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Department

Toxicology

Preferred Sample Type

Promethazine

Suitable Specimen Types

  • Serum
  • EDTA Plasma
  • Li Hep Plasma
A minimum of 500 µl of plasma/serum is required.

Specimen Transport

First class post

Sample Processing in Laboratory

Place sample in toxicology rack.

Sample Preparation

None required

Turnaround Time

3 days.

Sample Stability

Keep refrigerated. 4 degrees.

Promethazine

General Information

Promethazine is a phenothiazine derivative that has been widely used since 1950 for its antihistaminic, antiemetic and sedative effects. 

Adverse reactions to promethazine include drowsiness, extrapyramidal reactions, dizziness, tinnitus, ataxia, blurred vision, termor, anxiety, hysteria, hypotension and tachycardia or bradycardia. Overdosage can cause coma, convulsions, respiratory despression and circulatory failure. Physostigmine has been found to reverse may of these effects.

Patient Preparation

No patient preperation required.

Notes

Promethazine measured by HPLC-DAD.

Please note this assay is not currently UKAS accredited

Reference Range

High dose therapeutic use of promethazine associated with concentrations of up to 0.2 mg/L. Toxicity associated with concentrations > 1 mg/L.  (Schulz et al. Critical Care 2012, 16:R136).

Specifications

  • EQA Scheme?: Yes
  • EQA Status: LGC QUARTZ, LGC CLIN TOX