***Example Report*** ARUP Laboratories 500 Chipeta Way – Salt Lake City, UT 84108 Patient Age/Gender: Unknown Unknown (800)522-2787 - www.aruplab.com Printed: 05-Dec-18 12:46:47 Julio C. Delgado, M.D. M.S., Director of Laboratories
Clinical Laboratory
Reported/ Procedure Result Units Ref Interval Accession Collected Received Verified Amitriptyline, Quant, Urn 100 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23 Nortriptyline, Quant, Urn 100 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23 Amitriptyline/Nortriptyline Total, Urn 200 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23 Imipramine Quant, Urn 100 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23 Desipramine Quant, Urn 100 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23 Imipramine/Desipramine Total, Urn 200 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23 Doxepin Quant, Urn 100 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23 Nordoxepin Quant, Urn 100 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23 Doxepin/Nordoxepin Total, Urn 200 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23 Protriptyline Quant, Urn 200 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23 Clomipramine Quant, Urn 200 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23 Norclomipramine Quant, Urn 200 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23 Clomipramine/Norclomipramine Total, Urn 400 ng/mL 18-338-900164 04-Dec-18 04-Dec-18 04-Dec-18 15:42:00 15:43:00 15:47:23
04-Dec-18 15:42:00 Amitriptyline, Quant, Urn: Tricyclic Antidepressants Quant, Urine
Interpretive comments: Urine concentrations of Tricyclic antidepressants do not correlate with signs or symptoms of therapy or toxicity. Therapeutic ranges are not established. 100 ng/mL limit of quantification: Amitriptyline, Nortriptyline, Imimpramine, Desipramine, Doxepin, Nordoxepin, Protriptyline 200 ng/mL limit of quantification: Clomipramine, Norclomipramine
This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions.
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* Abnormal, # = Corrected, C = Critical, f = Footnote, H = High, L = Low, t = Interpretive Text, @ = Reference Lab
Chart ID: 13157371 Page 1 of 1