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Carbamazepine concentration in plasma (quantitative measurement)

Published: August 9, 2026Updated: August 17, 2026

This test measures the amount of carbamazepine, a medication used to treat certain types of seizures and nerve pain, in your blood plasma. It helps doctors monitor your drug levels to ensure they’re effective and safe.

Quick summary

["This test helps adjust your carbamazepine dose to avoid side effects or insufficient treatment."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
73486-3
Short code
carBAMazepine ind plt IgG SerPl Ql FC
Synonyms
carBAMazepine ind plt IgG SerPl Ql FC
Category
hematology
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
4
Ref high
12
Critical range
— – 15 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
82784
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if you’re taking carbamazepine to manage epilepsy, bipolar disorder, or other conditions. It’s often done regularly to check if your blood levels are within the recommended range for your condition.

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into your arm or hand to draw blood. If you’re on blood thinners or have a history of bleeding issues, let your doctor know beforehand.

What the Test Results Mean

Results are typically reported in micrograms per milliliter (µg/mL). Low levels may mean the drug isn’t working well, while high levels could indicate side effects like dizziness, drowsiness, or rash. Your doctor will interpret results based on your medical history and symptoms.

Possible Side Effects of Carbamazepine

Carbamazepine can cause side effects like dizziness, nausea, or fatigue. Rarely, it may lead to serious issues like bone marrow suppression or skin reactions. If you experience severe symptoms like chest pain, irregular heartbeat, or skin rash, seek medical attention immediately.

Reference range

Therapeutic: 4-12 mcg/mLN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Carbamazepine Level (Plasma)

Frequently asked questions

What does a carbamazepine level tell your doctor?
A carbamazepine level helps determine if your dose is appropriate. Low levels may require a higher dose, while high levels could signal toxicity or poor absorption. Your doctor will adjust your medication based on these results to balance effectiveness and safety.
How often should I get this test?
Your doctor will decide how often you need testing based on your condition, how long you’ve been on the medication, and whether you’re taking other drugs that interact with carbamazepine. Follow their instructions closely.
Can I eat or drink before this test?
You can eat and drink normally before the test unless your doctor specifies otherwise. Avoid caffeine or alcohol for at least 24 hours before testing, as they may affect blood levels.
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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 17, 2026. · Read our editorial policy