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UGT1A1 Gene Mutation Status (Genetic Test)

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

This test checks whether you carry a specific genetic variation in the UGT1A1 gene, which may affect how your body processes certain medications or bile acids.

Quick summary

["A genetic test to identify a mutation linked to potential drug interactions or bile flow issues."]

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

Key facts at a glance

LOINC
93845-6
Short code
UGT1A1 allele Geno Bld/T
Synonyms
UGT1A1 allele Geno Bld/T
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What This Test Measures

The UGT1A1 gene helps your body break down medications like certain chemotherapy drugs, pain relievers, and bile acids. This test looks for a common genetic change (UGT1A1*28) that may reduce how well your liver processes these substances, sometimes leading to side effects like nausea or diarrhea.

Why It Might Be Ordered

Your doctor may recommend this test if you’re planning to take medications known to interact with UGT1A1, such as irinotecan (a chemotherapy drug) or certain painkillers, or if you’ve experienced unusual side effects like severe diarrhea or fatigue.

What to Expect Before the Test

No special preparation is needed. A small blood sample will be taken from your arm by a healthcare professional. This test is typically done as part of a genetic screening or before starting certain medications.

What the Results Mean

Results will indicate whether you have the UGT1A1 mutation. If present, your doctor may adjust your medication dose or choose alternatives to minimize side effects. Results are usually available within 1–2 weeks.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The UGT1A1*28 mutation is the most common genetic variant affecting drug metabolism. It can cause conditions like **normal-appearing bilirubin syndrome** (mild jaundice) or increase the risk of severe side effects from drugs metabolized by this enzyme. Doctors use these results to tailor treatment plans and avoid unnecessary risks.

Short name

UGT1A1 Mutation Test

Frequently asked questions

Will this test affect my ability to take certain medications?
Possibly. If you carry the UGT1A1 mutation, your doctor may recommend starting medications at a lower dose or switching to alternatives that are processed differently by your liver.
How long will I need to wait for my results?
Results typically take 1–2 weeks, depending on lab processing times. Your healthcare provider will contact you once they’re ready.
Is this test covered by insurance?
Coverage depends on your insurance plan and reason for testing. Check with your provider or insurance company to confirm if this genetic test is covered as part of your care.
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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