Phenobarbital Level

Therapeutic Drug Monitoring

Normal Reference Ranges

Adult

15 - 40 mcg/mL

Pediatric

15 - 40 mcg/mL

Clinical Significance

Long-acting barbiturate. Toxicity causes sedation, ataxia, respiratory depression, and hypothermia.

Causes of High

  • Phenobarbital toxicity
  • Renal or hepatic impairment

Causes of Low

  • Subtherapeutic dose
  • Non-compliance