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Test ID RUFI Rufinamide, Serum

Useful For

Monitoring serum rufinamide concentrations, assessing compliance, and adjusting dosage in patients receiving other drugs which interact pharmacokinetically with rufinamide (ie, drugs that induce liver CYP3A4 enzymes) and may be helpful in who are receiving hemodialysis

Method Name

Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)

Reporting Name

Rufinamide, S

Specimen Type

Serum

Container/Tube:

Preferred: Red top

Acceptable: SST

Specimen Volume: 1 mL

Collection Instructions:

1. Draw blood immediately before next scheduled dose.

2. For sustained-release formulations ONLY, draw blood a minimum of 12 hours after last dose.

3. Spin down within 2 hours of draw.

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 28 days
  Ambient  28 days
  Frozen  28 days

Clinical Information

Rufinamide is a new antiepileptic drug (AED) approved by the Food and Drug Administration as add-on treatment of seizures associated with Lennox-Gastaut syndrome (LGS) in children ≥4 years, and for the treatment of focal seizures in adults and adolescents. Its mechanism of action is not completely understood, but it is believed to work by prolonging the inactive state of sodium channels and therefore limiting excessive firing of sodium-dependent action potentials. The most commonly observed side effects are headache, dizziness, fatigue, somnolence, and nausea.

Reference Values

5.0-30.0 mcg/mL

Cautions

No significant cautionary statements

Day(s) Performed

Tuesday, Thursday, Saturday; 2 p.m.

Report Available

Same day/1 day

Performing Laboratory

Mayo Medical Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Code Information

80339

G0480 (if appropriate)

NY State Approved

Yes