Plasma	metanephrine	/	Plasma	Nor-metanephrine	collection	protocol	
	
Dr.	Om	J	Lakhani,	MD,	DNB	(Endocrine)	
Consultant	Endocrinologist	
Zydus	Hospitals	
Contact:	+919871009021	
	
	
[TEST	DONE	AFTER	OVERNIGHT	FAST]	
	
a)	Avoid	interfering	drugs	14	days	prior	to	testing	(see	list	below)		
b)	Avoid	Interfering	food	substances	for	24	hr	including	caffeine		(see	list	below)	
c)	Avoid	smoking	and	alcohol	for	24	hrs	prior	to	testing	
d)	Patient	lies	supine	
e)	Place	IV	line	prior	to	testing	
f)	Draw	blood	after	patient	lies	30	min	supine	from	the	IV	line		
e)	Collect	in	pre-chilled	EDTA	tube		
f)	Immediately	separate	plasma	using	centrifugation		
g)	Freeze	plasma	at	-20	degree	and	then	ship.	
	
Drugs	to	avoid	for	14	days	
	
a)	H2	blockers		
b)	Anti-Histaminics	
c)	Anti-Depressents	
g)	Anxiolytics	
h)	MAO	inhinitors	
i)	Labetolol	(avoid	for	6	weeks)	
	
Foods	to	avoid	for	24	hrs	prior	to	testing	
	
a)	Banana	
b)	Pineapple	
c)	Cheese	
d)	Spicy	food	
e)	Caffeine