Delivering Science Supporting Healthcare

Catecholamines (urine)

Test Background

This test has been superseded by metanephrines (plasma/urine) for the first line investigation for the diagnosis of phaeochromocytoma and paraganglioma (PPGL).
Catecholamines (derived from tyrosine residues) are classed as phenethylamines; of these, adrenaline, noradrenaline and dopamine are the most abundant. They are produced mainly from the adrenal medulla in addition to the post-ganglionic fibres of the sympathetic nervous system, and function as hormones in the vascular system and neurotransmitters in the central/peripheral nervous systems. Their role is one of bringing about physiological changes preparatory to physical activity, eg. increased heart rate/blood pressure and gluconeogenesis. Elevated catecholamine turnover is observed in incidences of phaeochromocytoma and childhood neuroblastoma.

Clinical Indications

Diagnosis of neuroblastoma.
Note: for diagnosis of phaeochromocytoma/paraganglioma, urine catecholamines are not recommended.
Urine and plasma metanephrines are the front-line tests recommended for the investigation of phaeochromocytoma/paraganglioma.

Reference Range

Reference ranges will be given with the report

Sample volume
Paediatrics: minimum 5 mls; Adults: 24 h urine collection
Turnaround time
3 weeks
Sample & Container Required
For paediatric sample a random urine acidified to pH 2 to 4 immediately on receipt in the laboratory is required. Adults: 24 hour acidified urine collection.
Notes

Not currently performed in house; this is a referred test.

 

Referral laboratory is Sheffield Northern General Hospital.

Record last updated
August 14, 2025

Sample Container

150ml Universal Container for Urine TB (Silver top)

Sample Container

24hr Urine Bottle (with acid warning label)

Search test database

Test Results

Yes, we have a Pathology User Guide

Yes. Please email your request to Imperial.nwlpcustomerservice@nhs.net

Results are communicated to clinical staff and are normally not communicated direct to patients either on telephone requests or in written report. If you need to contact us please click here to view the contact details page

Please contact the Customer Service Team Monday to Friday from 8:30am – 6:00pm on 0203 313 5353. Alternatively, see the Pathology User Guide for how to contact the relevant department. If advice is not urgent you can also email your query to Imperial.nwlpcustomerservice@nhs.net

Additional tests may be added by discussion with the relevant laboratory. The time limit for adding additional tests to a sample already received in the laboratory will depend on the type of sample and the department it was sent to.

Information on the repertoire of tests performed by pathology, including reference ranges, turnaround times and specimen requirements, can be found in the test directory.

NWLP operates UKAS accredited medical laboratories as per the references below. The current scope of accreditation for all NWLP’s laboratories can be found on the UKAS website.

UKAS accredited medical laboratory/medical diagnostic service:

  • Clinical Biochemistry No. 8673
  • Haematology and Blood Transfusion No. 8674
  • Infection & Immunity Sciences (Including Immunology, Virology, Microbiology and Histocompatibility and Immunogenetics ) No. 8659
  • Cellular Pathology (Including Histopathology, Cytology and Molecular Pathology) No. 9615

If you require copies of our certificate of accreditation and associated documentation please contact Imperial.nwlpcustomerservice@nhs.net.

UKAS requires the laboratories to be accredited for a particular repertoire/scope (ISO15189), any changes or additions to repertoire require assessment by UKAS (extension to scope).

The BD Hospital Tube GuideBD GP Tube Guide and BD Paediatric Tube Guide provide visual references to the correct tube types and collection instructions.

Home testing

INSTRUCTION SHEET FOR BLOOD SAMPLE COLLECTION 

We also have two instruction videos available (one with subtitles and one without) – please click on the links to view the videos on Google.

VIDEO ON BLOOD SAMPLE COLLECTION (without subtitles)

VIDEO ON BLOOD SAMPLE COLLECTION (with subtitles)

Our accreditations

Upholding excellence in diagnostic standards

Our laboratories are accredited by the UK Accreditation Service (UKAS) against the international standard ISO15189:2022. UKAS is the accreditation body for the UK that assesses medical laboratories.

Find out more about our accreditations on the UKAS website.

UKAS website
Man in the lab handling a sample