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Niacin/Lovastatin-Induced Platelet IgM Antibody, Serum/Plasma — Qualitative

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

Detects IgM antibodies that bind to platelets in the presence of niacin or lovastatin, which can be associated with immune-mediated thrombocytopenia.

Quick summary

["A positive result may indicate that niacin or lovastatin is triggering a platelet-directed immune reaction."]

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

Key facts at a glance

LOINC
73246-1
Short code
Niacin+Lovastatin ind plt IgM SP Ql FC
Synonyms
Niacin+Lovastatin ind plt IgM SP 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 qualitative blood test looks for drug-dependent IgM antibodies that bind to platelets when niacin or lovastatin is present. These antibodies may occasionally contribute to an immune-mediated platelet disorder.

Why might I need this test?

Your clinician may order this test if taking niacin or lovastatin is associated with a low platelet count, unexplained bruising or bleeding, or purplish spots on the skin. It helps evaluate whether an immune reaction to one of these medicines may be responsible.

How is the test performed?

A blood sample is collected, and the laboratory separates serum or plasma. The sample is tested for IgM binding to platelets in the presence of niacin or lovastatin, and the result is reported as positive, negative, or possibly indeterminate.

How do I prepare for the test?

No special preparation is usually required beyond following your clinician's instructions for the blood draw. Tell the laboratory which doses of niacin and lovastatin you are taking and when they were started, but do not stop prescribed medication without medical advice.

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 indicates that the blood contains IgM capable of binding to platelets in association with niacin or lovastatin. This may support a diagnosis of drug-induced immune thrombocytopenia, particularly when low platelet counts and bleeding symptoms began after one of these medicines was started. A negative result does not completely exclude a drug-related platelet reaction, so results must be interpreted with your medication history and other laboratory findings.

Short name

Drug-dependent platelet IgM antibodies

Frequently asked questions

What does a positive result mean?
It means the blood contains drug-dependent platelet IgM antibodies, suggesting that niacin or lovastatin may trigger an immune reaction against platelets. Your clinician will interpret this alongside your platelet count, symptoms, and medication timeline.
Does this test diagnose thrombocytopenia on its own?
No. This test identifies a possible immune mechanism, while the platelet count and clinical findings establish whether thrombocytopenia is present.
Should I stop taking niacin or lovastatin before the test?
Do not stop either medicine unless your healthcare professional instructs you to. The test is most useful when the laboratory knows which medicines you are taking and when treatment began.
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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