5-Hydroxyindole Acetic Acid (5-HIAA), Random Urine
Orderable by Ontario ND
Test Overview
Method
Liquid chromatography-tandem mass spectrometry (LC-MS/MS)
Result Included
Creatinine; 5-Hydroxyindole Acetic Acid; 5-Hydroxyindole Acetic Acid/Creatinine Ratio
Aliases/Synonyms
5HIAA
Specimen
Specimen Type
Urine (Random)Containers
Collection Containers
Mid-stream urine container
Volume
Sample Volume
10 mL
Patient Preparation
The following foods and medications should be avoided for three (3) days prior to the collection of urine, and during the collection of the sample:
Foods containing high hydroxyindole concentrations (e.g. aubergines, avocados, bananas, black- and red-currants, kiwi, gooseberries, melons, tomatoes, plums, pineapples and walnuts) as well as Glyceryl Guaiacolate (an ingredient in some cough medicines) can increase urinary 5-HIAA excretion. Pregnancy and sleep deprivation can also result in raised 5-HIAA excretion.
Medications and drugs such as Levodopa, Methyldopa, Monoamine Oxidase Inhibitors, Ethanol, Imipramine, Isoniazid, Reserpine and p-Chlorophenylalanine can reduce 5- HIAA production. Others, such as Acetanilide, Phenacetin, Methocarbamol, Cisplatin, Fluorouracil, Melphalan and Rauwolfia Alkaloids can increase urinary 5-HIAA, as can 5- Hydroxytryptophan, which is used to treat depression and is available over-the-counter.
Collection & Handling
Handling Information
Acidify sample within 24 hours of collection using 6N HCl to a pH of less than 4 (just one or 2 drops).
Additional Information
Indicate Random.
Stability
| Refrigerated | Frozen |
|---|---|
| 1month | > 1 month |
Rejection Criteria
| Criteria | Specification |
|---|---|
| Specimen | pH > 5.0 |
Performance & Interpretation
Turnaround Time
10 days
Results
-
Creatininemmol/LNot available for random urine
-
5-Hydroxyindole Acetic Acidµmol/LNot available for random urine
-
5-Hydroxyindole Acetic Acid/Creatinine Ratioµmol/mmol CreatinineLess than 5.0
Referral Location
Canada
Interface & Setup
HL7 Interface Codes
| Order Code | Result Name | Result Codes | Units |
|---|---|---|---|
| 5HIAARU | Creatinine, Urine | 28004 | mmol/L |
| 5-HIAA, Random Urine | 65746 | umol/L | |
| 5-HIAA/Creatinine, RandomUrine | 28013 | umol/mmol creatinine |
Test Version
Last Updated
2025-09-09