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Sulfamethoxazole in Serum/Plasma (Quantitative Measurement)

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

This test measures the amount of the antibiotic sulfamethoxazole in your blood. It helps monitor your dose and check if the drug is working properly.

Quick summary

["This test helps ensure your antibiotic levels are safe and effective."]

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

Key facts at a glance

LOINC
72947-5
Short code
Sulfamethoxazole (neut) IgM SerPl Ql FC
Synonyms
Sulfamethoxazole (neut) IgM SerPl Ql FC
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
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 healthcare provider may order this test if you’re taking sulfamethoxazole (often combined with trimethoprim, like in Bactrim®) to treat infections such as urinary tract infections, pneumonia, or certain parasitic diseases. It helps adjust your dose to avoid side effects or ensure the medication is working.

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into your arm to draw blood. If you’re on a long-term medication like this, your provider may check levels periodically to optimize your treatment.

What the Results Mean

Results are typically reported as a concentration in micrograms per milliliter (mcg/mL). Low levels may indicate the drug isn’t working well, while very high levels could suggest toxicity. Your provider will interpret these results in the context of your symptoms and medical history.

Possible Side Effects or Considerations

Sulfamethoxazole can cause side effects like nausea, rash, or kidney issues. If you experience severe reactions (e.g., skin rash, difficulty breathing), seek medical attention immediately. Avoid taking this medication if you’re allergic to sulfonamides or have certain kidney/hepatic conditions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Monitoring sulfamethoxazole levels is critical for patients with kidney disease, liver problems, or those taking other medications that interact with it. Low levels may require dose adjustments, while high levels could necessitate stopping or reducing the medication to prevent toxicity. This test is especially important for long-term therapy to balance efficacy and safety.

Short name

Sulfamethoxazole Level

Frequently asked questions

When might I need this test?
You may need this test if your doctor prescribes sulfamethoxazole for an infection and wants to ensure it’s working properly. It’s also used for patients on long-term therapy to check levels regularly.
How often will I need this test?
The frequency depends on your treatment plan. For short-term use, it may be done once or twice. For long-term therapy, your provider might check levels every few weeks or months.
What happens if my results are out of range?
If your levels are too low, your doctor may increase your dose. If they’re too high, they might adjust your medication, stop it temporarily, or switch to a different antibiotic. Always discuss results with your healthcare provider.
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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