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Barbituratesbldcfmmcnc

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of barbiturates (sedative medications) in your blood to monitor drug levels or check for drug use.

Quick summary

{"Barbiturates are sedative-hypnotic drugs used to treat seizures, insomnia, and anxiety","The test uses a confirmatory method (usually mass spectrometry) for accurate detection","It helps doctors monitor therapeutic drug levels or detect poisoning","A blood sample is drawn from a vein in your arm","Results help guide treatment decisions and ensure medication safety"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
42582-7
Short code
BARBCONF
Synonyms
Barbiturates Bld Cfm-mCnc
Category
chemistry
Sample
whole-blood
Container
Gray-top sodium fluoride/potassium oxalate tube; alternative: lavender-top (EDTA) or green-top (heparin) tube without separator gel
Units
N/A
Ref low
15
Ref high
40
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
confirm
CPT
80345
SNOMED
395165007
Specimen volume
5-10 mL of whole blood
Stability
Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
24–72 hours
Order
routine

What is this test?

The Barbiturate Blood Test is a laboratory test that measures the concentration of barbiturates in your blood. Barbiturates are a class of medications that act as central nervous system depressants. They are used to treat conditions such as epilepsy, severe insomnia, and anxiety. This test uses a confirmatory method, which typically involves advanced techniques like gas chromatography-mass spectrometry (GC-MS) or liquid chromatography-tandem mass spectrometry (LC-MS/MS) to ensure highly accurate and specific results.

Why is this test performed?

Your healthcare provider may order this test for several reasons: to monitor therapeutic drug levels in patients taking barbiturates for seizure control or other medical conditions; to evaluate suspected barbiturate overdose or poisoning; to detect unauthorized or recreational barbiturate use; and to ensure drug levels are within the therapeutic range to prevent toxicity while maintaining effectiveness.

How is the test done?

A healthcare professional will draw a small blood sample from a vein in your arm using a needle. The sample is then sent to a laboratory where it undergoes analysis using confirmatory testing methods. These methods can identify and quantify specific barbiturate compounds with high precision. The test can detect various barbiturates including phenobarbital, pentobarbital, secobarbital, and amobarbital.

What do the results mean?

Results are typically reported as either present (detected) or absent (not detected), or as a specific concentration. Therapeutic levels vary depending on the specific barbiturate and the condition being treated. Your doctor will interpret your results based on your medical history, the medication you are taking, and your symptoms. Levels above the therapeutic range may indicate overdose or toxicity, while levels below may suggest non-compliance or inadequate dosing.

Reference range

Not detected or negative in blood. Reporting limit typically ≤ 50 ng/mL; therapeutic ranges vary by barbiturate type (e.g., phenobarbital 15-40 µg/mL).N/A

Specimen: whole-blood

No special patient preparation required. Specimen should be collected prior to administration of next dose when monitoring therapeutic levels, or at the time of suspected overdose for toxicological evaluation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Do I need to fast before this test?
Typically, no fasting is required for a barbiturate blood test. However, follow any specific instructions provided by your healthcare provider. Inform them about all medications, supplements, and substances you have recently consumed.
How long does it take to get results?
Results may take anywhere from 24 hours to several days, depending on the laboratory. Confirmatory methods like GC-MS or LC-MS/MS are more complex than routine tests and may require additional processing time.
Are there any risks associated with this test?
The risks are minimal and similar to any standard blood draw, including slight pain, bruising, or bleeding at the injection site. In rare cases, fainting or infection may occur.
What should I tell my doctor before the test?
Inform your doctor about all medications you are taking, including prescription drugs, over-the-counter medications, vitamins, and herbal supplements. Also mention any recent alcohol or recreational drug use, as these may affect the test results.
What happens if my test shows barbiturates but I haven't taken them?
If you have not taken barbiturate medications but the test shows they are present, this could indicate accidental exposure, contamination, or a false positive. Your healthcare provider may order additional tests to investigate further and determine the source.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy