title: Improved enantioselective assay for the determination of fluoxetine and norfluoxetine enantiomers in human plasma by liquid chromatography.
abstract: A simple and innovative assay is described which allows the chiral separation of the four enantiomers of fluoxetine and norfluoxetine, with performance characteristics adequate for therapeutic drug monitoring. The assay requires liquid-liquid extraction into acetonitrile/n-hexane/isopropylic alcohol and re-extraction into phosphoric acid for clean-up. The acidic layer is injected onto the HPLC system after filtering. Separation of the analytes is achieved with a Chiralcel ODR column and a mobile phase consisting of potassium hexafluorophosphate/acetonitrile. Detection is made by ultraviolet absorbance at 227 nm. Standard curves are linear for each enantiomer (r(2)>/=0.992) over the range of 10-1000 ng/ml with a limit of quantification of 10 ng/ml for each enantiomer. Within-day and between-day CV% are </=10% for each enantiomer.
authors.affiliation: Clinical Pharmacology Unit, Department of Internal Medicine and Therapeutics, University of Pavia, Piazza Botta 10, 27100, Pavia, Italy. gatti@unipv.it
authors.forename: Giuliana
authors.initials: G
authors.lastname: Gatti
authors.forename: Ilaria
authors.initials: I
authors.lastname: Bonomi
authors.forename: Roberto
authors.initials: R
authors.lastname: Marchiselli
authors.forename: Cinzia
authors.initials: C
authors.lastname: Fattore
authors.forename: Edoardo
authors.initials: E
authors.lastname: Spina
authors.forename: Gabriella
authors.initials: G
authors.lastname: Scordo
authors.forename: Roberta
authors.initials: R
authors.lastname: Pacifici
authors.forename: Emilio
authors.initials: E
authors.lastname: Perucca
mesh_terms: D005473:Fluoxetine / Q000031:analogs & derivatives* / Q000097:blood*; D006801:Humans; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D017367:Selective Serotonin Reuptake Inhibitors / Q000097:blood*; D013237:Stereoisomerism
chemical_list: D005473:Fluoxetine; D017367:Selective Serotonin Reuptake Inhibitors; C036139:norfluoxetine