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Toxicology

Lorazepam

Lorazepam

0.02 - 0.25 mg/L

Manganese (Whole Blood)

Manganese (Whole Blood)

Manganese (MN)

nmol/L

Normal Values

80-260

Risk of Toxicity

> 360

Source: SAS Trace Element Laboratories Update, 2018

MDMA & MDA

MDMA & MDA

Toxicity associated with MDMA levels > 0.35 mg/L & MDA levels > 1.5 mg/L.  (Schulz et al. Critical Care 2012, 16:R136).

Melphalan (Alkeran)

Melphalan (Alkeran)

No reference range available. 

Melphalan (Alkeran)

Melphalan (Alkeran)

No reference range available. 

Methadone

Methadone

Therapeutic use of methadone is typically associated with plasma concentrations of 0.05 to 1.0 mg/L dependent on the dose, with adverse drug reactions being noted in the region of 1 to 2 mg/L for regular users of the drug. (Clarke's Analysis of Drugs & Poisons, Third Edition). 

Methoxphenidine (MXP)

Methoxphenidine (MXP)

Please contact the laboratory for interpretaion.

Midazolam

Midazolam

Toxicity associated with midazolam levels > 1.0 mg/L. (Schulz et al. Critical Care 2012, 16:R136).

Please contact the laboratory if midazolam measurement is required for therapeutic monitoring purposes.

Mirtazapine

Mirtazapine

Therapeutic range = 30 -80 ug/L

 

Desmethylmirtazapine does not contribute to pharmacological actions.

Morphine & Metabolites

Morphine & Metabolites

Morphine concentrations > 50 µg/L associated with toxicity. However, interpretation is dependent on the concentrations of metabolites. (Baselt, Disposition of Toxic Drugs and Chemicals in Man, Eighth Edition, 2008).

Please contact the laboratory for further interpretation. 

Olanzapine

Olanzapine

Therapeutic range 20 – 80 μg/L. Toxicity associated with concentrations >150 μg/L.

Oxycodone

Oxycodone

Units ug/L

 

Please contact the laboratory for guidance in therapy 

Please contact the laboratory if oxycodone measurement is required for therapeutic monitoring purposes.

Paroxetine

Paroxetine

Therapeutic range = 20 - 65 ug/L

Please contact the laboratory if paroxetine measurement is required for therapeutic monitoring purposes.

Paroxetine is measured by LC-MS/MS.

Paroxetine

Paroxetine

Therapeutic range = 20 - 65 ug/L

Please contact the laboratory if paroxetine measurement is required for therapeutic monitoring purposes.

Paroxetine is measured by LC-MS/MS.

Pregabalin

Pregabalin

Therapeutic range: 2 – 5 mg/L

(Source: Schulz et al. Critical Care 2012, 16:R136)

 

Pregabalin

Pregabalin

Therapeutic range: 2 – 5 mg/L

(Source: Schulz et al. Critical Care 2012, 16:R136)

 

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