NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

Use of the dried blood spot sampling process coupled with fast gas chromatography and negative-ion chemical ionization tandem mass spectrometry: application to fluoxetine, norfluoxetine, reboxetine, and paroxetine analysis.

Author(s): Déglon J, Lauer E, Thomas A, Mangin P, Staub C

Publication: Anal Bioanal Chem, 2010, Vol. 396, Page 2523-32

PubMed ID: 20063149 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of storage and extraction method on the recovery of antidepressants from spiked dried blood spots (DBS).

Conclusion of Paper

Extraction of antidepressants with butyl chloride resulted in the best sensitivity and selectivity for tandem mass spectrometry (MS) analysis. At all concentrations, more than 78% of fluoxetine, norfluxetine, reboxetine, and paroxetine were recovered from the spiked DBS. Regardless of storage temperature, 85-115% of fluoxetine, norfluxetine, reboxetine, and paroxetine levels were recovered from spiked DBS after up to 30 days of storage. Using DBS, fluoxetine and norfluxetine could be detected in blood obtained from a single healthy individual 250 and 650 h, respectively, after administration of a single 40 mg dose of fluoxetine.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of storage and extraction method on the recovery of antidepressants from spiked dried DBS by gas chromatography negative ion chemical ionization tandem MS (GC-NICI-MS-MS).

    Summary of Findings:

    Extraction of antidepressants with butyl chloride resulted in the best sensitivity and selectivity for NICI-MS-MS. At all concentrations, more than 78% of fluoxetine, norfluxetine, reboxetine, and paroxetine were recovered from the spiked DBS. Regardless of storage temperature, 85-115% of fluoxetine, norfluxetine, reboxetine, and paroxetine levels were recovered from spiked DBS after up to 30 days of storage. Using DBS, fluoxetine and norfluxetine could be detected in blood obtained from a single healthy individual 250 and 650 h, respectively, after administration of a single 40 mg dose of fluoxetine.

    Biospecimens
    Preservative Types
    • Other Preservative
    • None (Fresh)
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    Small molecule GC-MS
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Storage temperature -20 degrees C
    4 degrees C
    25 degrees C
    40 degrees C
    Storage Storage duration 1 day
    3 days
    5 days
    15 days
    30 days
    Biospecimen Acquisition Time of biospecimen collection 0 h after fluoxetine administration
    6 h after fluoxetine administration
    12 h after fluoxetine administration
    24 h after fluoxetine administration
    48 h after fluoxetine administration
    72 h after fluoxetine administration
    96 h after fluoxetine administration
    120 h after fluoxetine administration
    192 h after fluoxetine administration
    250 h after fluoxetine administration
    312 h after fluoxetine administration
    480 h after fluoxetine administration
    650 h after fluoxetine administration
    Analyte Extraction and Purification Analyte isolation method Ethyl acetate
    Hexane
    Butyl chloride
    Biospecimen Preservation Type of fixation/preservation Air-dried
    None (fresh)

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