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        Adrenocorticotrophic Hormone (ACTH)

        Clinical Biochemistry

        Sample and container requirements

        EDTA Plasma

        Minimum volume required

        300 µL plasma - users are asked to provide 1 mL of plasma to allow for repeat analysis if required

        Special requirements

        Samples should be received within the laboratory within 8 hours of collection.

        Patient preparation

        Biotin supplements should be stopped for at least 24 hours before sample collection. Ensure patient is not taking corticosteroids, synacthen and avoid undue stress. Take blood into EDTA tubes.

        Sample viability

        Turnaround time

        5 days

        Reference range

        6 – 51 ng/L (Source: Immuno Diagnostic Systems)

        Clinical guidance

        Please refer to LabTestsOnlineUK to learn more about ACTH. https://labtestsonline.org.uk/tests/acth-test

        Notes

        Secretion of ACTH may be increased by stress. Some drugs and conditions can cause ACTH levels to rise, including amphetamines, insulin, levodopa, and metoclopramide. Drugs that cause ACTH to fall include dexamethasone and other drugs that act like cortisol (including prednisone, hydrocortisone, prednisolone, and methylprednisolone), and megestrol acetate.

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        This information was last updated on 19 August 2026