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Test Name:
Itraconazole, Serum or Plasma

  • TMF No:
  • Performance Lab Name:
    ARUP Laboratories
  • Test Mnemonic:
  • CPT Code:
  • Ref Lab Test No:
  • Also Known As:
    Antifungal Serum Level, Itraconazole; Sporanox
  • Patient Prep:
    Timing of specimen collection: Pre-dose (trough) draw – At steady state concentration.
  • Spec Collect:
    Red top (serum), Lavender top (EDTA), or Green top (sodium or lithium heparin) tube. Mix by inverting tube 8 times.
  • Spec Process:
    Transfer 1 mL serum or plasma to a screw-capped plastic transport tube. (Min: 0.6 mL)
  • Spec Store Transport:
  • Spec Stability:
    After separation from cells:
    Room temperature: 48 hours
    Refrigerated: 48 hours
    Frozen: 6 months
  • Spec Reject:
    Serum separator tubes. Hemolyzed or lipemic specimens.
  • Methodology:
    Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
  • Use:
    Therapeutic drug monitoring
  • Interpretive Data:

    Therapeutic Ranges   
    Itraconazole (trough)‑Localized Infection  Greater than 0.5 µg/mL
    Itraconazole (trough)‑Systemic Infection  Greater than 1.0 µg/mL
    Hydroxyitraconazole  No therapeutic range established

    Interpretive Data:
    Total concentrations for itraconazole and hydroxyitraconazole should not exceed 10 µg/mL. Adverse effects may include nausea, vomiting and rash.

    This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions.

  • Additional Test Info:
    Additional Technical Information
  • Day Run:
    Tue, Thu, Sat
  • Time Reported:
    2-7 days
  • Test Type: