Detection of alprazolam in three cases of methadone/benzodiazepine overdose

Autor: W O, Rogers, M A, Hall, R M, Brissie, C A, Robinson
Rok vydání: 1997
Předmět:
Zdroj: Journal of forensic sciences. 42(1)
ISSN: 0022-1198
Popis: Benzodiazepine abuse is common among clients at methadone maintenance clinics. Diazepam and lorazepam are readily detected by immunological screening methods and confirmed by GC/MS. Alprazolam has been relatively difficult to confirm. We recently reported a modification of an existing serum HPLC procedure which allows us to analyze whole blood. We report here three cases of fatal drug overdose caused by co-ingestion of methadone and alprazolam. In all three cases, alprazolam was detected by HPLC and could not be identified by alkaline extraction GC/MS. Postmortem blood concentrations of methadone were at the lower range or below the concentrations previously identified in methadone overdose fatalities, suggesting an increased risk from co-ingestion of methadone and alprazolam.
Databáze: OpenAIRE