title: Determination of selected phenothiazines in human plasma by solid-phase extraction and liquid chromatography with coulometric detection.
abstract: A new analytical method, based on liquid chromatography with coulometric detection, has been developed and applied to the determination of selected phenothiazines (chlorpromazine, promazine, fluphenazine and levomepromazine) in human plasma. The drugs were separated on a Discovery pentafluorophenylpropyl column, using a mobile phase composed of acetonitrile (32%) and a pH 1.9 phosphate buffer (68%). Promethazine was used as the internal standard. Detection was carried out at an oxidation potential of +0.500 V. A novel clean-up procedure was developed by means of solid-phase extraction, using cyanopropyl cartridges, which gave good extraction yield for all the analytes, with absolute recovery values higher than 91.0%. The detector response was linear over a plasma concentration range of 0.5-250.0 ng mL(-1) for chlorpromazine, promazine and levomepromazine and of 0.2-4.0 ng mL(-1) for fluphenazine. Precision results, expressed by the intra-day and the inter-day relative standard deviation values, were good, being lower than 3.9%. Accuracy data were satisfactory as well. The method has been successfully applied to the analysis of drug plasma levels of psychiatric patients undergoing therapy with selected phenothiazines.
authors.affiliation: Laboratory of Pharmaco-Toxicological Analysis, Department of Pharmaceutical Sciences, Faculty of Pharmacy, University of Bologna, Via Belmeloro 6, I-40126 Bologna, Italy.
authors.forename: Maria Addolorata
authors.initials: MA
authors.lastname: Saracino
authors.forename: Mario
authors.initials: M
authors.lastname: Amore
authors.forename: Elena
authors.initials: E
authors.lastname: Baioni
authors.forename: Carmine
authors.initials: C
authors.lastname: Petio
authors.forename: Maria Augusta
authors.initials: MA
authors.lastname: Raggi
mesh_terms: D053000:Analytic Sample Preparation Methods; D002851:Chromatography, High Pressure Liquid / Q000379:methods*; D004563:Electrochemistry; D006801:Humans; D001523:Mental Disorders / Q000188:drug therapy; D010640:Phenothiazines / Q000032:analysis*; D019338:Polypharmacy; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D052616:Solid Phase Extraction / Q000379:methods*
chemical_list: D010640:Phenothiazines; C031637:phenothiazine