Metanephrine- Free Plasma
Metanephrine- Free Plasma Details in Brief
| Also Known As | Plasma Free Metanephrines Test, Free Metanephrine Test |
|---|---|
| Purpose | Helps diagnose and monitor adrenal and extra-adrenal tumours such as pheochromocytoma and paraganglioma |
| Preparation | Avoid bananas, pineapples, chocolates, coffee, ice cream, cereals, vanilla, potatoes, and vitamin B-complex for 48 hours before the test |
| Fasting | Overnight fasting recommended (water allowed) |
| Reporting Time | Next Day |
| Cost | 5,800 |
What is a Metanephrines Free Plasma Test?
The Metanephrines Free Plasma Test is a highly sensitive blood test that measures the level of free metanephrine, a breakdown product of adrenaline (epinephrine). It is used to detect rare hormone-producing tumours called pheochromocytoma and paraganglioma.
These tumours cause an overproduction of catecholamines (stress hormones), leading to symptoms such as headaches, palpitations, sweating, anxiety, and severe high blood pressure.
The test is performed on plasma collected in EDTA tubes and analysed using Liquid Chromatography-Mass Spectrometry (LC-MS/MS), which provides precise and accurate results even for small hormonal changes.
What Does a Metanephrines Free Plasma Test Measure?
This test measures metanephrine, a chemical formed when adrenaline breaks down in your body. Abnormal levels indicate excessive hormone activity due to adrenal or nerve tissue tumours.
It helps your doctor to:
- Detect pheochromocytoma and paraganglioma early
- Evaluate unexplained or episodic hypertension
- Differentiate secondary hypertension from essential hypertension
- Monitor tumour recurrence after surgery or therapy
- Screen hereditary endocrine disorders linked to adrenal tumours
Metanephrines Free Plasma Test: Who Needs It and Why It’s Done
What Symptoms May Call for a Metanephrines Free Plasma Test?
You may need this test if you experience symptoms linked to excessive catecholamine production, such as:
- Sudden, severe headaches
- Palpitations or irregular heartbeats
- Excessive sweating or heat intolerance
- High blood pressure that fluctuates or spikes suddenly
- Nervousness, tremors, or anxiety without clear cause
- Flushing,dizziness, or nausea during episodes of stress
Who Should Get a Metanephrines Free Plasma Test?
Your doctor may recommend this test if you:
- Have symptoms suggestive of adrenal gland tumours
- Have family history of pheochromocytoma or paraganglioma
- Are diagnosed with hereditary endocrine syndromes such as MEN type 2 or VHL syndrome
- Have adrenal or abdominal masses detected in imaging tests
- Need follow-up after tumour surgery or treatment
Why is a Metanephrines Free Plasma Test Done?
The test is done to confirm or rule out hormone-secreting tumours and to monitor your health after treatment. It helps determine if the adrenal glands or nerve tissues are producing excessive hormones that could affect blood pressure and heart function.
Importance of a Metanephrines Free Plasma Test
This test is one of the most reliable screening tools for detecting catecholamine-producing tumours. It can identify even small changes in hormone levels before symptoms worsen or tumours grow larger.
It is especially useful for patients with unexplained hypertension, helping doctors distinguish between stress-related and tumour-related hormone surges. When combined with plasma normetanephrine testing, it gives a complete picture of adrenal hormone activity, aiding in early diagnosis and effective treatment planning.
Metanephrines Free Plasma Test Booking & Reports – Metropolis Healthcare
How to Book the Metanephrines Free Plasma Test and Get Your Reports
- Book Online Easily
You can book the Metanephrines Free Plasma Test through the Metropolis Healthcare website or mobile app. Choose your preferred time slot and select home sample collection or visit the nearest Metropolis lab. - Home Sample Collection
A trained phlebotomist collects your sample safely from your home, following strict hygiene and temperature-control protocols. - Sample Tracking
Track your sample from collection to report generation using the Metropolis Healthcare tracking system. - Advanced Laboratory Testing
Your sample is processed in NABL & CAP accredited laboratories using LC-MS/MS technology for high accuracy and sensitivity. - Quick & Easy Reports
Reports are available promptly via email, WhatsApp, or can be downloaded directly from the Metropolis Healthcare website or app.
Is Home Sample Collection for Metanephrines Free Plasma Test Available Near You?
Yes. Metropolis Healthcare offers home sample collection for the Metanephrines Free Plasma Test, allowing you to undergo testing from the comfort of your home without visiting a clinic.
How Long Does It Take to Get a Metanephrines Free Plasma Test Report?
Reports are typically available by the next day once the sample reaches the laboratory.
Note: Reporting time and cost may vary depending on your location.
Where Can I See or Get Metanephrines Free Plasma Test Results?
You can access your results conveniently:
- Online through the Metropolis Healthcare website or app
- Via email or WhatsApp
- By collecting a printed copy from the nearest Metropolis Healthcare Lab
Interpreting Metanephrines Free Plasma Test Results
What Your Metanephrines Free Plasma Test Results May Indicate
| Parameter | Normal Range | High Values May Indicate | Low Values May Indicate |
|---|---|---|---|
| Metanephrine – Free | < 88.7 pg/mL | Pheochromocytoma, paraganglioma, stress, or certain medications | Normal adrenal activity |
Understanding Abnormal Metanephrines Free Plasma Test Results by Parameter
| Condition | Possible Cause of Elevated Levels |
|---|---|
| Pheochromocytoma | Excess production of catecholamines by adrenal tumour |
| Paraganglioma | Tumour outside adrenal glands secreting stress hormones |
| Severe stress or illness | Temporary increase in adrenaline metabolism |
| Medication interference | Certain drugs such as antidepressants or levodopa may elevate levels |
| Improper rest before testing | Lack of relaxation before blood draw may lead to false positives |
How Should You Prepare for a Metanephrines Free Plasma Test?
To ensure accurate and reliable results:
- Fasting: Usually overnight (you can drink water).
- Avoid specific foods: Do not eat bananas, pineapples, chocolates, coffee, ice cream, cereals, vanilla, potatoes, or take B-complex vitamins 48 hours before the test.
- Avoid stress and exertion: Rest for at least 20–30 minutes before sample collection.
- Avoid smoking and alcohol: Stop for at least 24 hours before the test.
- Medication disclosure: Inform your doctor about all current medications, especially blood pressure or antidepressant drugs.
- Provide reports: Bring previous CT scan, ultrasound, or medication records if available.
How Is a Metanephrines Free Plasma Test Done? (Step-by-Step Procedure)
Here’s how the test is performed:
- You will be asked to rest quietly in a lying position for 20–30 minutes before the sample is taken.
- A phlebotomist ties a band around your arm to make veins visible.
- The area is cleaned with antiseptic, and blood is drawn using a sterile needle.
- Around 3 ml of blood is collected in an EDTA vacutainer.
- The sample is kept chilled and sent to the laboratory for testing.
- Analysis is performed using LC-MS/MS technology, ensuring precise measurement.
Conditions That May Affect Metanephrines Free Plasma Test Accuracy
Be aware of these factors that can influence your test results:
- Consumption of restricted foods such as bananas, coffee, or vanilla before the test
- Emotional or physical stress immediately before blood draw
- Medications such as antidepressants, beta-blockers, or levodopa
- Sleep deprivation or fatigue
- Improper posture or not resting before sample collection
- Delayed sample processing or exposure to heat
Diseases That a Metanephrines Free Plasma Test Can Help Detect
This test is valuable for diagnosing and managing:
- Pheochromocytoma (adrenal gland tumour)
- Paraganglioma (extra-adrenal tumour)
- Neuroendocrine tumours
- Secondary hypertension
- Adrenal gland hyperactivity
Metanephrines Free Plasma Test Price in Different Cities
The cost of a Metanephrines Free Plasma Test may vary depending on your location. Here's a table showing the approximate price range for the Metanephrines Free Plasma Test at Metropolis Healthcare in major Indian cities:
|
City |
Approximate Cost (INR) |
|
₹ 5000 to ₹ 6000 |
|
|
₹ 5000 to ₹ 6000 |
|
|
₹ 5000 to ₹ 6000 |
|
|
₹ 5000 to ₹ 6000 |
The Metanephrines Free Plasma Test cost may vary depending on the city and the specific tests included in the panel. However, Metropolis Healthcare offers competitive Metanephrines Free Plasma Test prices across major cities in India.
References
- Eisenhofer G., Peitzsch M., Kaden D., et al. (2019). Reference intervals for LC-MS/MS measurements of plasma free, urinary free and urinary acid-hydrolyzed normetanephrine, metanephrine and methoxytyramine. Clin Chim Acta, 490, 46–54. PMID: 30623843
- Lenders J. W., Duh Q. Y., Eisenhofer G., et al. (2014). Pheochromocytoma and paraganglioma: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab, 99(6), 1915–1942. PMID: 24893135
- Peitzsch M., Pelzel D., Glockner S., et al. (2013). Analysis of plasma free metanephrines for diagnosing catecholamine-producing tumours. Clin Chem Lab Med, 51(3), 479–488. PMID: 22962054
- Grouzmann E., et al. (2010). Diagnostic strategies for catecholamine-secreting tumours. Trends Endocrinol Metab, 21(3), 147–155. PMID: 20097068
- Kudva Y. C., et al. (2003). Pheochromocytoma and paraganglioma: A practical overview. Ann Clin Biochem, 40(5), 439–447. PMID: 12969342
Metanephrine- Free Plasma Price
Metropolis Healthcare is a leading diagnostics centre and pathology lab in India equipped with the latest state-of-the-art technologies that provides the Metanephrine- Free Plasma with a clear pricing structure.
The Metanephrine- Free Plasma Price in Mumbai is ₹ 5,800 .
We are committed to deliver accurate and quality results from the best labs in India with complete transparency regarding test cost and turnaround time. No matter where you are, we strive to offer patients high-quality service that is affordable and accessible.
Frequently Asked Questions
It is used to detect rare adrenal or nerve tissue tumours like pheochromocytoma and paraganglioma that produce excess stress hormones.
Yes, you should fast overnight before the test. Only water is allowed.
Avoid bananas, pineapples, chocolates, coffee, ice cream, cereals, vanilla, potatoes, and B-complex vitamins for 48 hours.
Yes, both emotional and physical stress can temporarily raise metanephrine levels.
A small blood sample is taken from your arm after resting for 20–30 minutes, using an EDTA tube for accurate measurement.
It may indicate a hormone-secreting tumour or other conditions causing excess catecholamine activity.
Reports are available the next day once the sample reaches the lab.
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We offer a comprehensive range of 4000+ clinical laboratory tests and profiles, which are used for prediction, early detection, diagnostic screening, confirmation and/or monitoring of the disease.

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