Thevenet M, Firmin C, Pouclet J
Ann Biol Clin (Paris). 1979;37(6):367-72.
Acebutolol at therapeutic dosage may considerably disturb the determination of urinary 17-oxosteroids by Zimmerman's reaction. This interference, very variable according to the various technics which may be used, depends mainly on the pH of the urine at the time of extraction. In very acid medium (pH less than 1,5) no acebutolol metabolite passes into the solvents of low polarity; in very alkaline medium, (pH greater than 13) the passage la quantitative. The estimation of 17-oxostéroids in the presence of acebutolol, is possible provided the extraction is carried out in sufficiently acid medium, such as that used for hydrolysis in presence of hydrochloric acid. This is moreover the procedure used for classical methods were no interference is observed. The selective estimation of acebutolol and of its metabolites may be carried out simply by Zimmerman's reaction, after extraction at pH 13 of non-hydrolysed urine, thanks to the absence of conjugated derivatives.