PMID- 34150144 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231107 IS - 1943-8141 (Print) IS - 1943-8141 (Electronic) IS - 1943-8141 (Linking) VI - 13 IP - 5 DP - 2021 TI - Application value of UPLC-MS/MS in detecting serum concentration of anti-schizophrenic drugs in patients with mental illnes. PG - 5460-5467 AB - OBJECTIVE: This study was designed to demonstrate the accuracy of ultra-high performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) in detecting serum concentration of anti-schizophrenic drugs in patients with mental illness. METHODS: The study participants were 186 schizophrenia patients treated in our hospital. Serum concentrations of anti-schizophrenic drugs in Chinese patients with mental illness were evaluated according to the reference intervals of drug therapy recommended in the guidelines. RESULTS: Five drugs, namely Aripiprazole (ARI), Amisulpride (AMI), Olanzapine (OLA), Paliperidone (PAL) and Ziprasidone (ZIP) all showed good linearity within the linear range. The within-day precision of the above five drugs was all between 1.3%-8.9% and the inter-day precision was between 1.8%-7.6%, with within-day and inter-day relative standard deviations (RSDs) less than 15.00% and accuracy ranging from 87.00% to 106.73%. However, AMI had a mean blood concentration of 436.31+/-241.05 ng/mL (median concentration: 379.34 ng/mL), which was significantly higher than the reference range (100-320 ng/mL) recommended in the guidelines. Good recovery rates (86.21%-99.77%) were obtained after the samples were stored at room temperature for 24 h, at 4 degrees C for 48h and at -20 degrees C for half a year. CONCLUSIONS: Given that UPLC-MS/MS renders more accurate results in detecting the concentration of psychotropic drugs, it can be applied clinically to detect the concentration of therapeutic drugs in patients with mental illness. CI - AJTR Copyright (c) 2021. FAU - Wu, Shaochang AU - Wu S AD - Department of Geriatrics, The Second People's Hospital of Lishui Lishui, Zhejiang Province, China. FAU - Zhu, Guidong AU - Zhu G AD - Department of Psychiatry, The Second People's Hospital of Lishui Lishui, Zhejiang Province, China. FAU - Zhou, Dajin AU - Zhou D AD - Clinical Laboratory, The Second People's Hospital of Lishui Lishui, Zhejiang Province, China. FAU - Xu, Hongtao AU - Xu H AD - Hangzhou Biozon Medical Co., Ltd. Hangzhou, Zhejiang Province, China. FAU - Zhao, Longyou AU - Zhao L AD - Clinical Laboratory, The Second People's Hospital of Lishui Lishui, Zhejiang Province, China. LA - eng PT - Journal Article DEP - 20210515 PL - United States TA - Am J Transl Res JT - American journal of translational research JID - 101493030 PMC - PMC8205737 OTO - NOTNLM OT - Ultra-high performance liquid chromatography-tandem mass spectrometry OT - drug concentration OT - schizophrenia COIS- None. EDAT- 2021/06/22 06:00 MHDA- 2021/06/22 06:01 PMCR- 2021/05/15 CRDT- 2021/06/21 05:55 PHST- 2021/01/22 00:00 [received] PHST- 2021/02/23 00:00 [accepted] PHST- 2021/06/21 05:55 [entrez] PHST- 2021/06/22 06:00 [pubmed] PHST- 2021/06/22 06:01 [medline] PHST- 2021/05/15 00:00 [pmc-release] PST - epublish SO - Am J Transl Res. 2021 May 15;13(5):5460-5467. eCollection 2021.