Evaluating the Relationship Between Postmortem and Antemortem Morphine and Codeine Concentrations in Whole Blood

The purpose of this study was to examine the relationship between antemortem (AM) and postmortem (PM) morphine and codeine concentrations in whole blood. In addition, the effects of antemortem to death interval as well as the postmortem interval were considered during the interpretive process. The c...

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Veröffentlicht in:Journal of analytical toxicology 2010-10, Vol.34 (8), p.491-497
Hauptverfasser: Tolliver, Samantha S., Hearn, W. Lee, Furton, Kenneth G.
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container_title Journal of analytical toxicology
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creator Tolliver, Samantha S.
Hearn, W. Lee
Furton, Kenneth G.
description The purpose of this study was to examine the relationship between antemortem (AM) and postmortem (PM) morphine and codeine concentrations in whole blood. In addition, the effects of antemortem to death interval as well as the postmortem interval were considered during the interpretive process. The cases of seven human subjects are presented here with an average postmortem interval of 28 h (13.5–48 h) and an average antemortem to death interval of 97 min (ranging from 9 to 300 min). Drug concentrations were obtained from AM blood collected from local hospitals in Miami, FL, and postmortem blood was obtained from the Miami-Dade County Medical Examiner Department in Miami, FL. The results obtained for this study indicated that factors such as metabolism and postmortem interval can affect postmortem drug concentrations in an unpredictable manner. Four out of seven morphine cases appeared to be affected by postmortem redistribution, and five of seven codeine and two of two 6-monoacetylmorphine cases were affected as well.
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Lee</creatorcontrib><creatorcontrib>Furton, Kenneth G.</creatorcontrib><title>Evaluating the Relationship Between Postmortem and Antemortem Morphine and Codeine Concentrations in Whole Blood</title><title>Journal of analytical toxicology</title><addtitle>Journal of Analytical Toxicology</addtitle><addtitle>Journal of Analytical Toxicology</addtitle><description>The purpose of this study was to examine the relationship between antemortem (AM) and postmortem (PM) morphine and codeine concentrations in whole blood. In addition, the effects of antemortem to death interval as well as the postmortem interval were considered during the interpretive process. The cases of seven human subjects are presented here with an average postmortem interval of 28 h (13.5–48 h) and an average antemortem to death interval of 97 min (ranging from 9 to 300 min). Drug concentrations were obtained from AM blood collected from local hospitals in Miami, FL, and postmortem blood was obtained from the Miami-Dade County Medical Examiner Department in Miami, FL. The results obtained for this study indicated that factors such as metabolism and postmortem interval can affect postmortem drug concentrations in an unpredictable manner. 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Drug treatments</topic><topic>Substance Abuse Detection</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tolliver, Samantha S.</creatorcontrib><creatorcontrib>Hearn, W. Lee</creatorcontrib><creatorcontrib>Furton, Kenneth G.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Journal of analytical toxicology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tolliver, Samantha S.</au><au>Hearn, W. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
subjects Adult
Aged, 80 and over
Analysis
Autopsy
Biological and medical sciences
Codeine - analogs & derivatives
Codeine - blood
Codeine - pharmacokinetics
Gas Chromatography-Mass Spectrometry
General pharmacology
Humans
Male
Medical sciences
Middle Aged
Morphine - blood
Morphine - pharmacokinetics
Morphine Derivatives - blood
Narcotics - blood
Narcotics - pharmacokinetics
Pharmacology. Drug treatments
Substance Abuse Detection
Time Factors
title Evaluating the Relationship Between Postmortem and Antemortem Morphine and Codeine Concentrations in Whole Blood
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