title: [Chemical diagnosis of carbamazepine intoxication and its usefulness in toxicological jurisprudence].
abstract: Intoxication with carbamazepine (Amizepine, Tegretol) represents a significant problem of clinical and forensic toxicology, which frequently develops independently of the commonly used monitored therapy. In the study a technique of qualitative and quantitative analysis applied to carbamazepine (CBZ) as well as its metabolites carbamazepine 10,11-epoxide (CBZ-E) and 10,11-dihydroxycarbamazepine (CBZ-DH) in biological material using high-performance liquid chromatography (HPLC) was presented. The studies also involve isolation of studied compounds using solid phase extraction, SPE-Abselut NEXUS (Varian), establishment of calibration range and validation of analytical parameters. This was followed by a discussion of results obtained in routine diagnostic investigations in cases of intoxications, corroborating practical suitability of the designed technique.
authors.affiliation: Katedry i Zakładu Medycyny Sadowej Akademii Medycznej im. K. Marcinkowskiego.
authors.forename: Roman
authors.initials: R
authors.lastname: Wachowiak
authors.forename: Jarosław
authors.initials: J
authors.lastname: Tobolski
authors.forename: Dorota
authors.initials: D
authors.lastname: Klimaszyk
mesh_terms: D000927:Anticonvulsants / Q000009:adverse effects / Q000378:metabolism; D018692:Antimanic Agents / Q000009:adverse effects / Q000378:metabolism; D002220:Carbamazepine / Q000008:administration & dosage / Q000009:adverse effects* / Q000031:analogs & derivatives* / Q000097:blood / Q000378:metabolism; D002851:Chromatography, High Pressure Liquid / Q000379:methods*; D005554:Forensic Medicine / Q000379:methods; D006801:Humans; D011041:Poisoning / Q000175:diagnosis / Q000209:etiology; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D015813:Substance Abuse Detection / Q000379:methods*; D014116:Toxicology / Q000331:legislation & jurisprudence
chemical_list: D000927:Anticonvulsants; D018692:Antimanic Agents; D002220:Carbamazepine; C004822:10,11-dihydro-10,11-dihydroxy-5H-dibenzazepine-5-carboxamide; C012227:carbamazepine epoxide