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Barbituratespresentserplscn

Published: August 9, 2026Updated: August 15, 2026

A barbiturate blood test detects the presence of barbiturate drugs in your blood to monitor medication levels or check for drug use.

Quick summary

{"Detects barbiturates (sedative-hypnotic medications) in blood samples","Used to monitor therapeutic drug levels or screen for drug abuse","Performed on a blood sample drawn from a vein in your arm","Results can help doctors ensure proper dosing or identify overdose"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
21091-4
Short code
BARBS
Synonyms
Barbiturates Present SerPl Scn
Category
chemistry
Sample
serum
Container
Red-top serum collection tube or serum separator tube (SST); plasma collected in heparin or EDTA tube is acceptable
Units
N/A
Ref low
200
Ref high
300
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
screen
CPT
80307
SNOMED
395112001
Specimen volume
2-5 mL of whole blood yielding 1-2 mL of serum or plasma
Stability
Serum/plasma stable for 24 hours at room temperature, 7 days at 2-8°C, and 30 days at -20°C for forensic analysis
Hemolysis max
100
Lipemia max
500
Icterus max
25
TAT
2–24 hours
Order
routine

What is this test?

A barbiturate blood test is a screening test that detects whether barbiturates are present in your blood. Barbiturates are a class of prescription medications that act as central nervous system depressants. They are typically prescribed for conditions such as seizures, insomnia, and anxiety, or used as anesthesia during surgery. This test can identify the presence of drugs like phenobarbital, pentobarbital, secobarbital, and amobarbital.

Why might I need this test?

Your doctor may order this test for several reasons: (1) Therapeutic drug monitoring - if you are taking a barbiturate medication, the test helps ensure the drug level in your blood is within the therapeutic range; (2) Drug abuse screening - to check for non-medical use of barbiturates; (3) Overdose investigation - if you have symptoms of barbiturate overdose such as extreme drowsiness, slurred speech, or difficulty breathing; (4) Pre-employment or legal testing - as part of a drug screening protocol.

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 will be collected in a tube and sent to a laboratory for analysis. The test is a screening method, which means it can detect the presence of barbiturates but may not measure the exact amount. If the screening test is positive, confirmatory testing may be performed to identify the specific type of barbiturate and its concentration.

What do the results mean?

A negative result means no barbiturates were detected in your blood at the time of testing. A positive result indicates that barbiturates are present. If you are taking a prescribed barbiturate, your doctor will interpret the level relative to the therapeutic range. Levels above the therapeutic range may indicate overdose, while levels below may suggest your dose needs adjustment. If you are not prescribed barbiturates, a positive result may indicate non-medical use.

Reference range

Negative (cutoff typically 200-300 ng/mL for most barbiturates; varies by specific assay and analyte)N/A

Specimen: serum

No special patient preparation required. Specimen collection should occur prior to administration of activated charcoal if indicated for overdose treatment. Document time of last dose if known.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings2

Frequently asked questions

What are barbiturates?
Barbiturates are a class of sedative-hypnotic drugs that depress the central nervous system. They were historically used for anxiety, insomnia, and seizures but have largely been replaced by safer alternatives. Common barbiturates include phenobarbital (used for seizures), pentobarbital, and secobarbital. They can be habit-forming and have potential for abuse.
How long do barbiturates stay in blood?
The detectability of barbiturates in blood depends on the specific drug and individual factors. Short-acting barbiturates may be detectable for 1-2 days, while long-acting ones like phenobarbital can be detected for up to 1-2 weeks or longer. Factors such as metabolism, dosage, frequency of use, and liver function can affect detection windows.
Do I need to prepare for the test?
No special preparation is typically required for a barbiturate blood test. However, inform your doctor about all medications you are taking, including prescription drugs, over-the-counter medications, and supplements, as some substances may affect test results. If the test is for therapeutic monitoring, it is usually done just before your next dose (trough level) for the most accurate assessment.
Is the test confidential?
Yes, barbiturate test results are protected under medical privacy laws (such as HIPAA in the United States). Results are only shared with you and authorized healthcare providers. If the test is part of employment or legal screening, specific consent protocols apply, and results may be shared with the requesting organization according to applicable laws.
What happens if my test results are positive?
If you test positive and have a valid prescription for a barbiturate, your doctor will evaluate whether the level is within the therapeutic range and adjust your dose if needed. If you do not have a prescription, your doctor will discuss the results with you and may recommend further evaluation, counseling, or referral to a substance abuse specialist. Positive results for legal or employment screening may have consequences determined by the policies of the requesting organization.
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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 15, 2026. · Read our editorial policy