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气相色谱-负化学电离质谱法测定人血浆中咪达唑仑及其两种代谢物

Determination of midazolam and two metabolites of midazolam in human plasma by gas chromatography--negative chemical-ionization mass spectrometry.

作者信息

Rubio F, Miwa B J, Garland W A

出版信息

J Chromatogr. 1982 Dec 10;233:157-65. doi: 10.1016/s0378-4347(00)81742-9.

DOI:10.1016/s0378-4347(00)81742-9
PMID:7161330
Abstract

A method is described for measuring midazolam, a new anesthesia induction agent and hypnotic, and its hydroxymethyl and desmethyl metabolites in human plasma. Deuterated analogues of each compound are added to plasma as internal standards. The compounds are extracted from plasma with benzene containing 20% 1,2-dichloroethane and after removal of the extracting solvent are dissolved in a solution of bis-(trimethylsilyl)acetamide and acetonitrile. An aliquot of this solution is analyzed by gas chromatography--mass spectrometry with the mass spectrometer set to monitor in the gas chromatographic effluent the M.- ions of drug, metabolites and internal standards generated by methane electron-capture negative chemical ionization. For all three compounds, the limit of quantitation is 1 ng ml-1, and the precision (relative standard deviation) at a concentration of 5 ng ml-1 is less than 6%. Measurable amounts of the hydroxymethyl, but not the desmethyl, metabolite of midazolam could be found in the plasma of humans given either an intravenous or an oral dose of midazolam maleate.

摘要

本文描述了一种测定人血浆中咪达唑仑(一种新型麻醉诱导剂和催眠药)及其羟甲基和去甲基代谢物的方法。将每种化合物的氘代类似物作为内标加入血浆中。用含20% 1,2 - 二氯乙烷的苯从血浆中提取这些化合物,去除提取溶剂后,将其溶解在双(三甲基硅基)乙酰胺和乙腈的溶液中。取该溶液的一份等分试样,用气相色谱 - 质谱联用仪进行分析,质谱仪设置为监测气相色谱流出物中由甲烷电子捕获负化学电离产生的药物、代谢物和内标的M.-离子。对于所有三种化合物,定量限为1 ng/ml,浓度为5 ng/ml时的精密度(相对标准偏差)小于6%。在静脉注射或口服马来酸咪达唑仑的人的血浆中,可以检测到咪达唑仑的羟甲基代谢物,但未检测到去甲基代谢物。

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引用本文的文献

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Midazolam pharmacokinetics following intravenous and buccal administration.静脉注射和口腔给药后咪达唑仑的药代动力学。
Br J Clin Pharmacol. 1998 Sep;46(3):203-6. doi: 10.1046/j.1365-2125.1998.00781.x.
2
Sedative and ventilatory effects of midazolam infusion: effect of flumazenil reversal.咪达唑仑输注的镇静和通气作用:氟马西尼逆转的效果。
Can J Anaesth. 1995 Aug;42(8):677-84. doi: 10.1007/BF03012664.
3
Midazolam: a new drug for intravenous sedation.咪达唑仑:一种用于静脉镇静的新药。
Anesth Prog. 1987 May-Jun;34(3):87-9.
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New intravenous anaesthetics and neuromuscular blocking drugs. A review of their properties and clinical use.新型静脉麻醉药和神经肌肉阻滞药。其特性及临床应用综述。
Drugs. 1987 Jul;34(1):98-135. doi: 10.2165/00003495-198734010-00004.
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Dose dependent pharmacokinetics of midazolam.咪达唑仑的剂量依赖性药代动力学
Eur J Clin Pharmacol. 1985;29(1):91-5. doi: 10.1007/BF00547375.
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Pharmacokinetics of the newer benzodiazepines.新型苯二氮䓬类药物的药代动力学
Clin Pharmacokinet. 1989 Jun;16(6):337-64. doi: 10.2165/00003088-198916060-00002.
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The pharmacokinetics of midazolam in patients with congestive heart failure.咪达唑仑在充血性心力衰竭患者中的药代动力学。
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