AGE                      MALES/FEMALES
< 12 months              0.8-2.7 ng/dL
1 - 5 years              0.8-1.8 ng/dL
5 years - 18 years       0.90-1.70 ng/dL
18+ years                0.80-1.80 ng/dL

The assay is unaffected by icterus (bilirubin is less than 41 
mg/dL), hemolysis (Hb is less than 1000 mg/dL), lipemia (Intralipid is 
less than 2000 mg/dL) and biotin is less than 1200 ng/mL (criterion: 
recovery within plus or minus 10% of initial value).

No interference was observed from rheumatoid factor (up to 1200 U/mL)
and samples from dialysis patients.

No significant interference was demonstrated by high concentrations 
of 17 commonly used pharmaceuticals tested in vitro. At typical 
therapeutic concentrations, furosemide, carbamazepine, phenytoin, 
and levothyroxine sodium (L-T4, synthetic levothyroxine) caused 
elevated free T4 recovery.

The test cannot be used to determine fT4 in patients receiving 
treatment with lipid-lowering agents containing D-T4. If the thyroid 
function is to be checked in such patients, the therapy should be 
interrupted for 4-6 weeks to allow the physiological state to become 
re-established.*

Samples from neonates have not been tested with the FT4 assay.

Auto-antibodies to thyroid hormones can interfere with the assay.

The risk of interference from potential immunological interactions 
between test components and rare sera has been minimized by the 
inclusion of additives. In rare cases, interference due to extremely 
high titers of antibodies to streptavidin ruthenium can occur.

For diagnostic purposes, the FT4 findings should always be assessed in 
conjunction with the patient's medical history, clinical examination 
and other findings.

*Bantle JP, Hunninghake DB, Frantz ID, Kuba K, Mariash CN, Oppenheimer
 JH.  Comparison of Effectiveness of Thyrotropin-Suppressive Doses of
 D- and L-Thyroxine in Treatment of Hypercholesterolemia. Am J Med
 1984;3:475-481.