  • Amitriptyline
  • Nortriptyline
  • Imipramine
  • Desipramine
  • Doxepin
  • Nordoxepin
  • Clomipramine
  • Norclomipramine
  • Protriptyline

Performing Laboratory

ARUP


Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1 mLSerumNo additive (Red) RefrigeratedDo not use serum separator tubes. Separate serum from cells within 2 hours of collection.

Alternate Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1 mLPlasmaEDTA (Lavender) RefrigeratedSeparate plasma from cells within 2 hours of collection.

Minimum Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
0.5 mL     

Stability

Environmental Condition Description
AmbientAfter separation from cells: 5 days
RefrigeratedAfter separation from cells: 2 weeks
FrozenAfter separation from cells: 6 months

Days Performed

Mon, Wed, Fri

Turnaround Time

2 - 8 days

Methodology

Name Description
High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) 

Reference Range

Amitriptyline
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormalNot Establishedng/mL
Amitryptyline/Nortriptyline
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormal95 - 250ng/mL
   Years99 YearsUrgent> 500ng/mL
Clomipramine
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormalNot Establishedng/mL
   Years99 YearsUrgentNot Establishedng/mL
Clomipramine/Norclomipramine
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormal220 - 500ng/mL
   Years99 YearsUrgent> 900ng/mL
Desipramine
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormal100 - 300ng/mL
   Years99 YearsUrgent> 500ng/mL
Doxepin
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormalNot Establishedng/mL
   Years99 YearsUrgentNot Establishedng/mL
Doxepin/Nordoxepin
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormal100 - 300ng/mL
   Years99 YearsUrgent> 500ng/mL
Imipramine
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormalNot Establishedng/mL
Imipramine/Desipramine
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormal150 - 300ng/mL
   Years99 YearsUrgent> 500ng/mL
Norclomipramine
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormalNot Establishedng/mL
   Years99 YearsUrgentNot Establishedng/mL
Nordoxepin
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormalNot Establishedng/mL
   Years99 YearsUrgentNot Establishedng/mL
Nortriptyline alone
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormalTherapeutic Range: 50 - 150ng/mL
Protriptyline
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormal70 - 240ng/mL
   Years99 YearsUrgent> 400ng/mL

Special Info

Collect specimen prior to next dose - at steady state concentration. This test is New York DOH approved.