Disulfiram (DEDTC Metabolite), Blood Test (1790B)

Analysis Code 1790B 
Test Name Disulfiram (DEDTC Metabolite), Blood 
Test Includes Diethyldithiocarbamate [GC] 
Compound Synonym(s) Antabuse DEDTC Diethyldithiocarbamate Disulfiram Metabolite 
Purpose Therapeutic Drug Monitoring; Compliance Monitoring 
Category Alcohol Deterrent 
Method(s) Gas Chromatography (GC) 
Specimen Requirements 7 mL Blood 
Transport Temperature Frozen 
Specimen Container Lavender top tube (EDTA) 
Special Handling None 
Light Protection Required Not Required 
Stability Room Temperature: Undetermined Refrigerated: Undetermined Frozen (-20 °C): Undetermined Disulfiram is rapidly and completely reduced to diethyldithiocarbamate (DEDTC) in blood within 4 minutes of addition to human blood or plasma. DEDTC, an excellent chelator of numerous metal ions, has an in vitro half-life of approximately 70 minutes in either human blood or plasma at room temperature, but nonenzymatically degraded (especially in an acid medium) to carbon disulfide and diethylamine.

It is required that specimens be frozen within one hour of drawing blood or urine. In the event that specimens are not frozen within this timeframe the utility of the test is compromised. 
Rejection Criteria Glass container. 
Day(s) Test Set-up [GC] Sunday 4 days 
Suggested CPT Code [GC] 82491 

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