A Study of Opiate, Opiate Metabolites and Antihistamines in Urine after Consumption of Cold Syrups by LC-MS/MS

Autor: San-Chong Chyueh, Yao-Te Yen, Ting-Yueh Chen, Chi-Lun Chang, Yin-Jue Chang, Pin-Jung Lai
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Molecules, Vol 25, Iss 4, p 972 (2020)
Molecules
Volume 25
Issue 4
ISSN: 1420-3049
Popis: Studying the origin of opiate and/or opiate metabolites in individual urine specimens after consumption of cold syrups is vital for patients, doctors, and law enforcement. A rapid liquid chromatography&ndash
tandem mass spectrometry method using &ldquo
dilute-and-shoot&rdquo
analysis without the need for extraction, hydrolysis and/or derivatization has been developed and validated. The approach provides linear ranges of 2.5&ndash
1000 ng mL&minus
1 for 6-acetylmorphine, codeine, chlorpheniramine, and carbinoxamine, 2.5&ndash
800 ng mL&minus
1 for morphine and morphine-3-&beta
d-glucuronide, and 2.5&ndash
600 ng mL&minus
1 for morphine-6-&beta
d-glucuronide and codeine-6-&beta
d-glucuronide, with excellent correlation coefficients (R2 >
0.995) and matrix effects (<
5%). Urine samples collected from the ten participants orally administered cold syrups were analyzed. The results concluded that participants consuming codeine-containing cold syrups did not routinely pass urine tests for opiates, and their morphine&ndash
codeine concentration ratios (M/C) were not always <
1. In addition, the distribution map of the clinical total concentration of the sum of morphine and codeine against the antihistamines (chlorpheniramine or carbinoxamine) were plotted for discrimination of people who used cold syrups. The 15 real cases have been studied by using M/C rule, cutoff value, and distribution map, further revealing a potential approach to determine opiate metabolite in urine originating from cold syrups.
Databáze: OpenAIRE