Imuran (6MP/6TG Thiopurine therapy)
Order Code: PROIM
Epic Lab Code: LAB3909
Order Form: A-1a Miscellaneous Request or Epic Req
Commercial Mail-out Laboratory
6240 RCP
356-3527
Specimen:
Whole Blood
Collection Medium:
and
Lavender top tube 3 mL (EDTA) Lavender top tube 3 mL (EDTA)
Minimum:
5 mL EDTA whole blood
Analytic Time:
5 days upon receipt at reference laboratory
Reference Range:
Therapeutic Range - 6-TGN: 235-400 pmole/8x108 RBC; 6-MMPN: <5,700 pmole/8x108 RBC.

Routine monitoring of WBC and liver enzymes must be continued to assure optimized response while minimizing risk of leukopenia and drug-induced hepatotoxicity. The target therapeutic range and target toxic thresholds were established in an IBD patient population receiving 6-mercaptopurine or azathioprine.
Comments:
If specimen is refrigerated, specimen can be stored for seven days. Record the following items on the requisition: Date of Birth Gender Ordering Doctor's Name
Test Limitations:
Test provides quantitative measurement of response/toxicity of 6MP. Collect specimen three weeks after beginning the therapy or after dose adjustment.
Methodology:
High Pressure Liquid Chromatography
CPT Code:
82491(x2)