Diazepam and Nordiazepam
Ordering Recommendation
Use to optimize dosing and monitor patient adherence.
New York DOH Approval Status
Specimen Required
Timing of specimen collection: Predose (trough) draw at steady state concentration
Gray (potassium oxalate/sodium fluoride). Also acceptable: Plain red, green (sodium heparin), lavender (K2 or K3EDTA) or pink (K2EDTA).
Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 2 mL serum or plasma to an ARUP standard transport tube. (Min: 1 mL)
Refrigerated.
Gel separator tubes. Plasma or whole blood collected in light blue (sodium citrate). Hemolyzed specimens.
After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years (Avoid repeated freeze/thaw cycles)
Methodology
Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Performed
Tue, Fri
Reported
1-7 days
Reference Interval
Dose-Related Range:
Test Number |
Components |
Dose-Related Range |
---|---|---|
Diazepam | Effective November 16, 2015 200-1000 ng/mL - Based on normal dosage amounts |
|
Nordiazepam | Effective November 16, 2015 100-1500 ng/mL - Based on normal dosage amounts Toxic: Greater than 2500 ng/mL |
Interpretive Data
Adverse effects may include drowsiness, fatigue, ataxia, and muscle weakness.
Standard
Note
Hotline History
Hotline History
CPT Codes
80346 (Alt code: G0480)
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0090075 | Diazepam | 3548-5 |
0090195 | Nordiazepam | 3537-8 |
Aliases
- Benzodiazepines
- Clorazepate
- Diastat
- Diazemuls
- Diazepam and Metabolite
- Nordiazepam
- Stesolid
- T-Quil
- Tranxene
- Valium
- Valrelease
- Zetran