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Serotonin Release Test (24-Hour Urine)

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

This test measures serotonin, a chemical produced by the body that helps regulate mood, sleep, and appetite. It’s often used to check for conditions like serotonin syndrome or to monitor serotonin levels in urine over a full day.

Quick summary

["Assesses serotonin excretion in urine to help diagnose or monitor certain neurological or psychiatric conditions."]

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

Key facts at a glance

LOINC
68501-6
Short code
Serotonin release.UHF+LMW pnl Ser
Synonyms
Serotonin release.UHF+LMW pnl Ser
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
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

Why This Test Is Done

Doctors may order this test if you have symptoms like confusion, rapid heartbeat, or muscle spasms that could suggest serotonin syndrome—a potentially serious condition caused by too much serotonin in the body. It may also be used to evaluate serotonin metabolism in conditions like serotonin syndrome, carcinoid syndrome, or certain genetic disorders.

What to Expect Before the Test

You’ll need to collect all urine for a full 24-hour period in a special container. Drink plenty of fluids to ensure full collection. Avoid medications that may affect serotonin levels unless approved by your provider.

What Happens During the Test

After collecting urine, it’s sent to a lab for analysis. The test measures serotonin concentration in your urine over the day. No special preparation beyond urine collection is typically required.

Possible Results and Their Meaning

Higher-than-normal serotonin levels may indicate conditions like serotonin syndrome or carcinoid syndrome. Lower-than-normal levels might suggest genetic disorders affecting serotonin production. Your doctor will interpret results in the context of your symptoms and medical history.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Serotonin Release Test

Short name

Serotonin Urine Test (24h)

Frequently asked questions

What does my serotonin level mean?
Serotonin levels in urine can help diagnose serotonin-related disorders or monitor treatment effects. Elevated levels may point to serotonin syndrome or carcinoid tumors, while abnormal patterns could indicate genetic or metabolic issues. Always discuss results with your healthcare provider.
How often should I get this test?
Your doctor will determine the frequency based on your symptoms, diagnosis, or treatment plan. It may be done once or repeated if needed to track changes in serotonin levels over time.
Can I take medications before this test?
Some medications can affect serotonin levels. Always inform your doctor or lab technician about all medications, supplements, or herbal products you’re taking before the test.
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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