Busca avançada
Ano de início
Entree


Determination of Drugs of Abuse in Hair by LC-MS-MS: Application to Suicide Attempts Investigation

Texto completo
Autor(es):
Cardoso, Marilia S. ; Lanaro, Rafael ; Dolores, Raul C. ; Morais, Damila R. ; Arantes, Ana Carolina Furiozo ; Oliveira, Karina Diniz ; Costa, Jose Luiz
Número total de Autores: 7
Tipo de documento: Artigo Científico
Fonte: JOURNAL OF ANALYTICAL TOXICOLOGY; v. 46, n. 5, p. 5-pg., 2021-06-15.
Resumo

Considering that the use of psychoactive substances (PSs) is a risk factor to either higher intensity or frequency of suicidal behavior, hair analysis was conducted to investigate the most consumed PSs (opiates, amphetamine stimulants, marijuana, cocaine and heroin) in patients who attempted suicide and received urgent care at emergency service. Hair samples were extracted using methanol and sonicated under heating and then analyzed using liquid chromatography-tandem mass spectrometry. During validation, the method complied with international recommended criteria, with limits of detection between 0.0025 and 0.05 ng/mg and linearity between 0.1 and 4 ng/mg for methamphetamine, 3,4-methylenedioxymethamphetamine (MDMA), morphine, amphetamine, 6-acetylmorphine, 3,4-methylenedioxyamphetamine (MDA), fenproporex, diethylpropion and codeine; between 0.025 and 1 ng/mg for tetrahydrocannabinol (THC), benzoylecgonine and cocaethylene and between 0.25 and 10 ng/mg for cocaine and mazindol. A total of 109 hair samples were analyzed and segmented in 404 parts. Among all analyzed samples, 30.3% were positive for at least one PS (n = 33), such as cocaine (90.9%), codeine (12.1%), morphine (3.0%), MDMA (3.0%) and THC (3.0%). In segmental analysis of cocaine positive samples (n = 30), 76.7% of the samples indicated recent exposure to cocaine (<1 month). This same behavior was observed when analyzing codeine (n = 4) and morphine (n = 1). THC positive samples indicated exposure dated similar to 4 months prior. In conclusion, the method was validated following international recommendations for the 12 most consumed PSs in Brazil, as well as two of the most common found metabolites. (AU)

Processo FAPESP: 17/00274-4 - Suicídio na emergência: estudo de relações entre uso de substâncias psicoativas e tentativas de suicídio em unidade de emergência referenciada da cidade de Campinas - SP
Beneficiário:Karina Diniz Oliveira
Modalidade de apoio: Auxílio à Pesquisa - Regular
Processo FAPESP: 18/00432-1 - A Toxicologia das Novas Substâncias Psicoativas (NSP): epidemiologia do consumo através da análise de amostras de cabelo e fluido oral
Beneficiário:José Luiz da Costa
Modalidade de apoio: Auxílio à Pesquisa - Regular