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Test ID TMP Trimethoprim, Serum

Useful For

Monitoring trimethoprim therapy to ensure drug absorption, clearance, or compliance

Method Name

High-Performance Liquid Chromatography (HPLC)

Reporting Name

Trimethoprim, S

Specimen Type

Serum Red

Collection Container/Tube: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL

Collection Instructions:

1. Serum for a peak level should be drawn at least 60 minutes after a dose.

2. Spin down within 2 hours of draw.

Specimen Minimum Volume

0.2 mL

Specimen Stability Information

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

Clinical Information

Trimethoprim is coadministered with sulfamethoxazole for prophylaxis or treatment of bacterial infections. These agents are used to treat a variety of infections including methicillin-resistant Staphylococcus aureus, and for prophylaxis in immunosuppressed patients such as HIV-positive individuals.

 

Trimethoprim has a wide therapeutic index and dose-dependent toxicity. Trimethoprim accumulates in patients with renal failure.

 

Therapeutic drug monitoring is not commonly performed unless there are concerns about adequate absorption, clearance, or compliance. Accordingly, routine drug monitoring is not indicated in all patients.

Reference Values

>2.0 mcg/mL

Cautions

No significant cautionary statements

Day(s) Performed

Monday, Thursday; 1pm

Report Available

2 days

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

80299

NY State Approved

Yes