Simira Diagnostics
ELISA

24 HOUR URINE NOR METANEPHRINE

  • Report in 8 hrs
  • Urine sample

Price

₹4,680

  • Report in 8 hrs
  • Free home sample collection
  • ₹200 off at checkout
  • NABL certified lab

or call 77900 98009

24 HOUR URINE NOR METANEPHRINE

₹4,680

About this test

The 24-hour urine normetanephrine test measures normetanephrine, a breakdown product of norepinephrine (noradrenaline), excreted in urine over a full day. It is one of the most sensitive tests for catecholamine-producing tumors.

Normal levels vary by age and lab method.

High normetanephrine, especially above 2–3 times the upper limit, strongly suggests a pheochromocytoma or paraganglioma. These tumors cause episodes of headache, sweating, palpitations, and very high blood pressure.

Mild rises can occur with stress, sleep apnea, and certain antidepressants or decongestants. It is usually tested with metanephrine for complete evaluation.

Questions about this test

When should I get the 24 HOUR URINE NOR METANEPHRINE test?

You should get a 24-hour urine normetanephrine test if you have episodes of severe headache, sweating, palpitations, anxiety, or tremors, or high blood pressure that is hard to control or occurs in spells. It is also recommended for an adrenal mass on a scan, a family history of pheochromocytoma or related genetic syndromes, and post-surgery monitoring.

How should I prepare for the 24 HOUR URINE NOR METANEPHRINE test?

For a 24-hour urine normetanephrine test, avoid caffeine, alcohol, smoking, and strenuous exercise for 2–3 days before and during collection. Inform your doctor about antidepressants, decongestants, levodopa, or blood pressure medicines, but don’t stop them without advice. Collect all urine for 24 hours in the provided container, keeping it refrigerated, and avoid stress.

Do I require fasting for the 24 HOUR URINE NOR METANEPHRINE test?

No, fasting is not required for a 24-hour urine normetanephrine test. You can eat normally, but avoid caffeine, alcohol, and smoking for 2–3 days before and during the collection, as they can affect results. Also avoid stress and strenuous exercise, and collect every urine sample over the full 24 hours.

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