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Isoniazid (Serum/Plasma Concentration) with Quantitative Confirmation

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of isoniazid, an antibiotic used to treat tuberculosis, in your blood. It helps determine if your medication levels are within safe and effective ranges.

Quick summary

["This test ensures your tuberculosis treatment is working properly and avoids potential side effects from too much or too little medication."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
25218-9
Short code
Isoniazid Islt Slgr Mcbct AB 0.2
Synonyms
Isoniazid Islt Slgr Mcbct AB 0.2
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
method-for-slow-growing-mycobacteria-antibiotic-concentration-at-ug-ml
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 healthcare provider may order this test if you’re taking isoniazid for tuberculosis treatment. It helps monitor whether your dose is appropriate and if your body is processing the medication correctly. This is especially important for long-term treatment to prevent resistance or toxicity.

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into a vein (usually in your arm) to draw blood. If you’re on long-term treatment, your provider may check levels periodically to adjust your dose if needed.

What the Test Results Mean

Results are used to confirm if your isoniazid levels are therapeutic (safe and effective). Low levels may indicate the medication isn’t working as intended, while high levels could signal potential side effects like liver damage.

Common Reasons for Testing

This test is often done during tuberculosis treatment to prevent resistance, optimize dosing, or detect side effects early. It’s particularly important for patients with HIV, those on other medications affecting isoniazid metabolism, or those with liver concerns.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Isoniazid Level (Serum/Plasma)

Frequently asked questions

Why might my doctor want to check my isoniazid levels?
Your doctor may order this test if you’re taking isoniazid for tuberculosis, especially if you’re on long-term treatment, have other health conditions (like HIV or liver disease), or if you’re taking medications that interact with isoniazid. It helps ensure your dose is safe and effective.
What happens if my isoniazid levels are too high or too low?
High levels may increase the risk of side effects like liver damage or nerve problems. Low levels could mean the medication isn’t working to kill tuberculosis bacteria, so your doctor may adjust your dose. Always follow your provider’s guidance based on your results.
How often should I get this test?
The frequency depends on your treatment plan. Some patients get checked weekly or monthly during active treatment, while others may only need occasional monitoring. Your healthcare provider will let you know the schedule for your specific case.
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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 16, 2026. · Read our editorial policy