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J Anal Toxicol ; 42(3): 192-206, 2018 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-29244080

RESUMO

The quantification of drugs of abuse in keratinized matrices is becoming of special relevance for monitoring consumption and for post-mortem investigations. We aimed to implement an analytical method for the simultaneous detection of morphine (MORF), 6-monoacetylmorphine (6-MAM), methadone (MET), 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) and 2-ethyl-5-methyl-3,3-diphenylpyrrolidine (EMDP) in nails. After decontamination, the nail samples (30 mg) were submitted to an alkaline digestion followed by a two-step liquid-liquid and SPE extraction using mixed-mode cation exchange cartridges. The analytes were eluted with 5% NH4OH/methanol. After derivatization with N-methyl-N-(trimethylsilyl) trifluoroacetamide, the analytes were quantified by gas chromatography-mass spectrometry. The method was optimized and fully validated only for MET, EDDP and EMDP, since for MOR and 6-MAM it was not possible to obtain adequate recovery rates after extraction, although detection of MOR was still possible. The method was selective, accurate and precise. Regression analysis demonstrated linearity over a concentration range of 20.8-333.3 ng/mg for MET and 10.4-166.7 ng/mg for EDDP and EMDP. Limits of detection and quantification values ranged from 3.3 to 6.0 ng/mg and 10.4 to 20.8 ng/mg, respectively, and recovery rates ranged from 82% to 98%. The applicability of the method was demonstrated by analyzing nail and urine samples obtained from heroin consumers under substitution therapy with MET.


Assuntos
Analgésicos Opioides/metabolismo , Monitoramento de Medicamentos/métodos , Dependência de Heroína/reabilitação , Metadona/metabolismo , Unhas/metabolismo , Tratamento de Substituição de Opiáceos/métodos , Detecção do Abuso de Substâncias/métodos , Adulto , Analgésicos Opioides/uso terapêutico , Analgésicos Opioides/urina , Biotransformação , Cromatografia por Troca Iônica , Monitoramento de Medicamentos/normas , Feminino , Cromatografia Gasosa-Espectrometria de Massas , Dependência de Heroína/diagnóstico , Dependência de Heroína/metabolismo , Dependência de Heroína/urina , Humanos , Limite de Detecção , Modelos Lineares , Masculino , Metadona/uso terapêutico , Metadona/urina , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Extração em Fase Sólida , Detecção do Abuso de Substâncias/normas
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