PMID- 15848211 OWN - NLM STAT- MEDLINE DCOM- 20050912 LR - 20191210 IS - 0014-827X (Print) IS - 0014-827X (Linking) VI - 60 IP - 4 DP - 2005 Apr TI - Liquid chromatographic-mass spectrometric method for the determination of fluoxetine and norfluoxetine in human plasma: application to clinical study. PG - 345-9 AB - A selective, sensitive, simple, and rapid method for the simultaneous determination of fluoxetine (FL) and norfluoxetine (nor-FL) was developed and validated, and further applied to analyze plasma samples obtained from FL-treated patients with Parkinson disease (n = 18). After one step liquid-liquid extraction with ethyl acetate, plasma samples were chromatographed on a C8 column. The mobile phase was acetate buffer and acetonitrile (40:60 v/v). Determination of FL and nor-FL was performed with MS detection in selective ion monitoring (SIM) mode, so the other components did not interfere with this assay. FL, nor-FL and flumazenil as internal standard were eluted in 6 min. Recoveries ranged from 89.7 to 96.6% and from 80.2 to 85.3% for FL and nor-FL, respectively. The limit of quantitation under described conditions was 2.5 microg/l for FL and 10 microg/l for nor-FL. The method was found to be reproducible with coefficient of variation less than 9%. The parameters of the method were found to be acceptable to enable its routine use for clinical studies. The method was employed to analyze the Parkinsonian patients' plasma samples. A great deviation in plasma concentrations of FL and nor-FL found among 18 studied patients indicates high pharmacokinetic variability of the drug. Obtained results also indicate absence of the influence of Parkinson disease on the drug disposition. FAU - Djordjevic, S AU - Djordjevic S AD - Poison Control Center, Department of Toxicological Chemistry, Military Medical Academy, Belgrade, Serbia and Montenegro. FAU - Kovacevic, I AU - Kovacevic I FAU - Miljkovic, B AU - Miljkovic B FAU - Vuksanovic, J AU - Vuksanovic J FAU - Pokrajac, M AU - Pokrajac M LA - eng PT - Journal Article PT - Validation Study PL - France TA - Farmaco JT - Farmaco (Societa chimica italiana : 1989) JID - 8912641 RN - 01K63SUP8D (Fluoxetine) RN - K8D70XE2F4 (norfluoxetine) SB - IM MH - Adult MH - Aged MH - Chromatography, Liquid MH - Clinical Trials as Topic MH - Female MH - Fluoxetine/*analogs & derivatives/*blood/therapeutic use MH - Humans MH - Male MH - Mass Spectrometry MH - Middle Aged MH - Parkinson Disease/blood/drug therapy MH - Reproducibility of Results MH - Sensitivity and Specificity EDAT- 2005/04/26 09:00 MHDA- 2005/09/13 09:00 CRDT- 2005/04/26 09:00 PHST- 2004/07/27 00:00 [received] PHST- 2005/01/08 00:00 [accepted] PHST- 2005/04/26 09:00 [pubmed] PHST- 2005/09/13 09:00 [medline] PHST- 2005/04/26 09:00 [entrez] AID - S0014-827X(05)00024-8 [pii] AID - 10.1016/j.farmac.2005.01.002 [doi] PST - ppublish SO - Farmaco. 2005 Apr;60(4):345-9. doi: 10.1016/j.farmac.2005.01.002.