Therapeutic drug management
Trough levels are most reproducible.
Immediately following collection, thoroughly mix sample by gently inverting 5 times
Immediately after collection, mix tube thoroughly by gentle inversion, 8 - 10 times, to prevent clotting
Refrigerated (preferred) – 7 days
Ambient – 3 days
Frozen – 6 months
Gel-barrier tubes
Liquid chromatography/tandem mass spectrometry (LC/MS-MS)
Therapeutic range has not been established. Poor metabolizers of cytochrome P450 2D6 (CYP2D6) substrates may have steady-state atomoxetine concentrations sixfold greater than those of extensive metabolizers.