Skip to content

Tacrolimus concentration in serum (4-hour post-dose)

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

This test measures the amount of tacrolimus, a medication used to prevent organ rejection after a transplant, in your blood serum 4 hours after taking your dose. It helps doctors monitor whether your dose is effective and safe.

Quick summary

["This test helps ensure your transplant medication is at the right level for your body."]

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

Key facts at a glance

LOINC
59822-7
Short code
Tacrolimus 4h p SerPl-mCnc
Synonyms
Tacrolimus 4h p SerPl-mCnc
Category
chemistry
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

Why This Test Matters

Tacrolimus is a powerful medication that helps prevent your immune system from attacking a transplanted organ. Too little can lead to organ rejection, while too much can cause serious side effects. This test is critical for transplant patients to stay on the right dose.

What to Expect Before the Test

No special preparation is needed for this test. You’ll have a small needle inserted into your arm to draw a blood sample. It usually takes a few minutes. You may feel a brief pinch, but it’s over quickly.

What the Test Results Mean

Your doctor will use the results to adjust your medication if needed. If levels are too high, they may reduce your dose. If too low, they may increase it. Always follow your healthcare team’s guidance.

Common Side Effects of Tacrolimus

High levels of tacrolimus can cause side effects like nausea, headaches, or kidney problems. Low levels may mean your organ isn’t being protected well. Your doctor will watch for these signs and adjust your dose accordingly.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is used to monitor long-term compliance and ensure therapeutic drug levels are maintained to balance organ protection and side effects. It’s especially important for transplant patients who rely on this medication daily.

Short name

Tacrolimus Level (4h Post-Dose)

Frequently asked questions

Why do transplant patients need this test regularly?
Regular testing helps prevent organ rejection and reduces the risk of side effects. Your doctor uses these results to adjust your dose and keep your medication levels safe and effective over time.
How often should I expect this test?
The frequency depends on your treatment plan. Your doctor may order it weekly, biweekly, or monthly, depending on your transplant status and how your body responds to the medication.
Can I eat or drink before this test?
Yes, you can eat and drink normally before this test. It doesn’t affect the blood draw itself, but your doctor may advise timing around your medication dose.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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