Kim Sun Cheun, Chung Heesun, Lee Sang Ki, Park Yong Hoon, Yoo Young Chan, Yun Yeo-Pyo
National Institute of Scientific Investigation, Chungbuk National University, Yang-Chun Gu, Seoul, South Korea.
Forensic Sci Int. 2006 Sep 12;161(2-3):185-8. doi: 10.1016/j.forsciint.2006.05.045. Epub 2006 Jul 25.
d-3-Methoxy-17-methylmorphinan (Dextromethorphan, DXM), which is a structural analog of morphine and codeine, has been widely used as a non-narcotic antitussive agent. It is a safe drug in therapeutic dose and does not produce analgesic effects, while its enantiomer, l-3-methoxy-17-methylmorphinan called levomethorphan (LXM) is a potent narcotic analgesic. DXM has been widely abused in Korea due to its hallucinogenic effect in large doses; therefore, the health authorities have regulated its use as a psychotropic agent since 2003. As its abuse has been serious, a possibility that DXM would be smuggled into Korea has also increased. Moreover, it has been suspected that there was the possibility of the adulteration or substitution of DXM with LXM due to their chemical similarities. Therefore, it was necessary for us to establish the enantiomeric separation of DXM and LXM. In this study, a liquid chromatographic method using a chiral column capable of separating stereoisomers of DXM as well as analyzing the major metabolites of DXM, 3-methoxymorphinan, 3-hydroxymorphinan, and 17-hydroxymethylmorphinan was developed. The validation of a method was studied through repeatability of retention times. Using this method, 32 confiscated DXM samples were analyzed to identify the enantiomers of DXM. As a result, DXM was detected in all samples and there was no evidence of the adulteration or substitution of DXM with LXM. Nevertheless, the stereochemical analysis of DXM and LXM is important not only to identify starting materials for illegal drug manufacture but also to understand the trends of abused drugs.
右美沙芬(d - 3 - 甲氧基 - 17 - 甲基吗啡喃,DXM)是吗啡和可待因的结构类似物,已被广泛用作非麻醉性镇咳药。它在治疗剂量下是一种安全药物,不会产生镇痛作用,而其对映体,左旋美沙芬(l - 3 - 甲氧基 - 17 - 甲基吗啡喃,LXM)是一种强效麻醉性镇痛药。由于大剂量使用时具有致幻作用,DXM在韩国已被广泛滥用;因此,自2003年以来,卫生当局已将其作为精神药物进行管制。由于其滥用情况严重,DXM被偷运到韩国的可能性也有所增加。此外,由于它们的化学相似性,有人怀疑存在用LXM掺假或替代DXM的可能性。因此,我们有必要建立DXM和LXM的对映体分离方法。在本研究中,开发了一种液相色谱方法,该方法使用能够分离DXM立体异构体以及分析DXM主要代谢产物3 - 甲氧基吗啡喃、3 - 羟基吗啡喃和17 - 羟基甲基吗啡喃的手性柱。通过保留时间的重复性研究了该方法的验证。使用该方法对32个没收的DXM样品进行分析,以鉴定DXM的对映体。结果,在所有样品中均检测到DXM,没有证据表明DXM被LXM掺假或替代。然而,DXM和LXM的立体化学分析不仅对于识别非法药物制造的起始原料很重要,而且对于了解滥用药物的趋势也很重要。