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Carbamazepine concentration in serum/plasma

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.

Quick summary

["Helps monitor your dose to ensure it’s effective and safe."]

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

Key facts at a glance

LOINC
12363-8
Short code
CARBU
Synonyms
carBAMazepine Ur Ql
Category
chemistry
Sample
urine
Container
Sterile, preservative-free urine collection container
Units
N/A
Ref low
4
Ref high
12
Critical range
— – 15 N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Immunoassay (e.g., EMIT, FPIA) or Gas Chromatography-Mass Spectrometry (GC-MS) confirmation
CPT
80157
SNOMED
395178002
Specimen volume
30-50 mL random urine
Stability
Ambient: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C): 30 days
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Matters

Carbamazepine is a prescription drug that works by stabilizing electrical activity in the brain. Your doctor may order this test to check if your dose is working properly or if you’re experiencing side effects. Too much or too little can affect how well the medication controls your symptoms.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into your arm or vein to draw a blood sample. The process usually takes a few minutes. If you’re on this medication, your doctor may recommend testing at specific times (e.g., before or after doses) to track levels accurately.

What the Results Mean

Results help your healthcare provider adjust your dose if needed. They won’t provide a direct range, but they’ll compare your level to what’s typical for your condition and treatment goals. Low levels might mean the drug isn’t working well, while high levels could signal side effects or toxicity.

Common Reasons for Testing

Doctors may order this test if you’re newly prescribed carbamazepine, experiencing seizures or nerve pain, or if you’re having unusual symptoms like dizziness, drowsiness, or rash. It’s also used to monitor long-term treatment to avoid complications.

Reference range

Therapeutic: 4-12 mcg/mLN/A

Specimen: urine

No special preparation required. Patient should be informed that this is a urine drug screen. Collect specimen prior to next scheduled dose if monitoring compliance.

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 timing based on your treatment plan. For example, some patients need testing weekly at first, then less frequently as their levels stabilize. Follow their advice—don’t change your dose without consulting them.
What if my results are out of the expected range?
If your levels are too low, your doctor may increase your dose. If they’re too high, they might lower it or switch to a different medication to prevent side effects like liver damage or dizziness. Always discuss any concerns with your provider.
Can I eat or drink before the test?
You can eat and drink normally unless your doctor says otherwise. Avoid alcohol before testing, as it may affect carbamazepine levels temporarily.
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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