Determination of selected phenothiazines in human plasma by solid-phase extraction and liquid chromatography with coulometric detection |
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Authors: | Saracino Maria Addolorata Amore Mario Baioni Elena Petio Carmine Raggi Maria Augusta |
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Affiliation: | a Laboratory of Pharmaco-Toxicological Analysis, Department of Pharmaceutical Sciences, Faculty of Pharmacy, University of Bologna, Via Belmeloro 6, I-40126 Bologna, Italy b Department of Neuroscience, University of Parma, Strada del Quartiere 2, I-43100 Parma, Italy c “Ottonello” Psychiatric Clinic, Maggiore Hospital, Largo Nigrisoli 2, I-40133 Bologna, Italy |
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Abstract: | A new analytical method, based on liquid chromatography with coulometric detection, has been developed and applied to the determination of selected phenothiazines (chlorpromazine, promazine, fluphenazine and levomepromazine) in human plasma. The drugs were separated on a Discovery pentafluorophenylpropyl column, using a mobile phase composed of acetonitrile (32%) and a pH 1.9 phosphate buffer (68%). Promethazine was used as the internal standard. Detection was carried out at an oxidation potential of +0.500 V. A novel clean-up procedure was developed by means of solid-phase extraction, using cyanopropyl cartridges, which gave good extraction yield for all the analytes, with absolute recovery values higher than 91.0%. The detector response was linear over a plasma concentration range of 0.5-250.0 ng mL−1 for chlorpromazine, promazine and levomepromazine and of 0.2-4.0 ng mL−1 for fluphenazine. Precision results, expressed by the intra-day and the inter-day relative standard deviation values, were good, being lower than 3.9%. Accuracy data were satisfactory as well.The method has been successfully applied to the analysis of drug plasma levels of psychiatric patients undergoing therapy with selected phenothiazines. |
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Keywords: | CPZ, chlorpromazine PMZ, promazine FPZ, fluphenazine LMP, levomepromazine IS, internal standard TDM, therapeutic drug monitoring |
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