The University of Iowa (UIHC)
Department of Pathology
LABORATORY SERVICES HANDBOOK


Amiodarone & Metabolite
Order Code: AMIO
Epic Lab Code: LAB2580
Order Form: A-1a Miscellaneous Request or Epic Req
  Commercial "Mail-out" Laboratory
6240 RCP
356-3527
Specimen:
Serum or Plasma
Collection Medium:
Red top tube
Alternate
Collection Media:
Lavender top tube (EDTA), Pink top tube (EDTA sprayed), Green top tube 
(Na Heparin)
Minimum:
Preferred Minimum:  2 mL serum or plasma
Absolute Minimum: 0.8 mL serum or plasma
Pediatric Minimum:  0.8 mL serum or plasma
Rejection Criteria:
Separator tubes
Delivery Instructions:
Wrap specimen in aluminum foil to protect from light.
Analytic Time:
4 working days
Reference Range:
Therapeutic Range
Amiodarone: 1.0-3.0 ug/mL
Desethylamiodarone: Not established

Potential toxic level: > 3.0 ug/mL
Interpretive Data:
The therapeutic range of amiodarone is not presently well established. 
Toxic effects may begin above 3.0 ug/mL. The concentration of 
desethylamiodarone, a major metabolite, is also reported, but no 
therapeutic range is available.  At steady-state, the metabolite 
concentration is similar to the amiodarone concentration. This 
metabolite may be pharmacologically active, but the extent of activity 
is not known with certainty.
Comments:
Includes Desethylamiodarone.
Methodology:
High Performance Liquid Chromatography (HPLC)
CPT Code:
80299 (x2)
 
See Additional Information:
Commercial (Mailout) Critical Lab Values

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Updated: 10/05/2009

Note: The information contained in this handbook is for use by personnel of University of Iowa Health Care. No other use is implied or intended.