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Metanephrines, 3-Methoxytyramine, and Creatinine, 24-Hour Urine — Panel

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

This panel measures metanephrines and 3-methoxytyramine in urine collected for 24 hours; creatinine helps assess collection adequacy and concentration.

Quick summary

["This 24-hour urine test helps evaluate whether your body may be producing excess catecholamine metabolites, which can be associated with rare tumors of the adrenal glands or nerves."]

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

Key facts at a glance

LOINC
79575-7
Short code
Mtnphs+3MT+Creat pnl 24h Ur
Synonyms
Mtnphs+3MT+Creat pnl 24h Ur
Category
kidney
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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 test measures metanephrines and 3-methoxytyramine, substances formed when the body breaks down catecholamines such as epinephrine and norepinephrine. Creatinine is also measured to help evaluate the concentration and completeness of the urine collection.

Why might I need this test?

This test may be ordered to evaluate unexplained or persistent high blood pressure, episodic headaches, sweating, rapid heartbeat, or other symptoms that may occur with excess catecholamine production. It is primarily used to help identify tumors that produce catecholamines, including pheochromocytomas and paragangliomas.

How is the test performed?

You collect all urine for a full 24-hour period in a labeled container provided by the laboratory. The laboratory then measures the catecholamine metabolites and creatinine in the collected sample.

How do I prepare for the test?

Follow the collection instructions provided by your care team, and record when the collection begins and ends. Avoid starting or stopping medicines without medical advice, because some medicines and substances can affect the results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated metanephrine or 3-methoxytyramine results may indicate excess catecholamine production, including a pheochromocytoma or paraganglioma. Results can also be affected by physical stress, illness, kidney function, foods, nicotine, caffeine, and certain medicines, so abnormal findings usually require clinical review and sometimes repeat or confirmatory testing.

Short name

24-Hour Urine Metanephrines Panel

Frequently asked questions

Why is a 24-hour urine collection needed?
A 24-hour collection measures urinary substances over a complete day, which can help reduce the effect of fluctuations in hormone release. Your care team or laboratory will provide specific instructions for timing, storage, and transport.
Can medicines or foods affect the results?
Yes. Certain medicines, caffeine, nicotine, alcohol, and some foods may raise or lower urinary metanephrines. Tell your care team about medicines, supplements, and recent dietary changes, and do not stop prescribed treatment on your own.
Does an abnormal result mean I have a tumor?
No. An abnormal result does not by itself confirm a tumor and may reflect temporary stress, illness, medication effects, or collection issues. Your clinician will interpret the result alongside your symptoms, examination, and any additional testing.
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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