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Montelukast-Dependent Neutrophil IgG Antibody, Serum/Plasma — Qualitative

Published: August 9, 2026Updated: August 17, 2026

A specialized qualitative test for montelukast-dependent IgG that reacts with neutrophils, used when a drug-related immune blood-cell reaction is suspected.

Quick summary

["A positive result may support an immune-mediated blood-cell reaction to montelukast."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
72988-9
Short code
Montelukast (neut) IgG SerPl Ql FC
Synonyms
Montelukast (neut) IgG SerPl Ql FC
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
84484
SNOMED
302774002
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 is this test?

This blood test looks for IgG antibodies that react with neutrophils, a type of white blood cell, only when montelukast is present. It is not a routine medication-level test and is generally ordered only when a drug-related immune reaction is suspected.

Why might I need this test?

Your clinician may order it after investigating a low white-blood-cell count, a sudden reduction in neutrophils, or other signs of a possible adverse immune reaction to montelukast.

How is the test performed?

A serum or plasma sample is obtained from a blood draw. The laboratory tests whether the sample contains IgG that binds to neutrophils in the presence of montelukast and reports the result as positive, negative, or otherwise indeterminate.

How do I prepare for the test?

No special preparation is usually required. Tell the healthcare team which montelukast products you take, when you started them, and when symptoms began; do not stop prescribed medication without medical guidance.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A positive result may indicate that montelukast is triggering an immune-mediated reaction involving neutrophils, which can contribute to a low neutrophil count. Results must be interpreted with your medication history, symptoms, blood counts, and other laboratory findings. A negative or indeterminate result does not completely exclude a drug-related reaction.

Short name

Montelukast-Dependent Neutrophil IgG

Frequently asked questions

Is this the same as a routine montelukast blood-level test?
No. This is a specialized antibody test used only when an immune reaction to montelukast is suspected, not a test for the drug's blood concentration.
What does a positive result mean?
It means the sample contained IgG that reacted with neutrophils in the presence of montelukast. This can support, but does not by itself prove, a drug-related immune neutropenia.
Should I keep taking montelukast while waiting for results?
Follow your prescriber's instructions and do not stop the medication on your own. If you have fever, severe fatigue, mouth sores, or other concerning symptoms, contact your clinician promptly.
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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 17, 2026. · Read our editorial policy