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Tacrolimus (Serum) Mass Concentration

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. It helps doctors monitor your dose to ensure it stays within safe levels.

Quick summary

["Your medication levels must be carefully balanced to avoid side effects or rejection."]

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

Key facts at a glance

LOINC
32721-3
Short code
Tacrolimus SerPl-mCnc
Synonyms
Tacrolimus 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 immunosuppressant, meaning it lowers your immune system’s ability to fight infections or reject a transplanted organ. Too much can increase your risk of infections or organ damage, while too little may lead to rejection. Regular monitoring ensures your dose is optimized for safety and effectiveness.

How the Test Works

Your blood sample is tested using a specialized laboratory method to detect and quantify the exact amount of tacrolimus in your serum. The result helps your healthcare provider adjust your medication as needed.

What to Expect Before the Test

No special preparation is usually required, but you may need to fast for 8 hours before the test if instructed by your doctor. Wear comfortable clothing for easy blood draw access.

What to Expect During the Test

A healthcare professional will insert a small needle into your arm to draw blood. You may feel a slight pinch, but the process is quick. The blood sample is then sent to the lab for analysis.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Tacrolimus Level

Frequently asked questions

Your tacrolimus level is critical for transplant patients. Low levels may mean your immune system is too active, risking organ rejection, while high levels can weaken your immune system, increasing infection risk. Regular monitoring helps prevent these extremes.
How often should I have this test? Your doctor will determine this based on your transplant timeline, medication schedule, and overall health. Follow their guidance closely.
What do my results mean? If your results are outside the target range (provided by your doctor), it may require a dose adjustment. Always discuss results with your healthcare provider.
Can I eat or drink before this test? Typically, you should avoid food for 8 hours before testing, but follow your doctor’s specific instructions to ensure accurate results.
Is there any risk or discomfort with this test? The blood draw is generally safe but may cause mild discomfort or bruising. Rarely, there could be allergic reactions to the needle or blood loss, though serious complications are uncommon.
How long will I need to wait for results? Results are usually available within 1–3 business days, depending on lab processing times. Your doctor will contact you with the outcome.
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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