An LC−MS−MS Method for the Comprehensive Analysis of Cocaine and Cocaine Metabolites in Meconium

A sensitive, precise, and accurate liquid chromatography−mass spectrometry (LC−MS−MS) method was developed to quantitate cocaine and cocaine metabolites, which were simultaneously extracted from suspected drug-positive meconium samples using solid-phase extraction. The ability to analyze cocaine and...

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Veröffentlicht in:Analytical chemistry (Washington) 2000-02, Vol.72 (4), p.764-771
Hauptverfasser: Xia, Yang, Wang, Bartlett, Michael G, Solomon, Harvey M, Busch, Kenneth L
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creator Xia, Yang
Wang
Bartlett, Michael G
Solomon, Harvey M
Busch, Kenneth L
description A sensitive, precise, and accurate liquid chromatography−mass spectrometry (LC−MS−MS) method was developed to quantitate cocaine and cocaine metabolites, which were simultaneously extracted from suspected drug-positive meconium samples using solid-phase extraction. The ability to analyze cocaine and multiple cocaine metabolites in meconium makes this method a powerful tool for the study of cocaine exposure and metabolism in neonates. Of 22 samples, only 1 did not show the presence of cocaine or any metabolite of cocaine. The identified metabolites varied both qualitatively and quantitatively between samples. Ecgonine appears to hold the most promise as a diagnostic marker compound for neonatal cocaine exposure as this metabolite was present in 21 of 21 of the positive samples tested, and at a relatively high median concentration. However, a core group of eight metabolites (present in at least 20 of 21 positive samples) was identified that appears to possess the greatest utility for determining cocaine exposure. Finally, the use of this method for assessment of the magnitude of fetal cocaine exposure was demonstrated.
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subjects Biochemistry
Biological and medical sciences
Chromatography, Liquid - methods
Cocaine
Cocaine - analysis
Cocaine - metabolism
Drug addictions
Female
Gynecology. Andrology. Obstetrics
Humans
Infant, Newborn
Management. Prenatal diagnosis
Mass Spectrometry - methods
Meconium - chemistry
Medical sciences
Pregnancy
Pregnancy. Fetus. Placenta
Street Drugs - analysis
Street Drugs - metabolism
Street Drugs - urine
Toxicology
title An LC−MS−MS Method for the Comprehensive Analysis of Cocaine and Cocaine Metabolites in Meconium
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