Counterfeit homeopathic medicinal products: syrups. A simple and rapid LC-ESI-MS method to detect preservatives not declared in label.

A rapid and simple LC-ESI-MS method for the simultaneous detection and quantitation of six preservatives in homeopathic syrups has been developed. Counterfeit homeopathic syrups are suspected to contain preservatives that are not declared in label. For this reason a method to ascertain the absence of sorbic and benzoic acids, methyl-, ethyl-, propyl- and butyl-parabens, as the most frequently utilised preservatives, has been developed. Analytes were eluted with a linear gradient of acetonitrile-5mM ammonium acetate in 12 min using 2,4-dichlorobenzylalchol as Internal Standard. The HPLC separation was performed on an Eclipse XDB-C18 (2.1 mm x 50 mm-5 microm) column and the ESI-MS detection was performed in negative ion mode. Linearity of the method was studied in the range of 2 pg to 10 ng injected and correlation coefficients r2 > or =0.9992 were obtained. LOD ranged from 0.04 to 0.4 ng mL(-1).

High-performance liquid chromatography analysis of anti-inflammatory pharmaceuticals with ultraviolet and electrospray-mass spectrometry detection in suspected counterfeit homeopathic medicinal products.

A simple high-performance liquid chromatography (HPLC) method with both ultraviolet (UV) and electrospray ionisation mass spectrometry (ESI-MS) detection has been developed for the determination of seven pharmaceuticals in counterfeit homeopathic preparations. Naproxen, Ketoprofen, Ibuprofen, Diclofenac, Piroxicam, Nimesulide and Paracetamol were separated by reversed phase chromatography with acetonitrile-water (0.1% acetic acid) mobile phase, and detected by UV at 245 nm and by ESI-MS in negative ionisation mode with the exception of Paracetamol which was detected in positive ionisation mode. Benzoic acid was used as internal standard (IS). This method was successfully applied to the analysis of homeopathic preparations like mother tinctures, solutions, tablets, granules, creams, and suppositories. Linearity was studied with UV detection in the 50-400 microg mL(-1) range and with ESI-MS in the 0.1-50 microg mL(-1) range. Good correlation coefficients were found in both UV and ESI-MS. Detection limits ranged from 0.18 to 41.5 ng in UV and from 0.035 to 1.00 ng in ESI-MS.

Dentistry and alternative therapy.

Many dentists have embraced the "holistic" dentistry movement. What is presented here is a critical examination of the logical and scientific fallacies inherent in this movement. Specific topics covered include amalgam "toxicity," applied kinesiology, nutrition quackery, acupuncture, homeopathy and the muddle that is commonly known as TMD.

Quackery: a national scandal.

The U.S. Congress determined quackery to be the most harmful consumer fraud against elderly people. Americans waste $27 billion annually on questionable health care, exceeding the amount spent on biomedical research. Quackery is characterized by the promotion of false and unproven health schemes for profit and does not necessarily involve imposture, fraud, or greed. The real issues in the war against quackery are the principles, including scientific rationale, encoded into consumer protection laws, primarily the U.S. Food, Drug, and Cosmetic Act. More such laws are badly needed. Regulators are failing the public by enforcing laws inadequately, applying double standards, and accrediting pseudomedicine. Non-scientific health care (e.g., acupuncture, ayurvedic medicine, chiropractic, homeopathy, naturopathy) is licensed by individual states. Practitioners use unscientific practices and deception on a public who, lacking complex health-care knowledge, must rely upon the trustworthiness of providers. Quackery not only harms people, it undermines the scientific enterprise and should be actively opposed by every scientist.