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Tacrolimus Test

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Tacrolimus Test Details in Brief

Also Known As FK-506 Test, Prograf Test, Tacrolimus Trough Blood
Purpose Helps monitor tacrolimus levels in transplant patients, aids in preventing rejection in organ transplant recipients, supports assessment of drug toxicity and therapeutic range
Preparation Clinical history required, high biotin dose (>5 mg/day) should be avoided at least 8 hrs before blood collection
Fasting Not required
Reporting Time After 8 hours
Cost 5,000

What is a Tacrolimus Test?

A Tacrolimus Test is a blood test used for therapeutic drug monitoring. This test measures the concentration of tacrolimus, a powerful immunosuppressant medication, in your bloodstream.

Tacrolimus is primarily given to prevent your body's immune system from rejecting a transplanted organ such as kidney, liver, or heart. This test helps detect whether your tacrolimus levels are within the safe and effective range to prevent organ rejection while avoiding harmful side effects.

What does the Tacrolimus Test measure?

The test measures the exact amount of tacrolimus medicine present in your blood to ensure optimal treatment outcomes:

• Prevents organ rejection by ensuring drug levels are high enough to suppress your immune system effectively
• Minimises toxicity and side effects by confirming levels aren't dangerously high
• Personalises your dosage based on how your body processes the medication
• Monitors treatment adherence to confirm you're taking medication as prescribed
• Guides therapy adjustments when other medications or health changes affect tacrolimus levels

Tacrolimus Test: Who Needs It and Why It's Done

What Symptoms May Call for a Tacrolimus Test?

Your doctor may order this test if you experience symptoms suggesting your tacrolimus levels are too high or too low:

• Kidney problems such as reduced urination or swelling
• Tremors or shaking hands
• Persistent headaches or high blood pressure
• Nausea, vomiting, or numbness sensations
• Fever, fatigue, or feeling generally unwell
• Pain or tenderness over your transplanted organ
• Signs specific to your transplant type, such as jaundice for liver transplants

Who should get a Tacrolimus Test?

Several groups of patients require regular tacrolimus monitoring:

• Organ transplant recipients taking tacrolimus to prevent rejection of kidney, liver, heart, or other transplanted organs
• Patients with autoimmune disorders being treated with tacrolimus for severe eczema, rheumatoid arthritis, or ulcerative colitis
• Individuals with changing health status who develop new illnesses, start or stop medications, or have liver or kidney function changes
• Patients showing signs of toxicity or rejection requiring immediate level assessment

Why is a Tacrolimus Test done?

A Tacrolimus Test maintains the delicate balance needed for successful immunosuppression. It ensures your medication provides maximum benefit in preventing organ rejection while minimising the risk of serious side effects.

Importance of a Tacrolimus Test

The Tacrolimus Test is clinically vital because tacrolimus has a narrow therapeutic index, meaning the difference between an effective dose and a toxic dose is very small. Regular monitoring prevents life-threatening organ rejection and reduces the risk of severe drug-induced side effects like kidney damage, infections, and neurological problems.

This proactive approach allows doctors to practise personalised medicine by tailoring dosages to your unique metabolism, other medications, and overall health status. Proper monitoring significantly improves transplant success rates and your long-term quality of life.

Tacrolimus Test Booking & Reports – Metropolis Healthcare India

How to Book a Tacrolimus Test?

  1. Simple Online Booking
    Booking can be done through the Metropolis Healthcare app or website. Select Tacrolimus Test, choose a convenient time slot, and provide your address for a blood test at home. You can also visit the nearest Metropolis Lab if you prefer to give the sample directly at the lab.
  2. Safe Home Sample Collection
    Our trained phlebotomists ensure timely collection of your sample while strictly following all safety and hygiene protocols.
  3. Sample Tracking Updates
    Stay informed at every step. From collection to testing, you can track your sample directly through the Metropolis Healthcare website.
  4. Accurate Laboratory Testing
    Your sample is processed at our NABL & CAP accredited laboratories, where expert technicians ensure accurate results.
  5. Quick & Easy Reports
    Receive your test reports promptly via email, WhatsApp, or by downloading them directly from the Metropolis Healthcare website or app.

Is home sample collection for Tacrolimus Test available near you?

Yes, home blood sample collection service is available for the tacrolimus test at Metropolis Healthcare. Our trained phlebotomists follow strict safety protocols while collecting your sample at your preferred time and location. This eliminates the need for you to visit a pathology lab, making it especially convenient for transplant patients who may have mobility concerns.

How Long Does It Take to Get a Tacrolimus Test Report?

Reports are usually available after 8 hours once the sample reaches the lab.

Where can I see or get Tacrolimus Test results?

Test results from Metropolis Healthcare can be accessed through multiple convenient channels. You can log in to the Metropolis website using your credentials or use the Metropolis Healthcare app to view and download your reports. Additionally, test reports are sent via email or WhatsApp and you also have the option to collect a physical copy directly from the lab.

Interpreting Tacrolimus Test Results

What Your Tacrolimus Test Results May Indicate

The following table shows the therapeutic ranges for tacrolimus based on your transplant type and time since transplant:

Transplant Type & Timeline

Target Range

Below Range (Risk)

Above Range (Risk)

Kidney: 1 month post-transplant

12-15 ng/ml

Increased rejection risk

Toxicity, kidney damage

Kidney: 2-3 months post-transplant

10-12 ng/ml

Inadequate immunosuppression

Side effects, organ damage

Kidney: 4-6 months post-transplant

5-10 ng/ml

Potential organ rejection

Drug toxicity

Kidney: >6 months (selected patients)

<5 ng/ml

Possible organ rejection if unstable

Drug toxicity if levels rise

Liver transplant recipients

5-20 ng/ml

Rejection risk

Liver toxicity

Heart (Paediatric: 0–12 months)

10–15 ng/ml

Heart rejection risk

Cardiac toxicity

Heart (Paediatric: >12 months)

5–10 ng/ml

Long-term rejection risk

Chronic side effects

Heart (Adult: 0–3 months)

10-15 ng/ml

Heart rejection risk

Cardiac toxicity

Heart (Adult: 3–6 months)

8–12 ng/ml

Heart rejection risk

Cardiac toxicity

Heart (Adult: 6–12 months)

6–12 ng/ml

Long-term rejection risk

Chronic side effects

Heart (Adult: >12 months)

6–10 ng/ml

Long-term rejection risk

Chronic side effects

 

Conditions that May Affect Tacrolimus Test Accuracy

Several factors can influence your tacrolimus test results and should be discussed with your doctor:

Medications and interactions: Certain antibiotics, antifungals, and other drugs can significantly alter tacrolimus levels in your blood
Grapefruit consumption: Eating grapefruit or drinking grapefruit juice can dangerously increase tacrolimus levels
Liver or kidney function changes: Impaired organ function affects how your body processes tacrolimus
Sample timing: Results vary significantly based on when blood is drawn relative to your last dose
High biotin supplementation: Doses over 5mg daily can interfere with test accuracy if taken within 8 hours of collection
Severe dehydration: Can concentrate blood substances and potentially alter readings

How is a Tacrolimus Test Done?

The tacrolimus test involves a straightforward blood collection process:

• A trained phlebotomist will clean the area on your arm with an antiseptic solution
• An elastic band is tied around your upper arm to make the vein more visible and accessible
• A small needle is inserted into the vein to collect approximately 3ml of blood in an EDTA tube
• The needle is removed, and a bandage is applied to prevent bleeding
• Your blood sample is labelled and sent to the laboratory for analysis using electrochemiluminescence immunoassay
• The entire process takes only a few minutes and causes minimal discomfort

How Should You Prepare for a Tacrolimus Test?

Proper preparation ensures accurate results for your tacrolimus monitoring:

Medication timing: Take your regular tacrolimus dose as prescribed, but avoid taking your morning dose before the test unless specifically instructed
Avoid grapefruit: Do not consume grapefruit or grapefruit juice while on tacrolimus therapy as it affects drug levels
Biotin supplements: Stop high-dose biotin supplements (over 5mg daily) at least 8 hours before blood collection
Inform about medications: Tell your doctor about all medicines, supplements, and herbal products you're taking
Stay hydrated: Drink normal amounts of water unless your doctor advises otherwise
No fasting required: You can eat and drink normally before the test

Diseases that a Tacrolimus Test Can Help Detect

The tacrolimus test helps monitor and manage several serious health conditions:

• Organ transplant rejection in kidney, liver, heart, lung, and other solid organ recipients
• Drug toxicity complications including kidney damage, neurological problems, and hypertension
• Autoimmune disorders such as severe atopic dermatitis, rheumatoid arthritis, and inflammatory bowel disease
• Immunosuppression-related infections due to inadequate or excessive medication levels
• Therapeutic non-compliance when patients aren't taking medication as prescribed

Tacrolimus Test/Packages that You Can Book With Metropolis Healthcare

The following table shows related tests and packages available for comprehensive monitoring:

Test/Package Name

Purpose/Highlights

Tacrolimus By LCMS, Blood Test

Advanced liquid chromatography method for precise tacrolimus measurement

Pre-Transplant Workup Panel

Comprehensive screening before organ transplant procedures

Everolimus, Blood by LCMS Method

Monitoring of another immunosuppressant medication used in transplant patients

 

Tacrolimus Test Prices in Different Cities

The cost of a Tacrolimus Test may vary depending on your location. Here's a table showing the approximate prices in different cities:

City

Price

Mumbai

₹3700 to ₹5000

Delhi

₹3700 to ₹5000

Bangalore

₹3700 to ₹5000

Chennai

₹3700 to ₹5000

Pune

₹3700 to ₹5000

Ahmedabad

₹3700 to ₹5000

 

References:
Panacea Biotec pangraf
Fairview-University Web Page November 2012

Read More

Tacrolimus Test 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 Tacrolimus Test with a clear pricing structure.

The Tacrolimus Test Price in Mumbai is ₹ 5,000 .

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

The best time is right before your next scheduled tacrolimus dose, called a trough level. This provides the most consistent and reliable data for your doctor to make accurate dosage adjustments.

No, fasting is not mandatory for the tacrolimus test. The timing relative to your medication dose is more important than fasting. Always confirm specific instructions with your doctor.

Yes, severe dehydration can potentially affect blood test results by concentrating blood substances. Stay normally hydrated unless your doctor advises otherwise, especially if you have kidney issues.

Take all medications as prescribed but avoid your morning tacrolimus dose before testing unless instructed otherwise. Avoid grapefruit and grapefruit juice completely while on tacrolimus therapy, as they can increase drug levels.

A healthcare professional cleans your arm, ties a band around your upper arm to make veins visible, and inserts a small needle to collect blood. The entire process takes only a few minutes with minimal discomfort.

The risks are very low and similar to any standard blood test. You may experience slight pain or bruising at the needle site, occasional lightheadedness, or a very small risk of infection.

There is no single "normal" level for everyone. Target ranges vary based on your transplant type, time since transplant, and individual factors. Your doctor will establish a specific therapeutic range tailored to your needs.

The test is also called FK-506 Test, Prograf Test, or Tacrolimus Trough Blood test.

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