MULTIDRUG ANALYSIS IN URINE BY LIQUID CHROMATOGRAPHY-TANDEM MASS SPECTROMETRY

Information

  • Patent Application
  • 20160231341
  • Publication Number
    20160231341
  • Date Filed
    February 05, 2015
    9 years ago
  • Date Published
    August 11, 2016
    8 years ago
Abstract
A fast and reliable method for the determination of multiple drugs and their metabolites belonging to different chemical and toxicological class from a biological sample is provided. The method involves mixing of biological sample with internal standards which does not require sample extraction or derivatization prior to analysis. Further the samples were analyzed by scheduled multiple reaction monitoring using liquid chromatography tandem mass spectrometer (LC-MS/MS).
Description
TECHNICAL FIELD

The subject matter disclosed herein relates to a method of detection and/or quantification of multiple drugs and/or metabolites from a sample of body fluid by liquid chromatography-tandem mass spectrometry in a single run.


BACKGROUND

Promoting mental health and preventing mental and/or substance abuse disorders are fundamental to SAMHSA's mission to reduce the impact of behavioral health conditions in America's communities.


Mental and substance abuse disorders can have a powerful effect on the health of individuals, their families, and their communities. In 2012, an estimated 9.6 million adults aged 18 and older in the United States had a serious mental illness, and 2.2 million youth aged 12 to 17 had a major depressive episode during the year 2011. In 2012, an estimated 23.1 million Americans aged 12 and older needed treatment for substance abuse. These disorders are among the top conditions that cause disability and carry a high burden of disease in the United States, resulting in significant costs to families, employers, and publicly funded health systems. By 2020, mental and substance abuse disorders will surpass all physical diseases as a major cause of disability worldwide.


In addition, drug and alcohol abuse can lead to other chronic diseases such as diabetes and heart disease. Addressing the impact of substance use alone is estimated to cost Americans more than $600 billion each year.


Preventing mental and/or substance abuse disorders and related problems in children, adolescents, and young adults are critical to Americans' behavioral and physical health. Behaviors and symptoms that signal the development of a behavioral disorder often manifest two to four years before a disorder is present. In addition, people with a mental health issue are more likely to use alcohol or drugs than those not affected by a mental illness. If communities and families can intervene early, behavioral health disorders might be prevented, or symptoms can be mitigated.


Data have shown that early intervention following the first episode of a serious mental illness can make an impact. Coordinated, specialized services offered during or shortly after the first episode of psychosis are effective for improving clinical and functional outcomes.


In addition, the Institute of Medicine and National Research Council's Preventing Mental, Emotional, and Behavioral Disorders Among Young People report—2009 notes that cost-benefit ratios for early treatment and prevention programs for addictions and mental illness programs range from 1:2 to 1:10. This means a $1 investment yields $2 to $10 savings in health costs, criminal and juvenile justice costs, educational costs, and lost productivity.


In different areas of human activities people are confronted with the illegal use of doping in order to enhance the output of the doped species. In sports this can be the improvement of the endurance of the athlete (like the swimmer, cyclist, triathlist, etc.), or (also) of the animal used in the sport (like the horse). Breeders of animals are sometimes known to illegally use doping to enhance the breeding process or the breeding product (like a faster growth of the animal). In order to combat such activities, authorities need fast and reliable equipment in order to detect such abuse. Generally the determination of the use of drugs in doping control is performed by analyzing the used drug or its metabolites in the body fluid of the treated species.


Confirmation of identity of forensically relevant compounds, such as drugs of abuse, is a necessary step in medico-legal event controls of people involved in crimes, workplace accidents and driving under the influence of drugs (DUID). Plasma is a useful medium in determining the short-term use of illicit drugs and its analysis is mandatory in the case of DUID in many countries. Urine has been the sample of choice for monitoring drug abuses in workplaces and is subjective to strict regulations.


The guidelines from the US Substance Abuse and Mental Health Services Administration (SAMHSA), effective October 2010, require LC/MS/MS methods for confirmation of initial drug tests.


Several methods are available in literature for drug-detection and quantification in body fluids.


WO 2007/134711 discloses a comprehensive multi-dimensional gas chromatography mass spectroscopic method for determining drug-metabolite in a body fluid by prior treatment of body fluid with alkyl haloformate.


CN 100381812 discloses liquid chromatography-tandem mass spectrometry (LC-MS/MS) used for drug detection from urine, which involves sample pre-treating and solid phase extraction. The method is reliable in the quantative detection of 19 drugs.


Journal article ‘Neurology (1972), 22(5), 540-50, discloses determination of multiple anticonvulsant drug levels in human serum by gas-liquid chromatography.


Journal article ‘Forensic Science International (2005), 150(2-3), 227-238’, discloses analysis of multiple illicit basic drugs in preserved oral fluid by solid-phase extraction and liquid chromatography-tandem mass spectrometry.


Journal article ‘Talanta (2009), 78(2), 377-387’ discloses use of ultra high-pressure liquid chromatography with a single quadrupole mass spectrometer for investigation of several cytochromes P 450 (CYP450) substrates and respiratory metabolites.


Journal article ‘Chromatographia (2012), 75(1-2), 55-63′ discloses determination of illicit drugs in urine and plasma by micro-SPE followed by HPLC-MS/MS.


Journal article ‘Archives of Pharmacal Research (2014), 37(6), 760-772’ discloses a method of screening multiple drugs of abuse and metabolites in urine using LC/MS/MS with polarity switching electrospray Ionization. This method involves simultaneous analysis of 35 drugs of abuse and relevant metabolites. The drugs and metabolites in urine were extracted by using mixed mode strong cation exchange polymeric solid phase extraction cartridges after enzymic hydrolysis and were then injected into the LC/MS/MS system.


Journal article reference ‘Journal of Analytical Toxicology (2007), 31(7), 359-368’ discloses determination of multiple drugs of abuse and relevant metabolites in urine by LC-MS-MS. The method is developed for the quantitative analysis of 30 drugs from classes such as opiates, barbiturates, amphetamines, cocaine, cannabinoids, phencyclidine, methadone, and benzodiazepines. This method uses solid-phase extraction (SPE) on an Oasis HLB column followed by liquid chromatography-tandem mass spectrometry.


Journal article reference ‘Rapid Communications in Mass Spectrometry (2014), 28(19), 2043-2053, discloses identification of multiple drugs of abuse and relative metabolites in urine samples using liquid chromatography/triple quadrupole mass spectrometry coupled with a library search with two multiple reaction monitoring (MRM) transitions per compound. The quantification and identification performance for 13 drugs of abuse and their metabolites were evaluated.


Journal article reference ‘Chromatographia (2001), 54(5/6), 345-349’ discloses method for simultaneous determination of multiple antiepileptic drugs in human serum.


Journal article reference ‘Journal of Mass Spectrometry (2008), 43(7), 980-992’ discloses multicomponent screening method for diuretics, masking agents, central nervous system (CNS) stimulants and opiates in human urine by UPLC-MS/MS.


Thus, the prior art methods of determining multiple drugs of abuse and their metabolites requires the special apparatus for extraction for sample preparation. In some prior art it is necessary to perform the derivatization of analyte, which subsequently will add to the cost and time for analysis. Though prior art methods discloses multiple drug analysis and their detection, the number of drugs and metabolites analyzed is limited to the class of drugs and number of drugs.


As a result, there is a need to provide a simple, cost effective, improved, highly efficient, and reliable method for quantitative analysis of a large number of drug or metabolites belonging to different chemical and toxicological classes in a biological sample.


The disclosed methods provide a rapid and cost effective method of drug-metabolite detection belonging to different chemical and toxicological classes form the body fluids such as urine. The disclosed methods meet SAMHSA guidelines to demonstrate linearity, limit of detection (LOD), accuracy and precision, as well as measurement of matrix effect, extraction recovery and overall process efficiency. Methods disclosed herein are suitable for all classes of SAMHSA-regulated drug.


SUMMARY

In view of the problems of the related art discussed above, disclosed herein is an improved method of quantitative analysis of a drug or a metabolite in a biological sample. Moreover, an improved method of analysis is provided that is relatively salt free, which is important for mass spectrometry analysis.


The disclosed method facilitates the detection of 63 different drugs belonging to different chemical and toxicological classes in urine by liquid chromatography-tandem mass spectrometry method.


The disclosed method pertains to a sample preparation method that may be used for the quantitative analysis of a drug and/or metabolite in a biological sample. Moreover, also disclosed herein is a method for preparing a sample, without use of derivatization and/or extraction procedure, for quantitative analysis of a drug and/or metabolite in a biological sample.


The disclosed method can be a fast and reliable confirmatory method for the determination of multiple drugs of abuse belonging to different chemical and toxicological classes: opiates/opioids (28)-selected from 6-Monoacetylmorphine (6-MAM), Codeine, Dihydrocodeine, Hydrocodone, Hydromorphone, Morphine, Oxycodone, Oxymorphone, Buprenophrine, Carisoprodol, Desmethyl Tapentadol, Desmethyl Tramadol, 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP), Meperidine, Meprobamate, Methadone, Norbuprenophrine, Normeperidine, Tapentadol, Tramadol, Fentanyl, Norfentanyl, Norpropoxyphene, Propoxyphene, Dextromethophan, Dextrophan, Desomorphine, Nalaxone; benzodiazepines (12)-7-AminoClonazepam, Diazepam, Flunitrazepam, 4-HydroxyAlprazolam, Nordiazepam, Oxazepam, Temazepam, Chloradiazepoxide, OH-et-flunizepam, Lorazepam, Triazolam, Midazolam; barbiturates (2)-Butalbital, Phenobarbital; amphetamines (4)-Amphetamine, 3,4-methylenedioxyamphetamine (MDA), 3,4-methylenedioxy-methamphetamine (MDMA), Methamphetamine; tricyclic antidepressants (8)-Desipramine, Imipramine, Nortriptyline, Ritalinic Acid, Sertraline, Cyclobenzaprine, Amitriptyline, Methyl phenidate; illicit drugs (3) Tetrahydrocannabinolic acid (THCA), Benzoylecgonine, Phencyclidine (PCP); Z drugs (4)-Zolpidem, Zaleplon, Zopiclone, Zolpidem-COOH and Antiepileptics (2)-Pregabilan, Gabapentin.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1 is an optimized multi-step gradient elution method for LC-MS/MS analysis. FIG. 2 is a scheduled MRM transitions in positive and negative mode. FIG. 3, panels labeled A, is a 7-points calibration curve for 6-Monoacetylmorphine (6-MAM) (left panel) and Buprenorphine (right panel) in positive mode. FIG. 3, panels labeled B, is a 7-points calibration curve for THCA (left panel) and Butalbital (right panel) in negative mode.





DETAILED DESCRIPTION

Advantages of the present invention will become more apparent from the detailed description given hereinafter. However, it should be understood that the detailed description and specific examples, while indicating preferred embodiments of the invention, are given by way of illustration only, since various changes and modifications within the spirit and scope of the invention will become apparent to those skilled in the art from this detailed description. The invention will be described in more detail hereinbelow by making reference to its particularly preferred embodiments.


Disclosed herein is highly selective and specific method for detection or determination of multiple drugs of abuse potential and their metabolite species belonging to different chemical and toxicological classes from a sample of body fluid comprising the steps: a) mixing the sample with internal standard, b) hydrolyzing the drug metabolite in the sample by β-Glucuronidase enzyme, c) centrifugation of the mixture of step (b) and diluting the clear supernatant liquid with deionized water and (d) analyzing said sample using liquid chromatography tandem mass spectrometer (LC-MS-MS) to determine the concentration of different drug metabolites; wherein, the method is devoid of derivatization and/or solid/liquid phase extraction of samples.


The term “accuracy” is art-recognized and describes the degree of conformity of a measure, i.e., the quantity, to a standard or a true value. For example, an increase in the accuracy of analyte quantification refers to an improvement in obtaining a measured value that is closer to the actual or true value. This improvement may be identified/described by reference to a percent increase in accuracy with respect to the accuracy obtainable using existing methods of measurement.


The term “analyte” as used herein, refers to any chemical or biological compound or substance that is subject to the analysis of the disclosed methods. Analytes of the disclosed methods include, but are not limited to, small organic compounds, amino acids, peptides, polypeptides, proteins, nucleic acids, polynucleotides, biomarkers, synthetic or natural polymers, or any combination or mixture thereof.


The term “analyte derivative,” as used herein, describes an analyte that is functionalized with another moiety in order to convert the analyte into a derivative thereof. It is the analyte derivative that is detected for use in determining the unknown quantity of an analyte in a sample, using a response factor calculation.


The term “analyzing” or “analysis” is used herein to describe the method by which the quantity of each of the individual analytes described herein is detected. Such analysis may be made using any technique that distinguishes between the analyte (or analyte derivative) and the analyte standard (or analyte derivative standard). In one embodiment of the disclosed methods, the analysis or act of analyzing includes liquid chromatography-tandem mass spectrometry (LC-MS-MS).


The term “chromatographic separation” is art-recognized, and describes the process in which a chemical mixture carried by a liquid or gas is separated into components as a result of differential distribution of the solutes as they flow around or over a stationary liquid or solid phase. For example, chromatographic separations suitable for use in the disclosed methods include, but are not limited to liquid chromatographic (including HPLC) methods such as normal-phase HPLC, RP-HPLC, HILIC, and size-exclusion chromatography (SEC), including gel permeation chromatography (GPC). Other suitable methods include additional HPLC methods and related liquid chromatographic techniques, including, e.g., ultra-performance liquid chromatography (HPLC), fast performance liquid chromatography (FPLC) and the like.


The term “internal standard,” as used herein, describes a collection of one or more functionalized chemical or biological compounds or substances, e.g., one or more analytes functionalized with another moiety in order to convert such compounds or substances into a derivative thereof. Internal standards of the disclosed methods are present in known concentrations and added to the sample to form a sample mixture. The addition of the internal standard allows for the detection of and comparison between the known concentrations of one or more known analytes, with the unknown concentrations of analytes in the original sample. As such, the internal standards of the disclosed methods provide a novel way to measure the absolute quantity of an analyte in sample using a response factor calculation.


The term “liquid chromatography” is art-recognized and includes chromatographic methods in which compounds are partitioned between a liquid mobile phase and a solid stationary phase. Liquid chromatographic methods are used for analysis or purification of compounds. The liquid mobile phase can have a constant composition throughout the procedure (an isocratic method), or the composition of the mobile phase can be changed during elution (e.g., a gradual change in mobile phase composition such as a gradient elution method).


The term “mass spectrometry” and “mass spectroscopy” are art-recognized and used herein, interchangeably to describe an instrumental method for identifying the chemical constitution of a substance by means of the separation of gaseous ions according to their differing mass and charge. A variety of mass spectrometry systems can be employed to analyze the analyte molecules of a sample subjected to the methods disclosed herein. For example, mass analyzers with high mass accuracy, high sensitivity and high resolution may be used and include, but are not limited to, atmospheric chemical ionization (APCI), chemical ionization (CI), electron impact (EI), fast atom bombardment (FAB), field desorption/field ionization (FD/FI), electrospray ionization (ESI), thermospray ionization (TSP), matrix-assisted laser desorption (MALDI), matrix-assisted laser desorption time-of-flight (MALDI-TOF) mass spectrometers, ESI-TOF mass spectrometers, and Fourier transform ion cyclotron mass analyzers (FT-ICR-MS). In addition, it should be understood that any combination of MS methods could be used in the methods described herein to analyze an analyte in a sample. In certain embodiments, the MS technique used for analysis of the analyte described herein is one that is applicable to most polar compounds, including amino acids, e.g., ESI.


The term “mobile phase” is art-recognized, and describes a liquid solvent system used to carry a compound of interest into contact with a solid phase (e.g., a solid phase in a solid phase extraction (SPE) cartridge or HPLC column) and to elute a compound of interest from the solid phase.


The term “precision” is art-recognized and describes the reproducibility of a result. It is measured by comparison of successive values obtained for a measurement to the prior values, where more precise measurements (or those with greater precision) will be demonstrated by successive measurements that are more consistently closer to the prior measurements.


The terms “quantitative” and “quantitatively” are art-recognized and used herein to describe measurements of quantity or amount. For example, the term “quantification” describes the act of measuring the quantity or amount of a particular object, e.g., an analyte. However, in the embodiments of the disclosed methods, the quantitative analysis is a measurement of an absolute amount, as opposed to relative amount, i.e., the total amount of analyte may be quantified absolutely in order to determine the actual amount of the analyte.


The term “sample” is used herein to describe a representative portion of a larger whole or group of components that are capable of being separated and detected by the methods disclosed herein. Exemplary samples include chemically or biologically derived substances, e.g., analytes of the disclosed methods. In particular embodiments, the components of the sample include, but are not limited to small organic compounds, amino acids, peptides, polypeptides, proteins, nucleic acids, polynucleotides, biomarkers, synthetic or natural polymers, or any combination or mixture thereof.


The term “sample mixture,” as used herein, describes the resultant product when a sample is mixed or combined with one or more analyte derivative standards, e.g., of a known concentration.


The term “Standard” as used herein, describes a reference material possessing one or more properties that are sufficiently well established that it can be used to prepare calibrators.


The term “Calibrator” as used herein, describes a solution, either prepared from the reference material or purchased, used to calibrate the assay. Where possible, calibrators should be prepared in a matrix similar to that of the specimens.


The term “Control” as used herein, describes a solution either prepared from the reference material (separately from the calibrators; that is, weighed or measured separately), purchased, or obtained from a pool of previously analyzed samples. Controls from any of these sources are used to determine the validity of the calibration; that is, the stability of a quantitative determination over time. Where possible, controls should be matrix-matched to specimens and calibrators, as indicated above.


The term “β-Glucuronidases” as used herein, describes a routinely used for the enzymatic hydrolysis of glucuronides from urine, plasma, and other fluids prior to analysis by enzyme immunoassay, mass spectrometry, gas chromatography, high performance liquid chromatography, or other means. Typically, between 1 and 20 units of glucuronidase is used per μl of plasma, urine, or bile for the enzymatic hydrolysis of glucuronides present in these samples. The exact amount needed will depend on the specific conditions used.


According to the methods disclosed herein the sample is a bodily fluid selected from the group consisting of oral fluids (saliva), sweat, urine, blood, serum, plasma, spinal fluid, and combination thereof.


According to the methods disclosed herein liquid chromatography tandem mass spectrometer (LC-MS-MS) comprises matrix-assisted laser desorption/ionization (MALDI) time-of-flight (TOF) MS analysis or electrospray ionization (ESI) MS.


In one another embodiment the methods disclosed herein involve a method for determination of drug/metabolite in a urine sample including:


(a) the sample were treated with enzyme and internal standard and mixture is allowed to react at room temperature


(b) calibrators were prepared in synthetic urine,


(c) detecting or determining the drug-metabolite by LC-MS-MS.


In some embodiments, the samples are independently selected from a saliva sample, a blood sample, a serum sample, a plasma sample, or a urine sample. There can be numerous advantages of the disclosed methods, such as

  • 1. Rapid analysis process—8 minute/run
  • 2. High number of drugs analyzed concurrently—63 drugs
  • 3. Polarity switching for basic and acidic compounds
  • 4. Sample volume required—100 μL
  • 5. Results show high accuracy and precision for all the analytes
  • 6. No extraction or derivatization steps required
  • 7. Significantly reduced cost by using less consumables and reagents
  • 8. Reduced man hours necessary for sample preparation
  • 9. Reduced risk for errors in sample mix-ups and cross contamination


The advantages of this fast polarity switching, robust, sensitive, and rapid method yield a positive impact on a laboratory's goals in providing an accurate and lean process for the analysis of multiple drugs in a single run.


EXAMPLES
Multidrug Analysis from Urine

Standards, deuteriated internal standards (IS) were purchased from Cerilliant, Inc. and standard stock solution is prepared with all the analytes of interest at appropriate concentrations in methanol and stored in the freezer. Five levels of working standards are prepared form the stock solution and working standards in aliquots are stored as per manufactures recommendations, and are stable until manufactures listed expiration date.


Deuteriated internal standards (IS) are purchased from Cerilliant, Inc and are diluted to appropriate concentrations from which a stock IS solution is prepared. The stock contains 45 spiked with different concentrations. Aliquots of stock IS mix are kept at −4° C. Working IS prepared to acetate buffer and was stable for up to 30 days.


Negative control was purchased from Utak Laboratories Inc. Positive Threshold control (in house control prepared from Cerilliant standards with different lot numbers from the Calibrators). Pain Management control (PM 100) was purchased from Utak Laboratories and reconstituted as per manufacturer's instructions. Benzodiazepines (100 ng/ml) were obtained from Utak Laboratories. Bio-Rad Urine Toxicology Controls are employed for selected assays. A range of acceptable concentrations (±30%) was calculated from a series of assays and recorded.


All other chemicals and solvents were of the highest purity available from commercial sources and used without further purification.


Method:

Urine samples were treated with P-Glucuronidase followed by minimum 90-minute incubation before centrifuging. Calibration standards and controls contain opiates/opioids (30); benzodiazepines (12); barbiturates (2) amphetamines (4); tricyclic antidepressants (8); illicit drugs (3); and Z drugs (4). Deuterated standards were used as the internal standards in the procedure. High performance liquid chromatography (Schimadzu LC-20) separation utilized gradient elution with a total run time of 8 minutes including a post run equilibration. Using positive and negative mode of ionization, an ABSciex 4500 triple-quadruple mass spectrometer was used to monitor the precursor and major product ions for each drug. Sequential MRM mode allowed for monitoring of multiple transitions based on an analyte specific retention time window. When a polarity switching experiment was utilized to obtain the maximum amount of information from a single injection, overall data quality was comparable to dedicated positive or negative experiments when intensity, signal-to-noise and reproducibility were compared. The number of data points measured across a chromatographic peak proved to be significantly high enough to achieve good resolution, precision and accuracy. Mobile phase comprised of water, methanol and acetonitrile with 0.1% Formic acid and 0.1% ammonium formate. Data analysis was performed on the Multiquant software version 3.0.


Sample Preparation

The calibrators, controls and the sample prepared in the same method. All the samples and the working solutions (calibrators, controls, and internal standards) should be allowed to get into room temperature.

    • a) Qualitatively aliquot 100 μL of the calibrators, controls, and specimens into the vial and label the tubes.
    • b) If a dilution is necessary, record the dilution factor, volume of negative urine, and the volume of the specimen used to make the dilution on the work list.
    • c) Add 100 μL of the working internal standard (made of Acetate buffer pH 4.1) to the vial.
    • d) Add 25 VL of β-Glucuronidase enzyme to the vial
    • e) Call all the tubes and vortex
    • f) Incubate all tubes in 55° C. in the oven for 1.5 hrs.
    • g) Remove all the tubes from the oven to allow cooling to room temperature
    • h) Centrifuge the tubes at 14,000 RPM for 15 minutes
    • i) Transfer 100 μL to a clean vial and add 500 μL of DI H2O
    • j) Vortex and analyze by LC/MS/MS


Instruments and Equipment
LC Conditions:

The chromatographic separation and detection were performed using Kinetex 2.6u XB-C18 100A (50×3.0 mm) column (Phenomenox, USA). A mutli-step gradient elution method with an aqueous DI H2O containing 0.1% formic acid & ammonium formate (Mobile phase A) and 50% Acetonitrile & 50% Methanol containing 0.1% formic acid (Mobilephase B) at a flow rate of 0.50 mL/min to separate all the 63 compounds in positive and negative ionization mode. With a low sample injection volume of 10 μL and no sample preconcentraion, the presented method demonstrated excellent signal-to-noise (S/N) ratios due to the enhanced sensitivity of the Absicex 4500 Triple Quadrupole LC/MS/MS.


Column temperature set at 45° C. during whole run and the injection volume as 10 μL. The gradient elution method for chromatographic separation is provided in Table 1. The graphical view of optimized multi-step gradient elution method for LC/MS/MS is shown in FIG. 1.









TABLE 1







Gradient elution method for the separation









Time




(mins)
Pump A
Pump B












0.5
95%
 5%


2.00
75%
25%


4.50
15%
85%


4.51
 2%
98%


5.50
 2%
98%


5.51
95%
 5%


6.50
95%
 5%









Mass Spectrometer Conditions

ABsciex source provides a range of capabilities for testing samples. The precursor and product ions, along with optimized fragment and collision energy and other optimal voltages for each of the analytes are described in the method program. The ABSciex-Triple Quadrupole System consists of an ion source, enhanced desolvation technology followed by ion optics that transfer the ions to the first quadrupole (the Precursor Quad filter Q1), to the collision cell (Q2), and then to the third quadrupole (product Quad Filter Q3). The non-reactive inert gas nitrogen is used as collision gas. The precursor ion is selected using the first quadrupole and is sent to the collision cell for fragmentation. Fragment ions are derived from the precursor and therefore represent the structure of the precursor molecule. A specific precursor ion and specific product ions are thus selected and monitored. This type of analysis is termed Selected Reaction Monitoring (SRM). A triple quadrupole MS instrument running multiple SRMs for the same precursor ions is called Multiple Reaction Monitoring (MRM).


The Analyst software, a quantitation Wizard Program, is used to quantitate the analytes. A quantitation method is created with an algorithm (Intelliquan) which will generate quantitation tables. Integration of the peaks, regression and linearity of the calibration curve and accuracy of the standards and controls must be reviewed and verified.


The MS parameters for each analyte are obtained by infusing 10 ng/mL and optimized the parameters based on the sensitivity. The optimized parameters for the mass spectrometry were given in the following Table 2.


The specific parameters such as Declustering Potential (DP) decluster ions, Entrance Potential (EP), Collision Cell Entrance Potential (CE) and Collision Cell exit potential (CXP), parent ion, daughter ion and the retention time are mentioned in the Table 3 with 60 analytes in positive mode and 3 analytes in negative mode.









TABLE 2







Optimized parameter for the mass spectrometry.










Parameters
Ranges














Curtain gas (CUR)
35



Collision Gas (CAD)
7



Ionspray Voltage (IS)
2500



Temperature (TEM)
550



Ion source Gas 1 (GS1)
60



Ion Source Gas 2 (GS 2)
60










Determination: the sample were analyzed by liquid chromatography-tandem quadrupole mass spectrometer measured which enables 63 kinds of drugs belonging to different chemical and toxicological class, where barbiturates were analyzed in negative ion mode of analysis and all other compounds were analyzed using positive ion mode of analysis.


MS conditions and parameters for positive ion mode and negative ion mode can be used as are known in the art without affecting the overall concept of the methods disclosed herein.









TABLE 3







List of Internal Standards (IS) with Q1, Q3 and their


parameters for both positive and negative mode














Internal Standard
Q1
Q3
RT






(IS)
(m/z)
(m/z)
(min)
DP
EP
CE
CXP

















6-MAM-D6
334.3
165.2
2.8
61.0
10.0
49.0
14.0


Hydrocodone-D6
306.2
202.2
2.7
81.0
10.0
39.0
4.0


Hydromorphone-D3
289.2
128.1
1.5
81.0
10.0
73.0
4.0


Morphine-D3
289.2
152.1
1.0
66.0
10.0
77.0
4.0


Oxycodone-D3
319.1
244.1
2.6
81.0
10.0
39.0
7.0


Oxymorphone-D3
305.2
230.0
1.2
70.0
10.0
35.0
16.0


Carisoprodol-D7
268.1
183.1
4.5
56.0
10.0
13.0
15.0


Tapentadol-D3
225.2
121.0
3.4
51.0
10.0
27.0
4.0


EDDP-D3
281.3
234.2
4.1
61.0
10.0
39.0
4.0


Meperidine-D4
252.2
224.2
3.6
46.0
10.0
29.0
4.0


Meprobamate-D7
226.2
165.3
3.8
41.0
10.0
11.0
4.0


Methadone-D3
313.2
105.0
4.4
31.0
10.0
35.0
4.0


Normeperidine-D4
238.2
164.2
3.6
36.0
10.0
23.0
4.0


Tramadol-D3
267.2
58.0
3.4
60.0
10.0
75.0
8.0


Fentanyl-D5
342.2
105.1
3.9
46.0
11.5
53.0
4.0


Norfentanyl-D5
238.2
84.0
3.3
75.0
10.0
24.0
20.0


Norpropoxyphene-D5
313.3
105.0
4.4
31.0
10.0
17.0
4.0


Propoxyphene-D5
345.2
271.3
4.4
16.0
10.0
15.0
4.0


7-AminoClonazepam-D4
290.2
121.1
3.3
71.0
10.0
41.0
8.0


Diazepam-D5
290.4
198.0
4.9
76.0
9.0
41.0
4.0


4-HydroxyAlprazolam-D5
330.2
302.1
4.5
86.0
10.0
27.0
4.0


Nordiazepam-D5
276.1
165.1
4.7
71.0
10.0
39.0
10.0


Oxazepam-D5
292.1
246.0
4.5
76.0
10.0
23.0
10.0


OH-et-Flurazepam-D4
337.1
113.1
4.6
61.0
10.0
43.0
4.0


Lorazepam-D4
325.2
279.0
4.6
76.0
6.5
25.0
4.0


Zolpidem-D7
315.0
242.0
3.6
121.0
10.0
45.0
12.0


Amphetamine-D6
142.2
93.1
2.6
41.0
10.5
21.0
4.0


MDA-D5
185.2
168.0
2.7
41.0
10.0
29.0
4.0


MDMA-D5
199.2
165.2
2.8
41.0
10.5
15.0
4.0


Methamphetamine-D5
155.2
92.0
2.8
26.0
10.0
27.0
4.0


Methylphenidate-D9
243.2
93.0
3.4
46.0
10.0
31.0
4.0


Desipramine-D3
270.2
193.2
4.3
46.0
10.5
45.0
4.0


Imipramine-D3
284.2
89.1
4.3
46.0
10.0
23.0
4.0


Nortriptyline-D3
267.2
91.0
4.4
46.0
10.0
17.0
4.0


Sertraline-D3
309.2
275.1
4.5
66.0
10.0
15.0
4.0


Pregabalin-D6
166.0
148.1
2.4
40.0
10.0
13.0
6.0


Gabapentin-D10
182.1
164.1
2.4
21.0
10.0
21.0
14.0


Butalbital-D5
228.0
42.0
4.1
−45.0
−12.0
−36.0
−11.0


Phenobarbital-D5
236.0
42.0
3.9
−50.0
−8.0
−36.0
−9.0


THC-COOH D3
346.2
302.3
5.7
−100.0
−9.0
−30.0
−9.0


Benzoylecgonine-D3
293.0
171.2
3.3
70.0
10.0
26.0
8.0


PCP-D5
249.3
96.0
3.8
30.0
10.0
41.0
16.0





Q1—Quadrapole one,


Q3—Quadrapole three,


RT: Retention time,


DP—declustering potentials,


EP—entrance potentials,


CE—collision energies,


CXP—collision cell exit potentials,













TABLE 4







List of analytes with Q1, Q3 and their parameters for both positive and negative mode















Drug-Metabolite
Drug -metabolite
Q1
Q3
RT






category
Name
(m/z)
(m/z)
(min)
DP
EP
CE
CXP


















Opiates/opoids
6MAM
328.1
165.2
2.8
85.0
10.0
49.0
12.0




328.1
211.2
2.8
85.0
10.0
35.0
16.0



Codeine
300.1
152.1
2.4
106.0
10.0
73.0
10.0




300.1
115.0
2.4
106.0
10.0
91.0
8.0



Dihydrocodeine
302.3
128.2
2.4
66.0
10.0
81.0
4.0




302.3
199.1
2.4
66.0
10.0
41.0
4.0



Hydrocodone
300.1
199.1
2.7
56.0
10.0
39.0
4.0




300.1
128.1
2.7
56.0
10.0
69.0
4.0



Hydromorphone
286.2
185.0
1.5
56.0
10.0
39.0
4.0




286.2
128.0
1.5
56.0
10.0
73.0
4.0



Morphine
286.2
152.0
1.0
56.0
10.0
73.0
4.0




286.2
165.0
1.0
56.0
10.0
47.0
4.0



Oxycodone
316.1
241.0
2.6
50.0
10.0
43.0
15.0




316.1
256.0
2.6
50.0
10.0
38.0
15.0



Oxymorphone
302.1
227.0
1.2
75.0
10.0
37.0
8.0




302.1
198.1
1.2
75.0
10.0
55.0
8.0



Buprenophrine
468.3
396.1
4.1
55.0
10.0
53.0
14.0




468.3
414.2
4.1
55.0
10.0
43.0
6.0



Carisoprodol
261.2
176.2
4.5
26.0
10.0
17.0
4.0




261.2
97.2
4.5
26.0
10.0
23.0
4.0



Desmethyl
208.2
107.2
3.4
51.0
10.0
31.0
4.0



Tapentadol
208.2
121.2
3.4
51.0
10.0
25.0
4.0



Desmethyl
250.3
58.0
2.9
26.0
10.0
13.0
4.0



Tramadol
250.3
91.0
2.9
26.0
10.0
55.0
4.0



EDDP
278.2
234.2
4.1
100.0
10.0
67.0
4.0




278.2
249.2
4.1
100.0
10.0
43.0
4.0



Meperidine
248.2
220.0
3.5
95.0
10.0
43.0
8.0




248.2
174.1
3.5
95.0
10.0
47.0
20.0



Meprobamate
219.1
157.9
3.8
46.0
10.0
11.0
4.0




219.1
97.0
3.8
46.0
10.0
17.0
4.0



Methadone
310.2
265.2
4.4
44.0
10.0
33.0
15.0




310.2
105.0
4.4
44.0
10.0
54.0
17.0



Norbuprenophrine
414.1
211.0
3.8
95.0
10.0
50.0
8.0




414.1
187.0
3.8
95.0
10.0
45.0
8.0



Normeperidine
234.1
160.2
3.6
36.0
10.0
21.0
4.0




234.1
188.1
3.6
36.0
10.0
17.0
4.0



Tapentadol
222.1
107.2
3.4
116.0
10.0
39.0
18.0




222.1
121.2
3.4
116.0
10.0
27.0
12.0



Tramadol
264.2
58.1
3.3
82.0
10.0
55.0
30.0




264.2
42.1
3.3
60.0
10.0
107.0
20.0



Fentanyl
337.2
105.1
3.9
51.0
9.0
53.0
4.0




337.2
188.1
3.9
51.0
9.0
29.0
4.0



Norfentanyl
233.2
84.1
3.3
41.0
10.0
23.0
4.0




233.2
150.0
3.3
41.0
10.0
23.0
4.0



Norpropoxyphene
308.2
100.1
4.3
43.0
10.0
30.0
8.0




308.2
143.2
4.3
31.0
10.0
29.0
10.0



Propoxyphene
340.2
266.3
4.3
57.0
10.0
19.0
23.0




340.2
91.1
4.3
16.0
10.0
67.0
14.0



Dextromethophan
272.2
171.0
4.0
28.0
10.0
55.0
26.0




272.2
147.0
4.0
28.0
10.0
55.0
26.0



Dextrophan
257.9
157.5
3.3
51.0
10.0
49.0
13.0




257.9
133.0
3.3
51.0
10.0
35.0
13.0



Desomorphine
273.0
216.0
2.6
101.0
10.5
35.0
6.0




273.0
196.0
2.6
101.0
10.5
41.0
8.0



Nalaxone
328.3
310.2
2.4
46.0
10.0
21.0
4.0




328.3
212.1
2.4
46.0
10.0
57.0
4.0


Benzodiazepines
7-AminoClonazepam
286.0
121.2
3.3
68.0
10.0
36.0
16.0




286.0
222.1
3.3
68.0
10.0
34.0
14.0



Diazepam
285.1
154.0
4.9
101.0
10.0
39.0
26.0




285.1
193.1
4.9
101.0
10.0
45.0
10.0



Flunitrazepam
314.1
268.1
4.6
91.0
10.0
50.0
22.0




314.1
239.1
4.6
91.0
10.0
62.0
14.0



4-HydroxyAlprazolam
325.1
297.2
4.5
71.0
10.0
27.0
4.0




325.1
216.1
4.5
71.0
10.0
53.0
4.0



Nordiazepam
271.0
140.0
4.7
71.0
10.0
37.0
10.0




271.0
165.1
4.7
71.0
10.0
37.0
14.0



Oxazepam
287.0
241.1
4.5
76.0
10.0
33.0
11.0




287.0
269.1
4.5
76.0
10.0
23.0
10.0



Temazepam
301.1
255.1
4.7
70.0
10.0
31.0
20.0




301.1
283.0
4.7
70.0
10.0
21.0
14.0



Chloradiazepoxide
300.0
283.1
4.1
70.0
5.0
25.0
4.0




300.0
227.2
4.1
70.0
5.0
33.0
3.0



OH-et Flurazepam
333.1
109.1
4.6
61.0
10.0
43.0
4.0




333.1
211.3
4.6
61.0
10.0
43.0
4.0



Lorazepam
321.0
275.0
4.6
75.0
10.0
31.0
14.0




321.0
229.0
4.6
75.0
10.0
43.0
16.6



Triazolam
344.9
317.0
4.6
111.0
10.0
37.0
14.0




344.9
310.0
4.6
111.0
10.0
35.0
14.0



Midazolam
326.1
291.1
4.1
101.0
10.0
37.0
22.0




326.1
249.1
4.1
101.0
10.0
47.0
18.0


Z drugs
Zolpidem
308.0
235.1
3.6
85.0
10.0
65.0
45.0




308.0
219.0
3.6
51.0
10.0
77.0
6.0



Zaleplon
306.1
264.0
4.3
66.0
10.0
21.0
4.0




306.1
236.0
4.3
66.0
10.0
45.0
4.0



Zopiclone
389.2
244.9
3.3
15.0
10.0
27.0
10.0




389.2
217.0
3.3
15.0
10.0
45.0
8.0



Zolpidem-COOH
337.8
293.1
3.1
126.0
10.0
37.0
12.0




337.8
265.1
3.1
126.0
10.0
47.0
13.0


Amphetamines
Amphetamine
136.1
91.0
2.6
64.0
10.0
33.0
12.0




136.1
119.0
2.6
60.0
10.0
17.0
8.0



MDA
180.1
163.0
2.7
16.0
10.0
29.0
4.0




180.1
133.0
2.7
16.0
10.0
23.0
4.0



MDMA
194.1
163.2
2.9
65.0
10.0
31.0
14.0




194.1
105.2
2.9
65.0
10.0
40.0
18.0



Methamphetamine
150.1
91.2
2.8
53.0
10.0
42.0
38.0




150.1
119.2
2.8
50.0
10.0
22.0
19.0


Tricyclic
Methyl phenidate
234.3
84.1
3.4
60.0
10.0
38.0
20.0


antidepressants

234.3
56.1
3.4
46.0
10.0
63.0
14.0



Desipramine
267.3
72.1
4.3
46.0
10.0
33.0
20.0




267.3
193.1
4.3
46.0
10.0
45.0
4.0



Imipramine
281.3
86.1
4.3
50.0
10.0
30.0
15.0




281.3
58.1
4.3
50.0
10.0
55.0
15.0



Nortriptyline
264.2
117.2
4.4
56.0
10.0
25.0
4.0




264.2
233.2
4.4
56.0
10.0
17.0
4.0



Ritalinic Acid
220.2
84.1
3.2
52.0
10.0
34.0
15.0




220.2
56.1
3.2
52.0
10.0
60.0
14.0



Sertraline
306.1
159.1
4.5
30.0
11.0
33.0
14.0




306.1
275.1
4.5
30.0
11.0
17.0
17.0



Cyclobenzaprine
276.2
215.0
4.3
90.0
10.0
50.0
8.0




276.2
216.2
4.3
90.0
10.0
35.0
8.0



Amitriptyline
278.4
91.0
4.4
56.0
10.0
33.0
8.0




278.4
117.1
4.4
56.0
10.0
31.0
8.0


Antiepileptics
Pregabalin
160.1
142.0
2.4
40.0
10.0
23.0
4.0




160.1
97.0
2.4
40.0
10.0
23.0
4.0



Gabapentin
172.1
95.1
2.4
64.0
10.0
30.0
15.0




172.1
137.2
2.4
64.0
10.0
21.0
13.0


Barbiturates
Butalbital
223.1
42.0
4.1
−55.0
−12.0
−40.0
−11.0




223.1
180.0
4.1
−55.0
−12.0
−16.0
−5.0



Phenobarbital
231.1
42.0
3.9
−55.0
−8.0
−42.0
−5.0




231.1
188.0
3.9
−55.0
−8.0
−14.0
−9.0


Illicit drugs
THCA
343.1
299.1
5.7
−115.0
−9.0
−30.0
−11.0




343.1
245.1
5.7
−115.0
−9.0
−40.0
−13.0



Benzoylecgonine
290.1
168.1
3.3
61.0
10.0
38.0
30.0




290.1
105.0
3.3
61.0
10.0
45.0
16.0



PCP
244.2
91.0
3.8
21.0
10.0
41.0
4.0




244.2
86.0
3.8
21.0
10.0
41.0
4.0





Q1—Quadrapole one,


Q3—Quadrapole three,


RT: Retention time,


DP—declustering potentials,


EP—entrance potentials,


CE—collision energies,


CXP—collision cell exit potentials,






The limit of quantification varies from 2 to 100 ng/mL depends on the analytes. The list of analytes shown in the Table 5 based on the classification.









TABLE 5







Analytes based on classification










Drug Name
LOQ














6MAM
2



Codeine
50



Dihydrocodeine
50



Hydrocodone
50



Hydromorphone
50



Morphine
50



Oxycodone
50



Oxymorphone
50



Buprenophrine
5



Carisoprodol
50



Desmethyl Tapentadol
50



DesmethylTramadol
50



EDDP
50



Meperidine
50



Meprobamate
50



Methadone
50



Norbuprenophrine
10



Normeperidine
50



Tapentadol
50



Tramadol
50



Fentanyl
2



Norfentanyl
2



Norpropoxyphene
50



Propoxyphene
50



Dextromethophan
50



Dextrophan
50



Desomorphine
50



Nalaxone
10



7-AminoClonazepam
10



Diazepam
10



Flunitrazepam
10



HydroxyAlprazolam
10



Nordiazepam
10



Oxazepam
10



Temazepam
10



Chloradiazepoxide
10



OH-et-Flurazepam
10



Lorazepam
10



Triazolam
10



Midazolam
10



Z-DRUGS



Zolpidem
10



Zaleplon
10



Zopiclone
10



Zolpidem-COOH
10



TRICYCLIC



ANTIDEPRESSANTS



Desipramine
20



Imipramine
20



Methyl Phenidate
50



Nortriptyline
20



Ritalinic Acid
100



Sertraline
20



Cyclobenzaprine
20



Amitriptyline
20



ANTIEPILEPTICS



Pregabilan
50



Gabapentin
100



AMPHETAMINES



Amphetamine
50



MDA
50



MDMA
50



Methamphetamine
50



BARBITURATES



Butalbital
50



Phenobarbital
50



ILLICITS



THCA
10



Benzoylecgonine
50



PCP
4










Results:

All drugs were analyzed simultaneously using the same procedure steps. Target concentrations varied between 2 ng/ml to 20,000 ng/ml among the analytes depending on their therapeutic and toxic levels. Approximately 173 transitions were monitored per run by sequential MRM. Assays with low level cutoffs (such as 2 ng/mL for certain opioids such as fentanyl and 20 ng/ml for benzodiazepines) were reproducible and met acceptable chromatographic criteria. An accuracy of 95-105% and a CV of 2.0-10.2 were achieved for each calibration point in a method validation study. Further statistical data indicated an accuracy of 96-108% for quality control samples. The limit of detection and the upper linearity limit results have been quantified and established for each component.


MRM Parameter

Each chemical compound supposes two female ions-sub-ion pair, is divided into 3 MRM channel collections.


The methods disclosed herein can achieve the lowest detection limit 2-200 ng/mL. Within 2-100 ng/mL concentration range, 63 kinds of drugs good linear correlation coefficient of 0.9771-0.9995. In urine, the recovery of most drugs between 70-130% and the recovery of a few drugs between 60-70%, RSD is less than 15.0%, to meet the needs of daily quantitative analysis.


SAMHSA guidelines require the use of one quantifier and at least one quantifier for both target compound and internal standard (Table 3) The detection methods disclosed herein to establish a liquid chromatography-tandem mass spectrometry detection in urine 63 kinds of common drugs. Can be used for Entry-Exit Inspection and Quarantine, Centers for Disease Control, the public security departments rapid detection and confirmation of positive results.


LC-MS Set Up:

ABSciex-Triple Quadrupole System 4500 consists of an ion source, enhanced desolvation technology with Electron Spray Ionization in positive mode.


For all MS-MS experiments, mass calibration and resolution adjustments (at 0.7 amu full width at half height) on both the resolving quadrupoles were automatically optimized using a poly(propylene)glycol 1 3 1024 mol/L solution introduced via the built-in infusion pump. In the ABSciex API3200 Triple Quad adjustable voltage, Declustering Potential (DP) declusters ions, Entrance Potential (EP) focuses ions, Collision Cell Entrance Potential (CEP) focuses ions into Q2, Collision Energy fragments ions and Collision Cell exit potential (CXP) assists ions going into Q3. All these voltages are optimized for each analyte in the assay by compound optimization and the values are incorporated into the acquisition method.









TABLE 6







Chromatography parameters










Parameters
Ranges







Chromatography mode
Reverse phase



Isocratic/gradient method
Gradient



Aqueous phase
DI H2O with 0.1% Formic Acid




and 0.1% Ammonium Formate



Organic phase
50.0% Acetonitrile and 50.0%




Methanol with 0.1% Formic Acid



Needle Wash
40.0% Isopropanol + 40.0%




Acetonitrile + 20.0% Acetone











Flow rate
0.5
mL/min



Run time
6.5
minutes



Sample injection volume
10
μL



Column temperature
45°
C.

















TABLE 7







Ion source parameters










Parameters
Ranges







Interface
Electrospray ionization



Ionization mode
Positive and negative











Source/Gas temperature
550°
C.



Ion source gas 1
60
PSI



Ion source gas 2
60
PSI



Curtain Gas
35
PSI



Collision gas
7
PSI










Ion Spray voltages
2500










Method Validation

Method was validated for linearity, accuracy, precision, recovery, LOD and LOQ.


Calibration curves for drug/metabolite were made by serial dilution from a stock solution and were created in duplicates. Peak heights vs nominal concentrations were used to construe calibration curves. Curves were evaluated using least squares fitting and by linear regression analysis.


The calibration for concentration from 2 ng/ml to 10000 ng/ml and its linearity is shown in Table 8.









TABLE 8







Linearity















No.
Drug Name
LOQ
Cal 1
Cal 2
Cal 3
Cal 4
Cal 5
ULOL










OPIATES















1
6MAM
2
4
20
40
100
200
200


2
Codeine
50
100
500
1000
2500
5000
5000


3
Dihydrocodeine
50
100
500
1000
2500
5000
5000


4
Hydrocodone
50
100
500
1000
2500
5000
10000


5
Hydromorphone
50
100
500
1000
2500
5000
10000


6
Morphine
50
100
500
1000
2500
5000
10000


7
Oxycodone
50
100
500
1000
2500
5000
10000


8
Oxymorphone
50
100
500
1000
2500
5000
10000


9
Buprenophrine
5
10
50
100
250
500
2000


10
Carisoprodol
50
100
500
1000
2500
5000
10000


11
Desmethyl Tapentadol
50
100
500
1000
2500
5000
10000


12
DesmethylTramadol
50
100
500
1000
2500
5000
10000


13
EDDP
50
100
500
1000
2500
5000
10000


14
Meperidine
50
100
500
1000
2500
5000
7500


15
Meprobamate
50
100
500
1000
2500
5000
10000


16
Methadone
50
100
500
1000
2500
5000
10000


17
Norbuprenophrine
10
20
100
200
500
1000
2000


18
Normeperidine
50
100
500
1000
2500
5000
10000


19
Tapentadol
50
100
500
1000
2500
5000
10000


20
Tramadol
50
100
500
1000
2500
5000
10000


21
Fentanyl
2
4
20
40
100
200
800


22
Norfentanyl
2
4
20
40
100
200
800


23
Norpropoxyphene
50
100
500
1000
2500
5000
10000


24
Propoxyphene
50
100
500
1000
2500
5000
10000


25
Dextromethophan
50
100
500
1000
2500
5000
5000


26
Dextrophan
50
100
500
1000
2500
5000
5000


27
Desomorphine
50
100
500
1000
2500
5000
5000


28
Nalaxone
10
20
100
200
500
1000
5000







BENZODIAZEPINES















29
7-AminoClonazepam
10
20
100
200
500
1000
5000


30
Diazepam
10
20
100
200
500
1000
5000


31
Flunitrazepam
10
20
100
200
500
1000
5000


32
HydroxyAlprazolam
10
20
100
200
500
1000
5000


33
Nordiazepam
10
20
100
200
500
1000
5000


34
Oxazepam
10
20
100
200
500
1000
5000


35
Temazepam
10
20
100
200
500
1000
5000


36
Chloradiazepoxide
10
20
100
200
500
1000
5000


37
OH-et-flunizepam
10
20
100
200
500
1000
5000


38
Lorazepam
10
20
100
200
500
1000
5000


39
Triazolam
10
20
100
200
500
1000
5000


40
Midazolam
10
20
100
200
500
1000
5000







Z-DRUGS















41
Zolpidem
10
20
100
200
500
1000
5000


42
Zaleplon
10
20
100
200
500
1000
5000


43
Zopiclone
10
20
100
200
500
1000
5000


44
Zolpidem-COOH
10
20
100
200
500
1000
5000







TRICYCLIC ANTIDEPRESSANTS















45
Desipramine
20
40
200
400
1000
2000
5000


46
Imipramine
20
40
200
400
1000
2000
5000


47
MethylPhenydate
50
100
500
1000
2500
5000
5000


48
Nortriptyline
20
40
200
400
1000
2000
5000


49
Ritalinic Acid
100
200
1000
2000
5000
10000
20000


50
Sertraline
20
40
200
400
1000
2000
5000


51
Cyclobenzaprine
20
40
200
400
1000
2000
5000


52
Amitriptyline
20
40
200
400
1000
2000
5000







ANTIEPILEPTICS















53
Pregabilan
50
100
500
1000
2500
5000
10000


54
Gabapentin
100
200
1000
2000
5000
10000
10000







AMPHETAMINES















55
Amphetamine
50
100
500
1000
2500
5000
10000


56
MDA
50
100
500
1000
2500
5000
10000


57
MDMA
50
100
500
1000
2500
5000
10000


58
Methamphetamine
50
100
500
1000
2500
5000
10000







BARBITURATES















59
Butalbital
50
100
500
1000
2500
5000
10000


60
Phenobarbital
50
100
500
1000
2500
5000
10000







ILLICITS















61
THCA
10
20
100
200
500
1000
1000


62
Benzoylecgonine
50
100
500
1000
2500
5000
10000


63
PCP
4
8
40
80
200
400
2000









Precision









TABLE 9







Intraday accuracy and precision studied 10 runs












Actual
Mean
CV



Component Name
(ng/mL)
n = 10
(%)
Accuracy














6-MAM
2
1.85
10.85
92.28



4
3.65
9.01
91.37



20
18.21
11.23
91.07



40
40.26
7.96
100.66



100
91.66
8.94
91.66



200
210.37
10.27
105.18


OH-et-Flurazepam
10
9
6.57
90



20
19
9.65
95.01



100
93.86
3.34
93.86



200
192.06
4.03
96.03



500
450.87
3.32
90.17



1000
1065.2
5.14
106.52


4-Hydroxyalprazolam
10
10.74
8.03
107.43



20
20.64
6.22
103.21



100
98.42
7.45
98.42



200
193.36
7.21
96.68



500
462.43
4.93
92.49



1000
1044.4
8.52
104.44


7-Aminoclonazepam
10
10.31
7.85
103.13



20
19.77
8.26
98.87



100
94.07
4.87
94.07



200
203.54
8.48
101.77



500
461.98
6.15
92.4



1000
1040.33
6.09
104.03


Amitriptyline
20
21.82
7.21
109.08



40
42.95
6.67
107.38



200
193.08
4.32
96.54



400
417.8
5.29
104.45



1000
972.07
4.95
97.21



2000
2012.28
2.28
100.61


Amphetamine
50
57.62
5.52
115.24



100
121.11
7.26
121.11



500
633.3
6.15
126.66



1000
1226.36
3.48
122.64



2500
2419.79
5.37
96.79



5000
4599.11
6.75
91.98


Benzoylecgonine
50
59.19
5.61
118.37



100
118.85
4.33
118.85



500
576.98
5.38
115.4



1000
1128.86
4.12
112.89



2500
2510.59
4.23
100.42



5000
4755.53
3.24
95.11


Buprenorphine
5
4.45
9.45
88.97



10
9.85
12.31
98.45



50
46.85
4.78
93.7



100
94.57
6.19
94.57



250
236.92
6.83
94.77



500
522.37
6.19
104.47


Carisoprodol
50
58.55
7.65
117.1



100
129.8
5.96
129.8



500
608.97
9.30
121.79



1000
1172.67
7.12
117.27



2500
2524.38
7.13
100.98



5000
4648.64
9.13
92.97


Chlordiazepoxide
10
8.01
9.73
80.13



20
15.91
5.14
79.55



100
77.2
6.72
77.2



200
166.47
8.55
83.23



500
448.7
6.63
89.74



1000
1113.71
5.40
111.37


Codeine
50
47.91
11.12
95.82



100
96.41
8.78
96.41



500
479.82
9.72
95.96



1000
936.27
7.70
93.63



2500
2313.89
6.08
92.56



5000
5275.7
8.47
105.51


Cyclobenzaprine
20
22.22
6.81
111.09



40
46.78
6.59
116.95



200
219.64
5.67
109.82



400
453.2
4.38
113.3



1000
1024.32
6.21
102.43



2000
1893.84
2.56
94.69


Desipramine
20
20.07
3.45
100.34



40
41.77
5.62
104.44



200
212.74
9.55
106.37



400
437.84
4.63
109.46



1000
957.96
6.11
95.8



2000
1989.62
7.72
99.48


Desmethyltramadol
50
37.56
9.94
75.12



100
107.72
4.86
107.72



500
621.11
7.49
124.22



1000
1055.88
8.46
105.59



2500
1943.94
9.43
77.76



5000
2617.24
3.26
52.34


Desmethyltramadol
50
43.85
7.11
87.71



100
101.33
5.15
101.33



500
551.35
7.12
110.27



1000
1072.2
6.47
107.22



2500
2293.45
5.74
91.74



5000
5090.48
5.04
101.81


Desomorphine
50
59.4
6.45
118.8



100
120.71
12.89
120.71



500
586.47
8.15
117.29



1000
1148.7
5.54
114.87



2500
2370.25
10.74
94.81



5000
4795.48
5.81
95.91


DesTapentadol
50
35.32
14.29
70.64



100
112.82
5.81
112.82



500
601.01
5.59
120.2



1000
1083.9
5.14
108.39



2500
2057.18
6.41
82.29



5000
4946.59
2.43
98.93


DesTapentadol
50
41.3
13.90
70.64



100
128.94
5.70
112.82



500
653.56
5.28
120.2



1000
1126.01
4.59
108.39



2500
1937.11
5.04
82.29



5000
3382.97
3.65
98.93


Dextromethorphan
50
61.12
5.61
122.24



100
126.92
5.34
126.92



500
625.19
8.29
123.04



1000
1248.79
2.62
124.88



2500
2591.04
3.53
103.64



5000
4425.94
5.88
88.52


Dextrorphan
50
58.26
9.27
116.52



100
110.63
5.94
110.63



500
546.6
6.57
109.32



1000
1015.62
6.46
101.56



2500
2408.01
3.79
96.32



5000
5010.87
6.20
100.22


Diazepam
10
10.02
2.31
100.17



20
20.45
1.43
102.24



100
99.91
2.10
99.91



200
203.53
1.46
101.76



500
471.52
1.58
94.3



1000
1024.58
2.25
102.46


Dihydrocodeine
50
49.17
5.85
98.35



100
93.29
11.17
93.29



500
484.06
10.80
96.81



1000
928.81
8.43
92.88



2500
2424.79
6.71
96.99



5000
5169.87
7.31
103.4


EDDP
50
51.05
2.70
102.1



100
98.72
7.24
98.72



500
498.15
4.64
99.63



1000
1008.52
4.67
100.85



2500
2317.71
1.87
92.71



5000
5175.86
4.24
103.52


Fentanyl
2
1.93
8.18
96.59



4
3.95
5.60
98.75



20
20
5.68
100.02



40
40.16
4.36
100.41



100
94.55
5.23
94.55



200
205.4
4.16
102.7


Flunitrazepam
10
9.56
12.16
95.63



20
19.37
9.53
96.87



100
90.35
8.30
90.35



200
188.97
7.02
94.48



500
458.9
4.13
91.78



1000
1062.85
6.59
106.28


Gabapentin
100
100.97
10.40
100.97



200
186.78
5.25
93.39



1000
865.03
4.93
86.5



2000
1722.23
8.55
86.11



5000
4386.95
7.11
87.74



10000
11038.04
7.49
110.38


Hydrocodone
50
53.97
11.54
107.95



100
107.92
9.15
107.92



500
537.89
5.65
107.58



1000
1066.67
8.79
106.67



2500
2439.19
6.23
97.57



5000
4944.35
7.44
98.89


Hydromorphone
50
51.86
2.04
103.72



100
99.52
2.83
99.52



500
489.68
5.05
97.94



1000
1007.19
3.02
100.72



2500
2366.96
4.67
94.68



5000
5134.79
4.53
102.7


Imipramine
20
25.18
7.20
125.9



40
51.14
5.28
127.85



200
247.68
5.48
123.84



400
476.31
3.29
119.08



1000
983.45
4.61
98.35



2000
1876.24
5.30
93.81


Lorazepam
10
11.6
5.96
115.95



20
24.9
5.96
124.51



100
109.85
6.87
109.85



200
211.98
7.68
105.99



500
505.18
4.46
101.04



1000
966.5
4.17
96.65


MDA
50
58.97
11.25
117.95



100
113.77
12.69
113.77



500
517.22
10.24
103.44



1000
1071.89
12.18
107.19



2500
2341.24
9.74
93.65



5000
5046.91
17.14
100.94


MDMA
50
53.76
5.72
107.52



100
102.58
4.91
102.58



500
503.81
4.51
100.76



1000
997.64
5.81
99.76



2500
2312.37
7.09
92.49



5000
5179.83
6.16
103.6


Meperidine
50
52.23
5.13
104.45



100
106.63
2.34
106.63



500
519.44
2.94
103.89



1000
1028.08
3.55
102.81



2500
2377.1
5.96
95.08



5000
5066.51
5.20
101.33


Meprobamate
50
62.32
4.42
124.64



100
118.12
8.97
118.12



500
621.68
7.31
124.34



1000
1249.61
7.24
124.96



2500
2460.62
7.27
98.42



5000
4637.66
7.85
92.75


Methadone
50
50.22
4.30
100.43



100
104.15
2.24
104.15



500
520.93
3.14
104.19



1000
1068.53
4.35
106.85



2500
2347.98
4.24
93.92



5000
5058.21
4.40
101.16


Methamphetamine
50
53.77
6.90
107.55



100
109.99
10.11
109.99



500
543.03
7.94
108.61



1000
1079.8
9.14
107.98



2500
2428.15
8.16
97.13



5000
4935.25
8.83
98.71


Methylphenidate
50
40.65
8.36
81.3



100
107.03
5.18
107.03



500
577.36
3.23
115.47



1000
1036.55
3.53
103.66



2500
2214.58
8.68
88.58



5000
5042.33
4.89
100.85


Midazolam
10
7.76
10.12
77.57



20
15.35
2.68
76.75



100
75.27
6.96
75.27



200
168.36
6.37
84.18



500
448.16
3.93
89.63



1000
1115.1
6.18
111.51


Morphine
50
52.04
4.79
104.08



100
103.13
3.00
103.13



500
475.86
4.15
95.17



1000
971.74
3.47
97.17



2500
2314.21
2.14
92.57



5000
5233.01
2.22
104.66


Naloxone
10
11.01
7.79
110.06



20
22.14
8.03
110.69



100
105.01
6.49
105.01



200
201.16
8.25
100.58



500
494.8
6.74
98.96



1000
995.88
10.46
99.59


Norbuprenorphine
10
9.62
11.12
96.17



20
21.54
12.20
107.71



100
96.04
5.48
96.04



200
192.75
11.12
96.37



500
467.43
7.99
93.49



1000
1042.63
8.47
104.26


Nordiazepam
10
9.53
3.44
95.29



20
18.75
3.95
93.74



100
92.96
3.57
92.96



200
190.63
1.97
95.31



500
454.01
3.03
90.8



1000
1064.13
1.94
106.41


Norfentanyl
2
2.49
6.82
124.62



4
4.78
6.59
119.42



20
22.2
4.35
111.01



40
43.69
4.30
109.23



100
94.56
4.76
94.56



200
198.28
5.72
99.14


Normeperidine
50
40.77
10.36
81.53



100
103.81
8.14
103.81



500
584.21
4.72
116.84



1000
1080.51
8.67
108.05



2500
2132.03
6.69
85.28



5000
4983.46
11.42
99.67


Norpropoxyphene
50
51.15
8.66
102.29



100
115.47
6.79
115.47



500
529.06
7.83
105.81



1000
1120.26
6.56
112.03



2500
2482.96
6.33
99.32



5000
4851.11
5.91
97.02


Nortriptyline
20
20.79
5.43
103.96



40
43.25
9.28
108.12



200
203.92
7.45
101.96



400
437.37
4.05
109.34



1000
1002.25
6.73
100.22



2000
1952.43
3.75
97.62


Oxazepam
10
9.94
7.25
99.42



20
18.96
6.43
94.8



100
91.3
6.77
91.3



200
195
7.77
97.5



500
443.4
5.30
88.68



1000
1071.41
7.58
107.14


Oxycodone
50
59.12
5.59
118.24



100
112.03
5.90
112.03



500
521.75
7.96
104.35



1000
1082.02
6.71
108.2



2500
2438.31
4.37
97.53



5000
4936.78
4.39
98.74


Oxymorphone
50
49.56
2.72
99.11



100
97.74
2.61
97.74



500
487.94
2.84
97.59



1000
1014
2.59
101.4



2500
2298.61
3.44
91.94



5000
5202.15
3.48
104.04


PCP
4
4.47
5.98
111.71



8
8.54
6.85
106.78



40
40.16
6.95
100.39



80
82.5
6.07
103.12



200
189.19
6.55
94.59



400
407.15
7.34
101.79


Pregabalin
50
37.8
16.92
75.59



100
109.4
6.68
109.4



500
588.84
6.08
117.77



1000
1076.22
9.81
107.62



2500
2135.92
9.65
85.44



5000
5134.68
14.35
102.69


Pregabalin
50
51.89
4.47
103.78



100
103.88
8.33
103.88



500
500.98
5.71
100.2



1000
959.36
7.37
95.94



2500
2276.43
6.31
91.06



5000
5257.47
6.72
105.15


Propoxyphene
50
47.89
11.61
95.78



100
102.21
11.30
102.21



500
520.52
7.66
104.1



1000
1011.32
13.48
101.13



2500
2382.82
13.76
95.31



5000
5085.24
11.02
101.7


Ritalinic Acid
100
120.21
7.20
120.21



200
246.88
6.43
123.44



1000
1287.35
4.06
128.73



2000
2080.99
4.51
104.05



5000
4056.9
7.55
81.14



10000
9839.57
8.62
98.4


Sertraline
20
16.85
4.59
84.27



40
33.39
4.82
83.47



200
175.01
5.65
87.5



400
393.38
4.32
98.34



1000
986.91
4.68
98.69



2000
2054.47
4.69
102.72


Tapentadol
50
62.65
5.69
125.3



100
128.26
5.05
128.26



500
569.26
4.01
113.85



1000
1236.2
5.74
123.62



2500
2377.24
3.49
95.09



5000
4644.8
4.01
92.9


Temazepam
10
8.35
7.78
83.49



20
16.84
4.55
84.22



100
84.3
7.19
84.3



200
180.92
6.95
90.46



500
458.11
3.71
91.62



1000
1081.48
5.70
108.15


Tramadol
50
44.36
9.82
88.72



100
103.96
6.97
103.96



500
538.48
9.18
107.7



1000
1059.56
7.72
105.96



2500
2257.6
9.31
90.3



5000
4634.21
9.15
92.68


Triazolam
10
7.37
6.93
73.68



20
14.3
5.29
71.51



100
71.96
8.60
71.96



200
160.84
9.39
80.42



500
439.54
2.26
87.91



1000
1135.99
6.28
113.6


Zaleplon
10
12.21
11.15
122.1



20
24.61
7.91
123.05



100
123.78
7.38
123.78



200
237.4
8.23
118.7



500
497.49
6.71
99.5



1000
929
5.86
92.9


Zopiclone
10
7.92
12.50
79.2



20
25.06
7.91
125.31



100
116.69
9.29
116.69



200
177.16
7.16
88.58



500
435.26
8.00
87.05



1000
945.84
10.46
94.58


Zolpidem
10
10.28
7.07
102.8



20
20.24
5.94
101.19



100
100.19
4.11
100.19



200
200.89
4.50
100.45



500
468.89
3.97
93.78



1000
1029.52
2.76
102.95


Carboxy Zolpidem
10
12.27
6.01
122.7



20
23.29
3.49
116.45



100
123.21
4.89
123.21



200
237.56
5.47
118.78



500
481.45
4.84
96.29



1000
946.15
6.97
94.62


Butalbital
50
50.08
7.48
100.15



100
100.86
10.56
100.86



500
465.91
5.93
93.18



1000
1000.05
5.67
100.01



2500
2328.06
7.40
93.12



5000
5205.04
6.02
104.1


THC
10
10.78
4.94
107.77



20
17.65
4.14
88.26



100
81.09
3.81
81.09



200
184.76
2.33
92.38



500
533.47
1.30
106.69



1000
1238.05
1.70
123.8


Phenobarbital
50
52.37
6.79
104.73



100
99.61
5.91
99.61



500
490.34
5.79
98.07



1000
971.15
3.90
97.12



2500
2253.82
4.60
90.15



5000
5282.71
5.42
105.65
















TABLE 10







Inter-day accuracy and precision studied for 7 runs












Actual
Mean
CV



Component Name
(ng/mL)
n = 7
(%)
Accuracy














6-MAM
2
1.93
12.20
96.5



4
3.616
8.61
90.4



20
19.019
7.92
95.095



40
40.122
6.88
100.305



100
95.868
7.69
95.868



200
205.445
7.63
102.7225


OH-et-Flurazepam
10
9.145
12.89
91.45



20
18.462
5.00
92.31



100
96.227
1.89
96.227



200
197.936
2.86
98.968



500
480.16
4.42
96.032



1000
1028.071
9.00
102.8071


4-Hydroxyalprazolam
10
10.293
7.62
102.93



20
20.108
4.27
100.54



100
100.205
6.87
100.205



200
209.968
6.08
104.984



500
482.232
3.58
96.4464



1000
1007.194
9.72
100.7194


7-Aminoclonazepam
10
9.83
13.03
98.3



20
19.096
8.23
95.48



100
93.704
5.67
93.704



200
197.896
9.11
98.948



500
485.943
9.47
97.1886



1000
1023.531
14.16
102.3531


Amitriptyline
20
21.327
9.34
106.635



40
40.661
3.10
101.6525



200
199.041
7.35
99.5205



400
415.941
3.17
103.98525



1000
998.277
6.12
99.8277



2000
1984.752
8.55
99.2376


Benzoylecgonine
50
59.513
6.31
119.026



100
115.159
6.75
115.159



500
579.174
5.71
115.8348



1000
1124.089
5.01
112.4089



2500
2558.48
4.66
102.3392



5000
4713.587
5.44
94.27174


Buprenorphine
5
5.143
12.30
102.86



10
9.647
12.18
96.47



50
47.809
11.55
95.618



100
95.13
5.13
95.13



250
252.313
4.66
100.9252



500
504.958
10.12
100.9916


Carisoprodol
50
59.774
9.38
119.548



100
116.419
10.01
116.419



500
574.089
8.19
114.8178



1000
1172.398
6.04
117.2398



2500
2513.025
11.58
100.521



5000
4714.295
13.34
94.2859


Chlordiazepoxide
10
9.379
11.18
93.79



20
17.617
11.81
88.085



100
90.256
11.18
90.256



200
201.645
11.43
100.8225



500
511.167
13.46
102.2334



1000
999.889
10.34
99.9889


Codeine
50
49.854
8.63
99.708



100
95.894
9.67
95.894



500
508.453
8.69
101.6906



1000
1011.263
9.92
101.1263



2500
2380.853
10.16
95.23412



5000
5103.683
9.48
102.07366


Cyclobenzaprine
20
23.485
13.01
117.425



40
44.509
5.12
111.2725



200
221.073
7.97
110.5365



400
442.333
4.72
110.58325



1000
998.628
4.61
99.8628



2000
1929.973
7.26
96.49865


Desipramine
20
21.342
5.85
106.71



40
40.636
4.64
101.59



200
223.338
4.15
111.669



400
430.5
6.55
107.625



1000
1013.344
5.12
101.3344



2000
1930.84
6.49
96.542


Desmethyltramadol
50
39.342
7.94
78.684



100
105.554
11.12
105.554



500
603.255
9.63
120.651



1000
1073.545
10.42
107.3545



2500
1985.786
9.14
79.43144



5000
4714.284
0.58
94.28568


Desomorphine
50
58.837
12.17
117.674



100
127.902
10.65
127.902



500
616.638
8.90
123.3276



1000
1139.192
6.40
113.9192



2500
2380.669
10.36
95.22676



5000
4816.762
9.79
96.33524


DesTapentadol
50
39.3
9.19
78.6



100
106.631
9.00
106.631



500
589.536
5.96
117.9072



1000
1074.349
9.62
107.4349



2500
2108.364
9.17
84.33456



5000
4938.339
2.33
98.76678


Dextromethorphan
50
57.101
8.00
114.202



100
126.855
5.70
126.855



500
567.615
8.43
113.523



1000
1260.622
7.32
126.0622



2500
2557.931
8.40
102.31724



5000
4459.877
8.10
89.19754


Dextrorphan
50
60.202
13.50
120.404



100
119.585
9.20
119.585



500
565.957
6.99
113.1914



1000
1062.165
14.11
106.2165



2500
2534.949
11.67
101.39796



5000
4807.142
8.92
96.14284


Diazepam
10
10.335
6.02
103.35



20
20.196
3.58
100.98



100
100.989
4.50
100.989



200
205.221
2.82
102.6105



500
496.036
2.17
99.2072



1000
997.223
5.70
99.7223


Dihydrocodeine
50
50.689
6.86
101.378



100
96.589
5.67
96.589



500
518.144
9.90
103.6288



1000
1031.237
9.39
103.1237



2500
2384.294
9.75
95.37176



5000
5069.047
10.55
101.38094


EDDP
50
52.373
9.29
104.746



100
104.689
5.74
104.689



500
513.104
7.34
102.6208



1000
1034.748
7.05
103.4748



2500
2502.021
7.85
100.08084



5000
4943.064
8.43
98.86128


Fentanyl
2
2.102
6.68
105.1



4
3.959
4.65
98.975



20
19.736
6.07
98.68



40
40.809
5.15
102.0225



100
99.57
7.53
99.57



200
199.824
5.01
99.912


Flunitrazepam
10
10.279
12.47
102.79



20
20.037
9.02
100.185



100
89.661
14.99
89.661



200
191.934
12.91
95.967



500
469.029
12.40
93.8058



1000
1068.684
7.77
106.8684


Gabapentin
100
113.582
7.63
113.582



200
210.796
11.85
105.398



1000
1001.313
8.49
100.1313



2000
1938.305
5.77
96.91525



5000
4793.645
14.25
95.8729



10000
10242.359
11.87
102.42359


Hydrocodone
50
56.75
8.27
113.5



100
108.487
6.51
108.487



500
535.285
7.52
107.057



1000
1076.554
4.47
107.6554



2500
2391.087
6.39
95.64348



5000
4981.836
7.59
99.63672


Hydromorphone
50
50.036
5.29
100.072



100
101.853
3.52
101.853



500
497.046
3.97
99.4092



1000
1015.242
3.44
101.5242



2500
2409.174
5.04
96.36696



5000
5076.649
7.21
101.53298


Imipramine
20
25.249
6.92
126.245



40
49.328
7.01
123.32



200
245.662
3.32
122.831



400
481.357
4.11
120.33925



1000
1014.236
7.43
101.4236



2000
1844.167
5.63
92.20835


Lorazepam
10
12.221
2.68
122.21



20
23.327
3.93
116.635



100
110.648
7.02
110.648



200
223.622
7.19
111.811



500
524.027
5.76
104.8054



1000
936.155
7.19
93.6155


MDA
50
56.424
10.54
112.848



100
115.115
14.11
115.115



500
577.012
12.89
115.4024



1000
1027.623
10.10
102.7623



2500
2415.519
7.28
96.62076



5000
4958.307
9.97
99.16614


MDMA
50
60.24
17.77
120.48



100
112.654
11.58
112.654



500
529.626
14.07
105.9252



1000
1044.036
11.34
104.4036



2500
2406.061
8.12
96.24244



5000
4997.382
10.02
99.94764


Meperidine
50
54.096
5.96
108.192



100
106.027
4.57
106.027



500
531.724
5.46
106.3448



1000
1050.335
4.88
105.0335



2500
2494.327
7.30
99.77308



5000
4913.491
7.53
98.26982


Meprobamate
50
58.591
13.27
117.182



100
124.163
12.01
124.163



500
620.061
9.60
124.0122



1000
1198.158
7.49
119.8158



2500
2510.349
7.29
100.41396



5000
4628.679
5.61
92.57358


Methadone
50
51.255
3.85
102.51



100
102.709
4.03
102.709



500
522.547
4.66
104.5094



1000
1048.074
4.51
104.8074



2500
2470.304
2.87
98.81216



5000
4955.111
2.91
99.10222


Methamphetamine
50
58.358
10.68
116.716



100
110.745
7.70
110.745



500
558.027
11.54
111.6054



1000
1107.356
6.84
110.7356



2500
2496.679
6.06
99.86716



5000
4818.835
7.39
96.3767


Methylphenidate
50
41.532
7.54
83.064



100
78.541
5.94
78.541



500
419.333
4.81
83.8666



1000
1236.24
7.47
123.624



2500
2786.336
5.60
111.45344



5000
4629.931
11.54
92.59862


Midazolam
10
8.281
8.96
82.81



20
16.408
5.54
82.04



100
84.021
9.19
84.021



200
180.579
9.69
90.2895



500
477.496
7.69
95.4992



1000
1063.214
13.88
106.3214


Morphine
50
51.924
5.18
103.848



100
102.435
5.23
102.435



500
501.113
3.63
100.2226



1000
1008.631
1.84
100.8631



2500
2437.596
3.44
97.50384



5000
5048.301
6.24
100.96602


Naloxone
10
11.592
8.74
115.92



20
22.361
9.36
111.805



100
109.608
6.13
109.608



200
226.355
5.99
113.1775



500
483.011
4.40
96.6022



1000
977.073
11.87
97.7073


Norbuprenorphine
10
9.619
19.45
96.19



20
21.224
12.12
106.12



100
107.124
4.89
107.124



200
198.969
7.87
99.4845



500
484.094
8.81
96.8188



1000
1008.97
6.72
100.897


Nordiazepam
10
9.635
10.50
96.35



20
19.99
6.79
99.95



100
98.472
4.63
98.472



200
195.575
4.81
97.7875



500
486.519
5.25
97.3038



1000
1019.809
5.67
101.9809


Norfentanyl
2
2.15
4.98
107.5



4
4.177
4.81
104.425



20
21.008
4.66
105.04



40
41.422
9.35
103.555



100
100.387
14.25
100.387



200
196.856
14.93
98.428


Normeperidine
50
62.319
4.03
124.638



100
126.811
9.47
126.811



500
642.542
5.69
128.5084



1000
1200.314
7.22
120.0314



2500
2724.204
10.19
108.96816



5000
4651.934
7.82
93.03868


Norpropoxyphene
50
57.505
11.63
115.01



100
106.874
8.33
106.874



500
569.853
8.41
113.9706



1000
1075.36
6.76
107.536



2500
2491.723
7.10
99.66892



5000
4848.685
10.49
96.9737


Nortriptyline
20
20.265
7.54
101.325



40
41.048
4.33
102.62



200
207.141
4.25
103.5705



400
430.264
3.23
107.566



1000
1001.463
5.20
100.1463



2000
1959.819
7.62
97.99095


Oxazepam
10
10.312
12.48
103.12



20
19.77
13.90
98.85



100
95.562
13.26
95.562



200
206.874
9.05
103.437



500
479.802
6.71
95.9604



1000
1017.68
8.78
101.768


Oxycodone
50
57.266
7.12
114.532



100
114.272
6.37
114.272



500
523.065
7.15
104.613



1000
1086.639
8.36
108.6639



2500
2466.262
5.38
98.65048



5000
4902.496
7.86
98.04992


Oxymorphone
50
51.45
6.20
102.9



100
102.58
3.63
102.58



500
525.212
4.06
105.0424



1000
1023.084
3.34
102.3084



2500
2483.991
3.39
99.35964



5000
4963.683
6.83
99.27366


PCP
4
4.326
6.14
108.15



8
8.389
10.13
104.8625



40
41.353
7.14
103.3825



80
83.883
7.82
104.85375



200
189.042
6.93
94.521



400
405.007
7.71
101.25175


Pregabalin
50
57.604
13.24
115.208



100
123.443
9.64
123.443



500
638.824
5.52
127.7648



1000
1232.32
4.73
123.232



2500
2485.475
6.78
99.419



5000
4352.334
9.06
87.04668


Propoxyphene
50
56.678
10.60
113.356



100
104.987
14.21
104.987



500
505.595
14.65
101.119



1000
1064.326
11.32
106.4326



2500
2450.388
13.37
98.01552



5000
4968.026
9.85
99.36052


Sertraline
20
14.54
11.51
72.7



40
29.663
14.13
74.1575



200
177.291
9.21
88.6455



400
403.396
6.10
100.849



1000
1023.69
5.85
102.369



2000
2011.421
6.22
100.57105


Triazolam
10
7.666
11.27
76.66



20
14.838
6.84
74.19



100
79.783
9.45
79.783



200
181.93
13.79
90.965



500
468.668
11.18
93.7336



1000
1077.115
14.49
107.7115


Zaleplon
10
11.648
8.28
116.48



20
25.18
6.51
125.9



100
120.886
6.67
120.886



200
230.422
5.85
115.211



500
522.275
14.49
104.455



1000
917.59
9.22
91.759


Zolpidem
10
10.411
5.29
104.11



20
20.82
4.36
104.1



100
103.137
6.28
103.137



200
203.121
8.46
101.5605



500
502.471
4.36
100.4942



1000
990.041
7.50
99.0041


Carboxy Zolpidem
10
12.582
4.76
125.82



20
22.923
3.01
114.615



100
123.592
7.91
123.592



200
231.672
5.30
115.836



500
504.777
11.98
100.9554



1000
927.454
8.08
92.7454


Carisoprodol 1
50
59.281
8.26
118.562



100
114.222
9.91
114.222



500
576.377
11.83
115.2754



1000
1169.596
10.68
116.9596



2500
2580.468
12.88
103.21872



5000
4650.057
12.81
93.00114


Amphetamine 1
50
64.646
10.52
129.292



100
125.28
8.88
125.28



500
609.03
11.52
121.806



1000
1136.826
9.09
113.6826



2500
2402.718
10.79
96.10872



5000
4791.499
12.45
95.82998


Tapentadol 1
10
8.069
9.81
80.69



20
15.677
5.65
78.385



100
84.309
9.47
84.309



200
179.573
9.13
89.7865



500
478.155
9.31
95.631



1000
1064.217
12.45
106.4217


Tramadol 1
50
58.769
13.72
117.538



100
110.987
6.24
110.987



500
538.282
13.75
107.6564



1000
1097.215
12.08
109.7215



2500
2477.924
9.88
99.11696



5000
4866.823
9.38
97.33646


Temazepam 1
10
7.666
10.67
76.66



20
14.838
5.81
74.19



100
79.783
9.41
79.783



200
181.93
12.61
90.965



500
468.668
10.79
93.7336



1000
1077.115
14.37
107.7115


Zopiclone 1
10
10.411
5.52
104.11



20
20.82
7
104.1



100
103.137
7.84
103.137



200
203.121
8.2
101.5605



500
502.471
7.26
100.4942



1000
990.041
8.48
99.0041


Butalbital 1
50
56.133
10.86
112.266



100
106.332
8.65
106.332



500
547.55
8.61
109.51



1000
1061.016
5.75
106.1016



2500
2462.409
6.38
98.49636



5000
4916.56
10.12
98.3312


THCA 1
10
11.582
4.67
115.82



20
22.923
5.56
114.615



100
123.592
7.19
123.592



200
231.672
5.3
115.836



500
504.777
10.89
100.9554



1000
927.454
7.4
92.7454


Ritalinic acid 1
50
52.594
5.18
105.188



100
100.343
5.23
100.343



500
509.723
3.63
101.9446



1000
1018.434
1.84
101.8434



2500
2468.733
3.44
98.74932



5000
5000.174
6.24
100.00348


Phenobarbital 1
50
51.306
3.61
102.612



100
98.075
5.50
98.075



500
501.966
2.96
100.3932



1000
988.116
1.72
98.8116



2500
2468.619
2.22
98.74476



5000
5041.918
7.36
100.83836









Recovery

Recoveries were calculated by adding known concentrations of drug metabolites, to 3 different samples previously analyzed, and then the final concentrations were measured in duplicate. Results were measured as differences between the measured and the theoretical values and expressed as percentage of recovery.









TABLE 11







Intra-day study of recovery with the quality


controls and their yield (n = 10)














Mean
CV



Component Name
QC Name
n = 10
(%)
















6-MAM
C3
9.32
8.59



OH-et-Flurazepam
BZ 100
79.38
4.68



4-Hydroxyalprazolam
BZ 100
83.49
4.98



7-Aminoclonazepam
BZ 100
112.24
6.68



Amitriptyline
POS
138.38
3.54



Amphetamine
POS
1567.18
5.22



Benzoylecgonine
C3
196.79
2.91



Buprenorphine
PM 100
86.11
7.56



Carisoprodol
POS
329.32
10.28



Chlordiazepoxide
BZ 100
60.23
5.27



Codeine
PM 100
84.28
6.31



Cyclobenzaprine
POS
152.42
4.18



Desipramine
POS
188.98
7.42



Desmethyltramadol
POS
330.79
9.18



Desomorphine
POS
316.45
8.60



DesTapentadol
POS
367.13
3.69



Dextromethorphan
POS
390.96
4.88



Dextrorphan
POS
302.44
6.63



Diazepam
BZ 100
68.5
1.29



Dihydrocodeine
POS
264.34
9.32



EDDP
PM 100
97.64
6.57



Fentanyl
PM 100
11.36
7.49



Flunitrazepam
BZ 100
80.49
7.86



Gabapentin
POS
1077.48
8.11



Hydrocodone
PM 100
82.34
7.76



Hydromorphone
PM 100
82.32
3.58



Imipramine
POS
180.64
5.29



Lorazepam
BZ 100
100.59
4.64



MDA
POS
1392.91
12.30



MDMA
POS
1413.43
6.84



Meperidine
POS
275.67
5.75



Meprobamate
POS
348.37
6.07



Methadone
C3
332.6
3.12



Methamphetamine
POS
1429.31
8.88



Methylphenidate
POS
127.81
5.11



Midazolam
BZ 100
68.1
6.52



Morphine
PM 100
96.13
4.18



Naloxone
POS
277.89
8.12



Norbuprenorphine
PM 100
91.43
12.49



Nordiazepam
BZ 100
83.01
4.28



Norfentanyl
PM 100
13.25
4.89



Normeperidine
POS
340.25
8.69



Norpropoxyphene
C3
203.78
9.01



Nortriptyline
POS
151.38
4.22



Oxazepam
BZ 100
84.48
5.13



Oxycodone
PM 100
84.11
9.17



Oxymorphone
PM 100
83.94
3.81



PCP
C3
27.26
6.14



Pregabalin
POS
295.75
9.69



Propoxyphene
C3
329.14
9.77



Ritalinic Acid
POS
1360.81
4.48



Sertraline
POS
152.82
2.91



Tapentadol
POS
334.33
5.01



Temazepam
BZ 100
76.93
3.91



Tramadol
POS
259.3
7.58



Triazolam
BZ 100
64.97
4.14



Zaleplon
POS
355.86
12.71



Zopiclone
POS
223.53
10.72



Zolpidem
POS
263.9
4.90



Carboxy Zolpidem
POS
334.25
5.86



Butalbital
C3
210.27
5.54



THC
C3
10.81
6.80



Phenobarbital
C3
213.69
7.88

















TABLE 12







Inter-day study of recovery with the quality


controls and their yield (n = 10)














Mean
CV



Component Name
QC Name
n = 10
(%)
















6-MAM
C3
9.32
8.59



OH-et-Flurazepam
BZ 100
79.38
4.68



4-Hydroxyalprazolam
BZ 100
83.49
4.98



7-Aminoclonazepam
BZ 100
112.24
6.68



Amitriptyline
POS
138.38
3.54



Amphetamine
POS
1558.05
8.54



Benzoylecgonine
C3
196.79
2.91



Buprenorphine
C3
0.27
42.23



Carisoprodol
POS
329.32
10.28



Chlordiazepoxide
BZ 100
60.23
5.27



Codeine
PM 100
84.28
6.31



Cyclobenzaprine
POS
152.42
4.18



Desipramine
POS
188.98
7.42



Desmethyltramadol
POS
330.79
9.18



Desomorphine
POS
316.45
8.60



DesTapentadol
POS
367.13
3.69



Dextromethorphan
POS
390.96
4.88



Dextrorphan
POS
302.44
6.63



Diazepam
BZ 100
68.5
1.29



Dihydrocodeine
POS
264.34
9.32



EDDP
PM 100
97.64
6.57



Fentanyl
PM 100
11.36
7.49



Flunitrazepam
BZ 100
80.49
7.86



Gabapentin
POS
1077.48
8.11



Hydrocodone
PM 100
82.34
7.76



Hydromorphone
PM 100
82.32
3.58



Imipramine
POS
180.64
5.29



Lorazepam
BZ 100
100.59
4.64



MDA
POS
1338.53
9.05



MDMA
POS
1413.43
6.84



Meperidine
POS
275.67
5.75



Meprobamate
POS
348.37
6.07



Methadone
C3
332.6
3.12



Methamphetamine
POS
1429.31
8.88



Methylphenidate
POS
127.81
5.11



Midazolam
BZ 100
60
6.71



Morphine
PM 100
96.13
4.18



Naloxone
POS
277.89
8.12



Norbuprenorphine
C3
0.68
64.20



Nordiazepam
BZ 100
83.01
4.28



Norfentanyl
PM 100
13.25
4.89



Normeperidine
POS
351.23
6.38



Norpropoxyphene
C3
203.78
9.01



Nortriptyline
POS
151.38
4.22



Oxazepam
BZ 100
84.48
5.13



Oxycodone
PM 100
84.11
9.17



Oxymorphone
PM 100
83.94
3.81



PCP
C3
27.26
6.14



Pregabalin
POS
295.75
9.69



Propoxyphene
C3
329.14
9.77



Ritalinic Acid
POS
1360.81
4.48



Sertraline
POS
152.82
2.91



Tapentadol
POS
334.33
5.01



Temazepam
BZ 100
76.93
3.91



Tramadol
POS
259.3
7.58



Triazolam
BZ 100
64.97
4.14



Zaleplon
POS
355.86
12.71



Zopiclone
POS
223.53
10.72



Zolpidem
POS
263.9
4.90



Carboxy Zolpidem
POS
334.25
5.86



Butalbital
C3
210.27
5.54



THC
C3
10.81
6.80



Phenobarbital
C3
213.69
7.88










An object of the presently disclosed subject matter having been stated hereinabove, and which is achieved in whole or in part by the presently disclosed subject matter, other objects and advantages will become evident to those of ordinary skill in the art after a study of the description of the presently disclosed subject matter, figures, and non-limiting examples.

Claims
  • 1. A method of detection and/or quantification of multiple drugs and/or metabolites from a sample of body fluid comprising the steps: (a) mixing the sample with internal standard,(b) hydrolyzing the drug metabolite in the sample by P-glucuronidase enzyme,(c) centrifugation of the mixture of step (b) and diluting the clear supernatant liquid with deionized water, and(d) analyzing said sample using liquid chromatography tandem mass spectrometer (LC-MS-MS) to determine the concentration of different drug metabolites;
  • 2. The method of claim 1, wherein said separation in liquid chromatography is performed by fast polarity switching.
  • 3. The method of claim 1, wherein said biological sample is a bodily fluid selected from the group consisting of oral fluids (saliva), sweat, urine, blood, serum, plasma, spinal fluid, and combination thereof.
  • 4. The method of claim 1, wherein the detection and/or quantification is employed simultaneously for the drugs belonging to different chemical and toxicological classes selected from the group, consisting of opiates/opioids, benzodiazepines, barbiturates, amphetamines, tricyclic antidepressants, illicit drugs, Z drugs and antiepileptics.
  • 5. The method of claim 4, wherein opiates/opioids were selected from the group consisting of 6-monoacetylmorphine (6-MAM), codeine, dihydrocodeine, hydrocodone, hydromorphone, morphine, oxycodone, oxymorphone, buprenophrine, carisoprodol, desmethyl tapentadol, desmethyl tramadol, 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP), meperidine, meprobamate, methadone, norbuprenophrine, normeperidine, tapentadol, tramadol, fentanyl, norfentanyl, norpropoxyphene, propoxyphene, dextromethophan, dextrophan, desomorphine and nalaxone.
  • 6. The method of claim 4, wherein benzodiazepines were selected from the group consisting of 7-aminoclonazepam, diazepam, flunitrazepam, 4-hydroxyalprazolam, nordiazepam, oxazepam, temazepam, chloradiazepoxide, OH-et-flunizepam, lorazepam, Triazolam and midazolam.
  • 7. The method of claim 4, wherein barbiturates were selected from the group consisting of butalbital and phenobarbital.
  • 8. The method of claim 4, wherein amphetamines were selected from the group consisting of amphetamine, 3,4-methylenedioxyamphetamine (MDA), 3,4-methylenedioxy-methamphetamine (MDMA), methamphetamine.
  • 9. The method of claim 4, wherein tricyclic antidepressants were selected from the group consisting of desipramine, imipramine, nortriptyline, ritalinic acid, sertraline, cyclobenzaprine, amitriptyline and methyl phenidate.
  • 10. The method of claim 4, wherein illicit drugs were selected from the group consisting of tetrahydrocannabinolic acid (THCA), benzoylecgonine and phencyclidine (PCP).
  • 11. The method of claim 4, wherein Z-drugs were selected from the group consisting of zolpidem, zaleplon, zopiclone and zolpidem-COOH.
  • 12. The method of claim 4, wherein antiepileptics were selected from the group consisting of pregabilan and gabapentin.
  • 13. The method according to claim 1, wherein the sample of body fluid is analyzed for simultaneous detection and/or quantification of 6-monoacetylmorphine (6-MAM), codeine, dihydrocodeine, hydrocodone, hydromorphone, morphine, oxycodone, oxymorphone, buprenophrine, carisoprodol, desmethyl tapentadol, desmethyl tramadol, 2-ethylidene-1,5-dimethyl-3 ,3-diphenylpyrrolidine (EDDP), meperidine, meprobamate, methadone, norbuprenophrine, normeperidine, tapentadol, tramadol, fentanyl, norfentanyl, norpropoxyphene, propoxyphene, dextromethophan, dextrophan, desomorphine, nalaxone, 7-aminoclonazepam, diazepam, flunitrazepam, 4-hydroxyalprazolam, nordiazepam, oxazepam, temazepam, chloradiazepoxide, OH-et-flunizepam, lorazepam, triazolam, midazolam, butalbital, Phenobarbital, amphetamine, 3,4-methylenedioxyamphetamine (MDA), 3,4-methylenedioxy-methamphetamine (MDMA), methamphetamine, desipramine, imipramine, nortriptyline, ritalinic acid, sertraline, cyclobenzaprine, amitriptyline, methyl phenidate, tetrahydrocannabinolic acid (THCA), benzoylecgonine, phencyclidine (PCP), zolpidem, zaleplon, zopiclone, zolpidem-COOH, pregabilan and gabapentin.