Primidone and Metabolite
Ordering Recommendation
Optimize drug therapy and monitor patient adherence; the active metabolite of primidone is phenobarbital.
New York DOH Approval Status
Specimen Required
Plain red. Also acceptable: Green (sodium heparin).
Allow specimen to clot completely at room temperature. Separate serum from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP standard transport tube. (Min: 0.8 mL)
Refrigerated.
Separator tubes.
After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 1 month
Methodology
Immunoassay
Performed
Sun-Sat
Reported
Within 24 hours
Reference Interval
Test Number |
Components |
Reference Interval |
||||||
---|---|---|---|---|---|---|---|---|
Phenobarbital |
|
|||||||
Primidone (Mysoline) | 5.0-12 µg/mL |
Interpretive Data
Primidone concentrations greater than 15 µg/mL in conjunction with therapeutic levels of phenobarbital may be associated with toxicity.
Component | Age | Interpretive Data (µg/mL) |
---|---|---|
Phenobarbital | 0-2 months | Toxic: 40.1 or greater |
Phenobarbital | 3 months and older | Toxic: 50.1 or greater |
FDA
Note
Hotline History
CPT Codes
80188; 80184
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0090230 | Phenobarbital | 3948-7 |
0090240 | Primidone (Mysoline) | 3978-4 |
Aliases
- Luminal
- Mysoline
- Mysoline Primidon)
- Phenobarbital
- Primidone