Skip to content

Carbamazepine Serum Concentration (Mass Concentration)

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

This test measures the amount of carbamazepine, a medication used to treat certain types of seizures and nerve pain, in your blood.

Quick summary

["Knowing your carbamazepine level helps your doctor monitor your dose and ensure it’s working safely for your condition."]

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

Key facts at a glance

LOINC
14639-9
Short code
CARBAM
Synonyms
carBAMazepine SerPl-sCnc
Category
chemistry
Sample
serum
Container
Red-top serum tube (no anticoagulant) or serum separator tube (SST)
Units
N/A
Ref low
17
Ref high
51
Critical range
— – 85 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Immunoassay (Chemiluminescent, Enzyme Immunoassay, or Fluorescence Polarization Immunoassay)
CPT
80156
SNOMED
384810006
Specimen volume
1-2 mL of serum
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
500
Lipemia max
1000
Icterus max
50
TAT
2–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if you’re taking carbamazepine to check if your dose is appropriate. It helps prevent side effects, like dizziness or drowsiness, and ensures the medication is effective. This is especially important if you’re taking other medications that interact with carbamazepine.

What to Expect Before the Test

No special preparation is needed for this blood test. You may have a small needle inserted into your arm to draw blood, similar to other routine blood work. If you’re on blood thinners or have a history of bleeding issues, let your doctor know.

What the Results Mean

Results are typically reported in micrograms per milliliter (µg/mL). Your doctor will compare your result to your target range, which depends on your condition and how your body responds to the medication. Low levels might mean your dose isn’t working well, while high levels could indicate side effects.

Possible Side Effects and Risks

Carbamazepine can cause side effects like dizziness, drowsiness, or stomach upset. Rarely, it may lead to serious issues like low blood cell counts or skin reactions. Always follow your doctor’s advice and report any unusual symptoms.

Reference range

Therapeutic range: 17-51 micromol/L (4-12 mg/L); Toxic: >85 micromol/L (>20 mg/L)N/A

Specimen: serum

No special patient preparation required. Trough specimen should be collected immediately before the next scheduled dose for accurate therapeutic drug monitoring. Document the time of last dose and time of specimen collection.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Carbamazepine Level

Frequently asked questions

How often should I get this test?
Your doctor will determine the frequency based on your treatment plan. Typically, blood levels are checked every few weeks or months to adjust your dose if needed, especially if you’re new to the medication or have changes in your health.
Can I drink alcohol before this test?
No, it’s best to avoid alcohol before your blood test. Alcohol can affect your blood levels and may interfere with the accuracy of the results. Follow your doctor’s instructions for any restrictions.
What if my results are outside the normal range?
If your carbamazepine level is too low, your doctor may increase your dose. If it’s too high, they might lower your dose or adjust other medications you’re taking. Always discuss your results with your healthcare provider to understand next steps.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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