Does this test have other names?
24-hour urinary metanephrines
What is this test?
This test measures the amount of metanephrines in your urine that your body makes
over a 24-hour period.
Metanephrines are made when your body breaks down hormones called catecholamines.
These hormones are made by the adrenal glands. Catecholamines help your body respond
to stress. They are sometimes called "fight or flight" hormones. They also include
epinephrine, norepinephrine, and dopamine.
Why do I need this test?
You may need this test if your healthcare provider suspects you have a condition called
pheochromocytoma or paraganglioma. These are rare tumors that make extra amounts of
catecholamines. Pheochromocytomas are found in the adrenal glands. Paragangliomas
are found outside the adrenal glands.
Signs and symptoms of pheochromocytoma or paraganglioma include:
High blood pressure
What other tests might I have along with this test?
Your healthcare provider may also order a blood test that measures metanephrines,
called a fractionated plasma metanephrine test. Other byproducts of catecholamines
may also be measured.
What do my test results mean?
Many things may affect your lab test results. These include the method each lab uses
to do the test. Even if your test results are different from the normal value, you
may not have a problem. To learn what the results mean for you, talk with your healthcare
Total urinary metanephrines can be measured in milligrams (mg). A level of 1.3 mg
or greater over 24 hours is often considered positive.
Different labs have different ways of measuring catecholamine levels. Your provider
will discuss your results with you.
If your 24-hour metanephrine level is between 1 and 2 times the normal amount, there
is about a 30% chance you have a pheochromocytoma or paraganglioma.
If your 24-hour metanephrine level is twice the normal level or higher, it's likely
that you have a pheochromocytoma or paraganglioma. You may need to have imaging tests,
including CT or MRI scans. These tests are done to confirm the diagnosis and find
How is this test done?
This test requires a 24-hour urine sample. For this type of urine sample, you must
collect all the urine you make for 24 hours. Empty your bladder completely first thing
in the morning without collecting it and note the time. Then collect your urine every
time you go to the bathroom for the next 24 hours.
Your healthcare provider will probably give you specific instructions. Follow them
Does this test pose any risks?
This test poses no known risks.
What might affect my test results?
Certain medicines, foods, and conditions can cause metanephrine and catecholamine
levels to be higher than normal. These include:
Antidepressants and amphetamines
Physical or emotional stress
Withdrawal from drugs or alcohol
Obstructive sleep apnea
How do I get ready for this test?
Don't drink anything containing caffeine before or during the test. Tell your healthcare
provider if you are taking medicine, and ask whether you have any food, medicine,
or activity restrictions. Be sure your provider knows about all medicines, herbs,
vitamins, and supplements you are taking. This includes medicines that don't need
a prescription and any illicit drugs you may use.
Plan to be home for the 24 hours you do the test so you can store the urine sample