Laboratory Reference Ranges: Therapeutic Drug Monitoring*

Laboratory Reference Ranges: Therapeutic Drug Monitoring*

Therapeutic Drug

Low Reference Ranges 

High Reference Ranges

Critical High Values 

CarbamazepineCarbamazepine

4.0 mcg/mL

12.0 mcg/mL

≥ 15.0 mcg/mL

DigoxinDigoxin

0.8 mg/dL

2.0 mg/dL

≥ 2.1 mg/dL

GentamicinGentamicin

Trough: 1.0 mcg/mL

Peak: 5.0 mcg/mL

Trough: 1.9 mcg/mL

Peak: 8.0 mcg/mL

Trough: ≥ 2.0 mcg/mL

Peak: ≥ 12.0 mcg/mL

Random: ≥ 2.0 mcg/mL

PhenobarbitalPhenobarbital

10.0 mcg/mL

30.0 mcg/mL

≥ 50.0 mcg/mL

PhenytoinPhenytoin

10.0 mcg/mL

20.0 mcg/mL

≥ 25.0 mcg/mL

TobramycinTobramycin

Trough: 0.5 mcg/mL

Peak: 6.0 mcg/mL

Trough: 2.0 mcg/mL

Peak: 9.9 mcg/mL

Random: ≥ 2.0 mcg/mL

Trough: ≥ 2.0 mcg/mL

Peak: ≥ 10.0 mcg/mL

Valproic acidValproic acid

50 mcg/mL

99 mcg/mL

≥ 100 mcg/mL

VancomycinVancomycin

Trough: 5 mcg/mL

Peak: 20 mcg/mL

Trough: 10 mcg/mL

Peak: 40 mcg/mL

≥ 30 mcg/mL

Trough ≥ 30 mcg/mL

Peak ≥ 80 mcg/mL

* All values are for lithium-heparin serum samples.* All values are for lithium-heparin serum samples.

* All values are for lithium-heparin serum samples.* All values are for lithium-heparin serum samples.