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Sulfamethoxazole in Plasma or Serum (Mass Concentration)

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

This test measures the amount of the antibiotic sulfamethoxazole in your blood, helping your healthcare provider assess your drug levels and adjust treatment if needed.

Quick summary

["This test helps monitor how well your body is processing sulfamethoxazole, especially for infections treated with this medication."]

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

Key facts at a glance

LOINC
25271-8
Short code
Sulfamethoxazole Spec-mCnc
Synonyms
Sulfamethoxazole Spec-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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 doctor may order this test if you’re taking sulfamethoxazole (often combined with trimethoprim, such as in Bactrim®) to treat or prevent certain bacterial infections. It helps ensure you’re receiving the right dose and that the medication is working effectively in your bloodstream.

What to Expect Before the Test

No special preparation is needed. You’ll likely have a small needle inserted into your arm or vein to draw blood. If you’re on a long-term medication like sulfamethoxazole, your doctor may schedule this test periodically to check levels.

What the Results Mean

Results provide a quantitative measure of sulfamethoxazole concentration in your blood. While reference ranges vary by lab and patient factors, they help determine if your dose is therapeutic or if adjustments are needed (e.g., too low or too high).

Common Uses and Considerations

This test is most relevant for patients on long-term sulfamethoxazole therapy (e.g., for urinary tract infections, Pneumocystis jirovecii pneumonia, or prophylaxis). It’s not typically done for short-term use unless directed by your doctor.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormally low levels may indicate poor absorption, drug interactions, or kidney issues affecting metabolism. High levels could signal overdose, kidney problems, or incorrect dosing. Always discuss results with your healthcare provider, as they’ll interpret them in the context of your overall health and treatment plan.

Short name

Sulfamethoxazole Level

Frequently asked questions

When might I need this test?
You may need this test if you’re taking sulfamethoxazole regularly (e.g., for infections, prevention of certain diseases), or if your doctor suspects your medication levels aren’t optimal.
What does a ‘therapeutic’ level mean?
A ‘therapeutic’ level isn’t a single number—it depends on your condition, dose, and health. Your doctor will use these results to guide whether your dose should stay the same, be increased, or adjusted for other medications you’re taking.
Can food or other medications affect this test?
Yes, certain foods (like high-protein diets) or medications (e.g., antacids, other antibiotics) can influence sulfamethoxazole levels. Your doctor may ask you to avoid these temporarily or adjust timing around your test.
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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