Share to
  • Email
  • Facebook
  • X
  • Bluesky
  • Instagram
  • LinkedIn
Share to
  • Email
  • Facebook
  • X
  • Bluesky
  • Instagram
  • LinkedIn
Back to Test Catalogue
Test ID: 5HIAARU

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

Name
Units
Reference Range
Conversion
  1. Creatinine
    mmol/L
    Not available for random urine
  2. 5-Hydroxyindole Acetic Acid
    µmol/L
    Not available for random urine
  3. 5-Hydroxyindole Acetic Acid/Creatinine Ratio
    µmol/mmol Creatinine
    Less 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