title: Detection of levorotatory methamphetamine and levorotatory amphetamine in urine after ingestion of an overdose of selegiline.
abstract: In this study, we measured the urine concentrations of methamphetamine and amphetamine as metabolites of selegiline after ingestion of an overdose of selegiline. A patient who had developed Parkinson disease took selegiline in a suicide attempt. Analysis by gas chromatography-mass spectrometry (GC-MS) with trifluoroacetic acid-derivatization revealed the presence of methamphetamine and amphetamine in the patient's urine at concentrations of 0.62 microg/ml and 0.25 microg/ml, respectively. To determine the stereospecificity of the methamphetamine and amphetamine, a urine sample was analyzed by GC-MS after derivatization with N-(trifluoroacetyl)-l-prolyl chloride. The methamphetamine and amphetamine were levorotatory in form. The ratio of the methamphetamine to amphetamine concentration in the urine was 2.5. This value is consistent with other case reports of ingestion of selegiline, which suggests that the methamphetamine to amphetamine concentration ratio in urine is useful information for indicating use of selegiline.
authors.affiliation: Critical Care and Emergency Center, Iwate Medical University Hospital, Japan. yfujita@iwate-med.ac.jp
authors.forename: Yuji
authors.initials: Y
authors.lastname: Fujita
authors.forename: Katsuo
authors.initials: K
authors.lastname: Takahashi
authors.forename: Masao
authors.initials: M
authors.lastname: Takei
authors.forename: Hisae
authors.initials: H
authors.lastname: Niitsu
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Aoki
authors.forename: Makoto
authors.initials: M
authors.lastname: Onodera
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Fujino
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Inoue
authors.forename: Shigeatsu
authors.initials: S
authors.lastname: Endo
mesh_terms: D000328:Adult; D000661:Amphetamine / Q000652:urine*; D015415:Biomarkers / Q000652:urine; D062787:Drug Overdose / Q000175:diagnosis; D008401:Gas Chromatography-Mass Spectrometry; D006801:Humans; D008297:Male; D008694:Methamphetamine / Q000652:urine*; D010300:Parkinson Disease; D012642:Selegiline / Q000506:poisoning*; D013406:Suicide, Attempted
chemical_list: D015415:Biomarkers; D012642:Selegiline; D008694:Methamphetamine; D000661:Amphetamine