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Propoxyphene N-acetyltransferase (PNP) activity in plasma/serum

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

This test measures the enzyme activity related to the metabolism of propoxyphene, a pain medication. It helps assess how your body processes this drug.

Quick summary

["Understanding your drug metabolism can help tailor pain management plans."]

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

Key facts at a glance

LOINC
73190-1
Short code
Propoxyph ind plt IgG SerPl Ql FC
Synonyms
Propoxyph ind plt IgG 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

The test evaluates the enzymatic activity of N-acetyltransferase, an enzyme involved in breaking down propoxyphene. This enzyme converts propoxyphene into its active or inactive metabolites, which your body then eliminates. The measurement reflects how efficiently your liver processes this medication.

Why It Matters in Your Health

While this test isn’t routinely ordered for general health, it may be used in specific cases—such as monitoring patients on propoxyphene—to ensure proper dosing and avoid potential side effects. Enzyme activity can vary based on genetics, liver function, and overall health.

How the Test Works

Blood is drawn and processed into plasma or serum. The sample is then analyzed to detect the enzyme activity associated with propoxyphene metabolism, typically using an immunoassay or enzymatic method to quantify the conversion process.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to avoid certain medications or foods that could interfere with results. Always inform your healthcare provider about all medications, supplements, or recent illnesses.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Could this test be used for anything other than pain management?
Primarily, this test is linked to propoxyphene metabolism and isn’t commonly used for other conditions. However, similar enzyme activity tests exist for other drugs or genetic assessments. Always discuss its relevance with your doctor.
What does an abnormal result mean?
An abnormal result may suggest differences in how your body processes propoxyphene, which could impact pain relief or side effects. Your healthcare provider will interpret results in the context of your medical history and other test findings.
Is fasting required for this test?
No fasting is typically required, but your provider may give specific instructions based on your overall health or other medications you’re taking.
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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