title: Development of a method of clozapine dosage by selective electrode to the iodides.
abstract: Clozapine (Leponex(®)), the main neuroleptic indicated in the treatment of resistant schizophrenia, requires therapeutic monitoring because of its side effects and the individual variability in metabolism. In addition, several cases of intoxication by this drug were described in the literature. In this work, we studied the indirect dosage of clozapine by selective electrode to the iodides for the optimization of an analytical protocol allowing therapeutic monitoring and the diagnosis of intoxication and/or overdose. Our results showed that the developed method is linear between 0.05 and 12.5 µg/mL (r = 0.980), with a limit of detection of 0.645.10(-3) µg/mL. It presents good precision (coefficient of variation less than 4%) and accuracy (coefficient less than 10%) for all the studied concentrations. With a domain of linearity covering a wide margin of concentrations, this method can be applicable to the dosage of clozapine in tablets and in different biological matrices, such as plasma, urines, and postmortem samples.
authors.affiliation: Biochemistry and Toxicology Laboratory, University Hospital of Monastir, Monastir, Tunisia. teyeb.hassen@gmail.com
authors.forename: Hassen
authors.initials: H
authors.lastname: Teyeb
authors.forename: Wahiba
authors.initials: W
authors.lastname: Douki
authors.forename: Mohamed Fadhel
authors.initials: MF
authors.lastname: Najjar
mesh_terms: D014150:Antipsychotic Agents / Q000008:administration & dosage / Q000009:adverse effects* / Q000097:blood / Q000737:chemistry; D003024:Clozapine / Q000008:administration & dosage / Q000009:adverse effects* / Q000097:blood / Q000737:chemistry; D004305:Dose-Response Relationship, Drug; D016903:Drug Monitoring / Q000379:methods*; D004563:Electrochemistry / Q000379:methods; D004566:Electrodes; D006801:Humans; D007454:Iodides / Q000737:chemistry*; D007455:Iodine; D011193:Potassium Iodide; D012559:Schizophrenia / Q000188:drug therapy*; D013607:Tablets
chemical_list: D014150:Antipsychotic Agents; D007454:Iodides; D013607:Tablets; D011193:Potassium Iodide; D007455:Iodine; D003024:Clozapine