On the assessment of drug metabolism by assays of codeine and its main metabolites

Codeine and its main metabolites appear to have advantages for assessing drug metabolic phenotypes. The authors have further developed a high-performance liquid chromatography (HPLC) method for the quantification of codeine and six of its metabolites in urine. Quantification was performed by electro...

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Veröffentlicht in:Therapeutic drug monitoring 2000-06, Vol.22 (3), p.258-265
Hauptverfasser: Haffen, E, Paintaud, G, Berard, M, Masuyer, C, Bechtel, Y, Bechtel, P R
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container_end_page 265
container_issue 3
container_start_page 258
container_title Therapeutic drug monitoring
container_volume 22
creator Haffen, E
Paintaud, G
Berard, M
Masuyer, C
Bechtel, Y
Bechtel, P R
description Codeine and its main metabolites appear to have advantages for assessing drug metabolic phenotypes. The authors have further developed a high-performance liquid chromatography (HPLC) method for the quantification of codeine and six of its metabolites in urine. Quantification was performed by electrochemical detection for morphine, normorphine, morphine-6-glucuronide, and the internal standard 4-O-methyldopamine; and by ultraviolet detection for codeine, norcodeine, and morphine-3-glucuronide. The method had a detection limit of 2 nmol/L(-1) for morphine and normorphine, 4 nmol/L(-1) for morphine-6-glucuronide, 3 nmol/L for the internal standard, 20 nmol/L(-1) for morphine-3-glucuronide, and 60 nmol/L(-1) for codeine and norcodeine. The coefficients of variations were
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Eleven healthy volunteers were phenotyped for CYP2D6 using codeine as well as debrisoquine and dextromethorphan. Ten subjects were extensive metabolizers (EM) and one a poor metabolizer (PM) of codeine, debrisoquine, and dextromethorphan. Significant correlations between the metabolic ratios (MRs) of the different probe drugs were obtained (r2 &gt; 0.95, p &lt; 0.001). 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Eleven healthy volunteers were phenotyped for CYP2D6 using codeine as well as debrisoquine and dextromethorphan. Ten subjects were extensive metabolizers (EM) and one a poor metabolizer (PM) of codeine, debrisoquine, and dextromethorphan. Significant correlations between the metabolic ratios (MRs) of the different probe drugs were obtained (r2 &gt; 0.95, p &lt; 0.001). 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subjects Adult
Chromatography, High Pressure Liquid - methods
Codeine - analogs & derivatives
Codeine - urine
Cytochrome P-450 CYP2D6 - genetics
Cytochrome P-450 CYP2D6 - metabolism
Debrisoquin - metabolism
Dextromethorphan - metabolism
Female
Glucuronides - urine
Humans
Linear Models
Male
Methylation
Middle Aged
Morphine - urine
Phenotype
Polymorphism, Genetic
Reproducibility of Results
Sensitivity and Specificity
title On the assessment of drug metabolism by assays of codeine and its main metabolites
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