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Back to Test Catalogue
Test ID: CLOZA

Clozapine and Norclozapine, Plasma

Test Overview

Clinical Utility

Toxic effects are centrally mediated (CNS) and concentration dependent.
Hematological effects, agranulocytosis, are concentration independent.

Method

Liquid chromatography-tandem mass spectrometry (LC-MS/MS)

Result Included

Clozapine; Norclozapine

Aliases/Synonyms

Clozaril

Specimen

Specimen Type

Avoid gel separator tubes
Plasma (EDTA)
Plasma (Li Heparin)
Serum

Containers

Preferred Containers

Plasma (EDTA lavender top)

Acceptable Containers

Plasma (green top Li Heparin); Serum (red top)

Volume

Sample Volume

1 mL

Minimum Volume

0.5 mL

Specimen Comment

Avoid gel separator tubes.

Collection & Handling

Handling Information

Store and send frozen.

Performance & Interpretation

Turnaround Time

7 days

Results

Name
Units
Reference Range
Conversion
  1. Clozapine
    nmol/L
    Minimum effective concentration: 1070
    Laboratory Alert: > 3100
    µg/L x 3.06
  2. Norclozapine
    nmol/L
    Therapeutic ranges not available.
    µg/L x 3.19

Referral Location

Canada

Interface & Setup

HL7 Interface Codes

Order Code Result Name Result Codes Units
CLOZA Clozapine,S 20707 nmol/L
Norclozapine,S 20708 nmol/L

Test Version

Last Updated

2024-01-15