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CycloOxygenase-2 (COX-2) Inhibition Assay (Serum/Plasma)

Published: August 9, 2026Updated: August 16, 2026

This test measures how well your blood serum or plasma inhibits the enzyme cyclooxygenase-2 (COX-2), which is involved in inflammation and pain signaling. It may be used to assess drug effectiveness or monitor response to COX-2 inhibitors like celecoxib.

Quick summary

["This test helps evaluate how your body responds to COX-2 blocking medications."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
73460-8
Short code
Celecoxib ind plt IgM SerPl Ql FC
Synonyms
Celecoxib ind plt IgM SerPl Ql FC
Category
hematology
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
82784
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

COX-2 is an enzyme that plays a role in producing substances called prostaglandins, which contribute to inflammation, fever, and pain. Certain medications, including celecoxib, work by reducing COX-2 activity. This test quantifies how effectively your blood serum or plasma limits COX-2’s function, often through an immunoassay method.

Why It Might Be Ordered

Your healthcare provider may order this test if you’re taking or considering COX-2 inhibitors for conditions like arthritis, pain management, or other inflammatory disorders. It can help determine if the medication is working as intended or if adjustments are needed.

How the Test Works

Blood is drawn and processed into serum or plasma. The sample is then analyzed to detect the enzyme’s inhibitory activity, often using a technique that measures how much the medication suppresses COX-2’s ability to convert substrates into active products.

Preparation and Sample Collection

No special preparation is typically required, but fasting may be advised depending on the clinical context. A simple blood draw is performed, and the sample is sent to a lab for analysis.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test can help monitor treatment efficacy, assess drug tolerance, or identify potential side effects related to COX-2 inhibition. Abnormal results may indicate insufficient medication effectiveness, unexpected drug interactions, or underlying conditions affecting enzyme activity.

Short name

COX-2 Inhibition Test

Frequently asked questions

What does a high or low result mean?
A high level of COX-2 inhibition suggests the medication is working as intended, reducing inflammation and pain. Conversely, low inhibition might mean the drug isn’t providing enough relief or the body is developing resistance.
How often should I get this test?
Your doctor will determine the frequency based on your treatment plan, symptoms, and response to medication. Follow-up tests may be scheduled every few months or as needed to adjust care.
Can lifestyle changes affect this test?
Yes, factors like diet, exercise, and certain medications (e.g., NSAIDs) can influence COX-2 activity. Discuss any changes with your provider to ensure accurate results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy