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SOFT 2004 Meeting Abstracts - Society of Forensic Toxicologists

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A64 <br />

GC-MS QUANTlTATlON OF CODEINE, MORPHINE, 6-ACETYLMORPHINE,<br />

HYDROCODONE, HYDROMORPHONE, OXYCODONE, AND OXYMORPHONE IN BLOOD<br />

Robert Meatherall' <br />

Department <strong>of</strong>Biochemistry, S1. Boniface General Hospital, 409 Tache Avenue, Winnipeg, Manitoba, <br />

Canada, R2H 2A6. <br />

A method is described for the simultaneous analysis <strong>of</strong> seven opiates - codeine, morphine, 6­<br />

acetylmorphine, hydrocodone, hydromorphone, oxycodone and oxymorphone in blood samples by gas<br />

chromatography - mass spectrometry. One milliliter <strong>of</strong> blood is combined with an internal standard<br />

mixture containing 200 nanograms <strong>of</strong> each <strong>of</strong> the seven deuterated opiates. Two milliliters <strong>of</strong> acetonitrile<br />

are added to precipitate the proteins and cellular material. After centrifugation, the clear supernatant is<br />

removed and the acetonitrile is evaporated. The remaining aqueous portion is adjusted to pH 9 with<br />

sodium bicarbonate buffer from which the drugs are extracted into chlor<strong>of</strong>orm / trifluoroethanol (10: 1).<br />

The organic extractant is transferred and dried under nitrogen. The residue is reconstituted in dilute<br />

hydrochloric acid and washed consecutively with hexane, then chlor<strong>of</strong>orm. The purified aqueous portion is<br />

adjusted to pH 9 with bicarbonate buffer and the drugs are again extracted into chlor<strong>of</strong>orm /<br />

trifluoroethanol (10:1). The organic portion is removed from the aqueous fraction and dried under<br />

nitrogen. The residue is consecutively derivatized with methoxyamine, then propionic anhydride using<br />

pyridine as a catalyst. The ketone groups on hydrocodone, hydromorphone, oxycodone and oxymorphone<br />

are converted to methoximes. Hydroxyl groups present at the C-3 and C-6 positions <strong>of</strong> codeine, morphine,<br />

6-acetylmorphine, hydromorphone and oxymorphone are converted to their respective propionyl esters.<br />

After a post derivatization purification step, the extracts are analyzed by full scan gas chromatography ­<br />

mass spectrometry using electron impact ionization.<br />

The method is linear to at least 2000 ng/mL. Day-to-day precision (N 15) at 500 nglmL and 75 nglmL<br />

were less than 10% for all 7 targeted opiates. Extraction efficiencies at these two concentrations ranged<br />

from 50% to 68%. For each opiate, the limit <strong>of</strong> quantitatlon was 10 nglmL, while the limit <strong>of</strong> detection was<br />

2 ngimL.<br />

Keywords: Opiates, Blood, Mass Spectrometry<br />

Page 178

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