PMID- 12587677 OWN - NLM STAT- MEDLINE DCOM- 20030715 LR - 20190513 IS - 0146-4760 (Print) IS - 0146-4760 (Linking) VI - 27 IP - 1 DP - 2003 Jan-Feb TI - Direct screening of urine for MDMA and MDA by liquid chromatography-tandem mass spectrometry. PG - 15-9 AB - There is a limit in the number of substances detected by commercially available reagents. It is therefore important to have other, complementary techniques. Liquid chromatography-tandem mass spectrometry (LC-MS-MS) may offer one possibility. An LC-MS-MS procedure based on the detection of positive ions after atmospheric pressure chemical ionization (APCI) was developed for direct measurement of 3,4-methylenedioxymethamphetamine (MDMA) and 3,4-methylenedioxyamphetamine in urine. It was compared with Online Amphetamines. The LC-MS-MS methodology showed improved sensitivity (1 00-ng/mL cutoff and specificity with a coefficient of variation of 10%. It was compared to the immunochemical analysis using 1000 clinical patient urine samples. The positive samples were confirmed by gas chromatography-mass spectrometry. The LC-MS-MS method detected almost four times as many samples positive for MDMA compared to the immunochemical method, with no false positives and one false negative. Our study suggests that LC-MS-MS offers an alternative to immunochemical methods in drug of abuse screening. FAU - Nordgren, Helena K AU - Nordgren HK AD - Department of Medicine, Division of Clinical Pharmacology, Karolinska Institutet, Stockholm, Sweden. Helena.Nordgren@ks.se FAU - Beck, Olof AU - Beck O LA - eng PT - Comparative Study PT - Journal Article PL - England TA - J Anal Toxicol JT - Journal of analytical toxicology JID - 7705085 RN - 4764-17-4 (3,4-Methylenedioxyamphetamine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - 3,4-Methylenedioxyamphetamine/*urine MH - Chromatography, Liquid MH - Gas Chromatography-Mass Spectrometry MH - Humans MH - Immunochemistry MH - N-Methyl-3,4-methylenedioxyamphetamine/*urine MH - Sensitivity and Specificity MH - Spectrometry, Mass, Electrospray Ionization MH - Substance Abuse Detection/*methods EDAT- 2003/02/18 04:00 MHDA- 2003/07/16 05:00 CRDT- 2003/02/18 04:00 PHST- 2003/02/18 04:00 [pubmed] PHST- 2003/07/16 05:00 [medline] PHST- 2003/02/18 04:00 [entrez] AID - 10.1093/jat/27.1.15 [doi] PST - ppublish SO - J Anal Toxicol. 2003 Jan-Feb;27(1):15-9. doi: 10.1093/jat/27.1.15.