Joern W A, Joern A B
Laboratory, St. Anthony's Medical Center, St. Louis, Missouri 63128.
J Anal Toxicol. 1987 Nov-Dec;11(6):247-51. doi: 10.1093/jat/11.6.247.
Alprazolam (Xanax) is a fairly new, yet very popular benzodiazepine tranquilizer. In 1985, it was 6th on a nationwide list of drugs mentioned in emergency room drug poisonings. A procedure was developed that allows alprazolam and its main urinary metabolites, alpha-hydroxyalprazolam and 3-hydroxymethyl-5-methyltriazolyl chlorobenzophenone, to be detected in urine specimens. A dual capillary column, dual nitrogen detector gas chromatographic system was used for reliable identification. Improved chromatographic performance was obtained by acetylating the metabolites. Method characteristics such as linearity, reproducibility, limit of detection, and recovery were determined. The method was tested by assaying urine specimens from hospitalized patients who had been ingesting alprazolam. In most cases, alpha-hydroxyalprazolam was found in the highest concentration and separated best from endogenous urine substances. A single dose concentration-time study was performed, and the time course of alprazolam and metabolite concentrations over 48 hours was determined.
阿普唑仑(佳静安定)是一种相当新但非常受欢迎的苯二氮䓬类镇静剂。1985年,在全国急诊室药物中毒提及的药物名单中,它排第六位。已开发出一种程序,可在尿液标本中检测出阿普唑仑及其主要尿液代谢物α-羟基阿普唑仑和3-羟甲基-5-甲基三唑基氯苯甲酮。采用双毛细管柱、双氮检测器气相色谱系统进行可靠鉴定。通过对代谢物进行乙酰化处理,获得了改进的色谱性能。测定了线性、重现性、检测限和回收率等方法特性。通过分析服用阿普唑仑的住院患者的尿液标本对该方法进行了测试。在大多数情况下,发现α-羟基阿普唑仑浓度最高,且与内源性尿液物质分离效果最佳。进行了单剂量浓度-时间研究,并确定了48小时内阿普唑仑和代谢物浓度的时间进程。