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Spironolactone (Serum or Plasma Concentration)

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

This test measures the amount of spironolactone, a medication used to manage high blood pressure, fluid retention, and certain kidney conditions, in your blood.

Quick summary

["Spironolactone helps balance electrolytes and blood pressure, and this test checks if your dose is working properly."]

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

Key facts at a glance

LOINC
72949-1
Short code
Spironolactone (neut) IgM SerPl Ql FC
Synonyms
Spironolactone (neut) IgM SerPl Ql FC
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
60
Ref high
170
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
83540
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

This test may be ordered to check how well your body is working, to look for early signs of a health problem, or to monitor a condition you already have. The results give your healthcare provider useful information that can help guide decisions about your ongoing care and treatment.

Your healthcare provider may order this test to monitor your response to spironolactone therapy, check for side effects, or assess kidney function. It’s often done if you have conditions like hypertension, heart failure, or kidney disease.

Before the test, your healthcare team will explain what will happen and give you specific instructions to follow. You may be asked to stop taking certain medicines or supplements, so tell your provider about every medication you use, along with any allergies or health conditions you have. Writing down your questions ahead of time can help the appointment go smoothly.

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the test if it involves a blood draw. Wear comfortable clothing and plan to sit or lie down during the procedure.

During the test, a trained professional will collect a small sample, such as blood or urine, or use a simple measuring device, depending on what your provider has ordered. The sample is sent to a laboratory where specialized equipment measures the substances it contains, and your provider then reviews the results and explains what they mean for you.

A healthcare professional will draw blood from a vein in your arm. The blood sample is sent to a lab, where it’s analyzed using a sensitive chemical test to measure spironolactone levels.

Your results are usually compared with a reference range, which shows the values typically seen in most healthy people. Results inside this range are generally considered typical, while higher or lower values may point to something that needs a closer look. Because factors such as age, medicines, and overall health can affect the numbers, your provider will interpret them together with your symptoms and medical history.

Results are typically reported in micrograms per deciliter (µg/dL). Your doctor will compare your results to your baseline or clinical needs to determine if your medication is effective or if adjustments are needed.

Reference range

NCBI: Serum Iron Male 65-180; Female 50-170 µg/dLN/A

Specimen: serum

Fasting for 12 hours preferred. Iron supplements should be stopped 24 hours before if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Spironolactone Level

Frequently asked questions

High spironolactone levels may indicate overmedication, leading to side effects like dizziness, irregular heartbeat, or low potassium. Low levels could suggest your medication isn’t working as intended, requiring dose adjustments or further evaluation of kidney function.
What does it mean for my health if my test results fall within the normal range?
There is no single ‘normal’ range for everyone, as it depends on your dose, kidney function, and overall health. Your doctor will use your specific results and medical history to guide next steps.
Will I need to avoid eating or drinking anything, including water, before this test?
If fasting is required (e.g., for blood tests), avoid food and liquids—except water—for 8–12 hours before the test. Follow your doctor’s instructions precisely.
If you miss the test, contact your healthcare provider immediately to reschedule. Skipping this test may delay proper management of your condition or medication.
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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