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Test Code CYCPK Cyclosporine, Peak, Blood

Important Note

Order LABRFCYCPK in Epic  

Temporary send out test for Clinical Chemistry Laboratory.  See announcement for Cyslosproine Peak and Trough in the Lab Handbook.

Secondary ID

42427

Method Name

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

Specimen Type

Whole Blood EDTA


Ordering Guidance


This test is for specimens collected during a peak period. For specimens collected at trough, order CYCSP / Cyclosporine, Blood.



Necessary Information


Date of last dose, time of last dose, and dosage information are required.



Specimen Required


Container/Tube: Lavender top (EDTA)

Specimen Volume: 3 mL

Collection Instructions:

1. Do not centrifuge.

2. Send whole blood specimen in original tube. Do not aliquot.

Additional Information: No definitive therapeutic or toxic ranges have been established for this peak testing.


Specimen Minimum Volume

1 mL

Specimen Stability Information

Specimen Type Temperature Time
Whole Blood EDTA Refrigerated (preferred) 14 days
  Ambient  14 days
  Frozen  14 days

Reject Due To

Gross hemolysis OK
Gross lipemia OK
Gross icterus OK
Clotted specimen Reject

Reference Values

No definitive therapeutic or toxic ranges have been established.

 

Optimal blood drug levels are influenced by type of transplant, patient response, time posttransplant, coadministration of other drugs, and drug formulation.

 

The following 2-hour postdose cyclosporine ranges are only suggested guidelines:

Kidney transplant: 800-1700 ng/mL

Liver transplant: 600-1000 ng/mL

 

Target steady-state peak concentrations vary depending on the type of transplant, concomitant immunosuppression, clinical/institutional protocols, and time posttransplant. Results should be interpreted in conjunction with this clinical information and any physical signs/symptoms of rejection/toxicity.

Day(s) Performed

Monday through Sunday

Report Available

Same day/1 to 2 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

80158

Forms

If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:

-Therapeutics Test Request (T831)

-Kidney Transplant Test Request