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Electrochemiluminescence Immunoassay for Total Toxic Anticonvulsant Drugs (Serum)

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

This test measures the total concentration of certain medications used to prevent seizures in the blood. It helps doctors monitor whether your dose is effective and safe.

Quick summary

["Your seizure medication levels are checked to prevent side effects and ensure proper control of seizures."]

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

Key facts at a glance

LOINC
80351-0
Short code
ETEC ltA+st1a+st1b tox St NAA+non-probe
Synonyms
ETEC ltA+st1a+st1b tox St NAA+non-probe
Category
chemistry
Sample
stool
Container
Clean container
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
non-probe-amp-tar
CPT
84484
SNOMED
302774002
Specimen volume
5 g
Stability
Refrigerated: 24h, Frozen: 7d
TAT
4–24 hours
Order
routine

Why This Test Is Done

Doctors order this test if you’re taking anticonvulsant medications (like carbamazepine, phenytoin, valproate, or others) to manage epilepsy or seizure disorders. It helps adjust your medication to avoid both too little (which may not control seizures) and too much (which can cause serious side effects).

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. This is usually done in a lab or clinic setting.

What the Test Results Mean

Results show the total amount of anticonvulsant drugs in your blood. They’re used to guide your doctor’s decisions about your medication dose. If levels are too low, your seizures may return. If they’re too high, you might experience dizziness, nausea, or other side effects.

Common Medications Tested

This test typically includes common anticonvulsants such as carbamazepine, phenytoin, valproate, lamotrigine, oxcarbazepine, and others. Always confirm with your doctor which specific medications are being measured.

Reference range

Adult: 10-40 U/LN/A

Specimen: stool

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Maintaining proper anticonvulsant levels is critical for seizure control and preventing serious health risks. Low levels may fail to control seizures, while high levels can cause toxicity, including liver damage, bone thinning, or cognitive issues. Regular monitoring helps balance safety and effectiveness.

Short name

Total Anticonvulsant Drug Level (Serum)

Frequently asked questions

How often should I get this test?
Your doctor will determine how often you need testing based on your medication, seizure control, and overall health. Some patients need frequent checks, especially if they’re adjusting doses or have complex conditions.
What happens if my test results are abnormal?
If your levels are too high, your doctor may reduce your dose or switch medications. If they’re too low, they may increase your dose or check for interactions with other drugs you’re taking. Always discuss results with your healthcare provider.
Can I eat or drink before this test?
You can eat and drink normally before the test, as it’s a blood draw with no dietary restrictions. However, follow any specific instructions your doctor gives you.
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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